Thursday, April 26, 2012

Breivik Trial News Review - 1:34 PM 4/26/2012 - Mike Nova's starred items

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Breivik Trial News Review - 1:34 PM 4/26/2012

Mike Nova's starred items


via anders behring breivik - Google Blog Search by Activist on 4/25/12
The trial of Norwegian mass-murderer Anders Behring Breivik has today entered its second week, with many interesting but chilling details having been revealed about the bombing in Oslo and subsequent shootings on the ...

via anders behring breivik - Google News on 4/25/12

The West Australian
Breivik accuses experts of lies as he pleads for his sanity
The West Australian
OSLO (AFP) - Anders Behring Breivik, who killed 77 people in Norway last July, insisted Wednesday he was of sound mind and accused a team of psychiatric experts of making things up to prove him insane. "I think that all of Norway has seen I am not ...

via anders behring breivik - Google News on 4/22/12

New York Daily News
Anders Behring Breivik Trial: Norway Killer Gloats In Court, Norwegians Shows ...
Huffington Post
By KARL RITTER 04/22/12 12:00 PM ET OSLO, Norway — You would have forgiven Norwegians for showing more outrage against confessed mass killer Anders Behring Breivik. When he walks in to court flashing a right-wing salute. When he testifies effortlessly ...
Norway mass killer: There's 'racist' plot to discredit meNew York Daily News
Trial sharpens focus on Breivik's mental stateSeattle Post Intelligencer
Mad or bad? Breivik's mental state puzzles expertsReuters
USA TODAY -New York Times
all 1,984 news articles »

via anders behring breivik - Google News on 4/25/12

Boston.com
Breivik says psychiatric report deeming him insane is full of 'fabrications'
Christian Science Monitor
Anders Behring Breivik, the man behind Norway's terror attacks last summer, said in court today that the psychiatrists made up 80 percent of the report and don't understand politically motivated violence. By Valeria Criscione, Correspondent / April 25, ...
Breivik's publicity at trial just what he wantedBoston.com
Breivik: Insane diagnosis based on 'fabrications'USA TODAY
Breivik says insane diagnosis based on 'fabrications'New York Daily News

all 942 news articles »

via anders behring breivik - Google News on 4/26/12

Tens of thousands protest at Norway Breivik trial
Reuters
| OSLO (Reuters) - Around 40000 people gathered in Oslo on Thursday to sing a popular children's song ridiculed by Anders Behring Breivik, who killed 77 people last July, as a show of protest against the right-wing activist's anti-immigrant views.

via anders behring breivik - Google News on 4/26/12

BBC News
Anders Behring Breivik: Oslo bomb survivors testify
BBC News
Survivors of Anders Behring Breivik's bomb attack on Oslo on 22 July have been testifying on the ninth day of his trial in the Norwegian capital. One, Harald Fosker, had to have surgery on his face as a result of the blast in the government quarter, ...
Thousands defy Norway mass killer Breivik in songKansas City Star
Breivik says psychiatric report deeming him insane is full of 'fabrications'Christian Science Monitor
Breivik's publicity at trial just what he wantedBoston.com
USA TODAY
all 1,046 news articles »

via Google News on 4/19/12

Norway mass-shooting trial reopens debate on violent video games
CNN International
By John D. Sutter, CNN The military action game, "Call of Duty: Modern Warfare 2," sold more than 10 million copies upon its 2009 release. (CNN) -- Norway's alleged mass killer testified on Thursday that he played video games as a way to train for a ...

and more »

via anders behring breivik - Google Blog Search by jenaconti on 4/25/12
I sat down on the sofa last night with my copy of Aftenposten, turning the pages in hopes of finding something to read that wasn't about Anders Behring Breivik, or, paradoxically, the surge of immigrants coming to Norway (an ...

via anders behring breivik - Google News on 4/18/12

Daily Mail
Anders Behring Breivik trial: Lawyers rubbish claims mass killer was part of ...
Daily Mail
By Lee Moran Lawyers in the trial of Norwegian mass murderer Anders Behring Breivik today set about rubbishing his claims that he was part of a sophisticated anti-Muslim militant group. Prosecutors said they believed the 33-year-old's so-called Knights ...
Anders Breivik trial: Who are the Knights Templar?Toronto Star
Who are the Knights Templar? A look at many groupsFox News

all 108 news articles »
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Breivik Syndrome: mass murder as a result of paranoid - grandiose ultra nationalist delusions. How many are afflicted with it, not leading to a fatal outcome yet?

Breivik Syndrome: mass murder as a result of paranoid - grandiose ultra nationalist delusions. How many are afflicted with it, not leading to a fatal outcome yet?

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Breivik Pleads His Sanity to Court - YouTube

Breivik Pleads His Sanity to Court - YouTube


Published on Apr 25, 2012 by
04/25/2012

Anders Behring Breivik has told his trial in Oslo that a psychiatric report finding him insane in relation to the 77 killings he carried out was a "lie".

Two reports came to opposing views on his sanity. The court's ruling on this will determine whether Breivik is sent to jail or into psychiatric care.

Breivik, 33, admits to killing 77 people in Oslo and on Utoeya island last July but denies criminal responsibility.

http://LeakSource.wordpress.com

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Day 7 Recap of Breivik Murder Trial - YouTube

Day 7 Recap of Breivik Murder Trial - YouTube


Published on Apr 25, 2012 by
04/25/2012

Anders Behring Breivik has told his trial in Oslo that a psychiatric report finding him insane in relation to the 77 killings he carried out was a "lie".

Breivik said his argument was "entirely logical". There was "not the slightest possibility I will be judged insane".

Two reports came to opposing views on his sanity. The court's ruling on this will determine whether Breivik is sent to jail or into psychiatric care.

http://LeakSource.wordpress.com
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Breivik Says His *Psychiatrists* Don't Understand Political Violence * | Breivik says psychiatric report deeming him insane is full of 'fabrications' - CSMonitor.com

Breivik says psychiatric report deeming him insane is full of 'fabrications' - CSMonitor.com


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    • Breivik says psychiatric report deeming him insane is full of 'fabrications'

    Anders Behring Breivik, the man behind Norway's terror attacks last summer, said in court today that the psychiatrists made up 80 percent of the report and don't understand politically motivated violence.

    By Valeria Criscione, Correspondent / April 25, 2012
    Anders Behring Breivik in conversation with a member of his defense team Tord Jordet in the courtroom in Oslo, Norway, Wednesday, April 25, 2012.
    Hakon Mosvold Larsen/AP
    Enlarge
    Oslo
    Anders Behring Breivik, the Norwegian behind last summer’s twin terror attacks, today blasted a forensic psychiatric report deeming him insane and warned his actions could be just the beginning of violence in Europe by militant nationalists.
    Skip to next paragraph
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    In the sixth day of his court testimony, an adamant – but, as usual, composed – Mr. Breivik told prosecutors that 80 percent of the report by psychiatrists Torgeir Husby and Synne Sørheim, which diagnosed him with paranoid schizophrenia, was fabricated.
    He accused the psychiatrists of being emotionally affected by the July 22 attacks that killed 77, mostly teenagers, and of not having enough knowledge of politically motivated violence to understand his terminology.
    RELATED: Anders Behring Breivik on trial: A roundup of global opinion
    “I got the impression that they concluded very early,” Breivik told public prosecutor Svein Holden, saying the two doctors had constructed their diagnosis to support their conclusion. “That person they describe in the report is not me.”
    He cited an example in which he was portrayed as bacteria-phobic because he sometimes wore a mouth mask while living with his mother after 2006. He told prosecutors he had used a particle-filter mask to protect himself from dust while drilling detonation cases in preparation for his attack.
    He said that what the psychiatrists had experienced as “emotional flatness” was actually part of his military dehumanization training and Bushido meditation to ward off fear in order to prepare for his gruesome attack.
    “Huseby told me about two patients who thought they were Jesus,” he said, referring to their claim he had said he would “single-handedly save” Europe. “I believe he meant that I should be the third case," Breivik said, denying that he ever said the word "save."
    The crux of the case against Breivik hinges on his sanity after two conflicting forensic psychiatric reports. The first concluded in November that Breivik is insane and therefore not criminally punishable, but a second report earlier this month deemed he was not psychotic.
    Breivik has said that he wants to be judged sane so that his anti-Islamic ideology is taken seriously. He admitted responsibility for the attacks, although he pled not guilty, claiming he was acting preventively against the ethnic cleansing of indigenous Norwegians, which was being promoted by the Labor party’s lenient immigration policies that resulted in an influx of Muslims.
    He also criticized the conclusion of the second report, which described him as “narcissistic and dissocial” and dismissed the existence of a Knights Templar group, describing it as “sprung from his fantasy.” Breivik reiterated earlier statements made during testimony that he met with six people connected to a militant nationalist Knights Templar network and said more attacks could come from two others in the network.
    If found sane, Breivik faces a maximum sentence of 21 years in prison for placing a car bomb outside government offices in Oslo, killing eight, and shooting and killing a further 69 on the Labor party’s youth summer camp at Utøya island.
    The effort to determine Breivik’s sanity took an unexpected turn on April 23, when the court asked the second set of psychiatrists, Agnar Aspaas and Terje Tørrisen, to provide a supplementary statement following a request by the Norwegian Board of Forensic Medicine. The board was concerned that Breivik had given strategic replies, and also about the lack of information about his childhood and the period after 2006, when he moved back in with his mother.
    Media outlets have reported, based on leaks from the confidential psychiatric reports, that Breivik was diagnosed as emotionally damaged as early as age four and was near to being forcibly removed from his mother. Breivik has refused to elaborate on his childhood.
    Psychiatrist experts have warned not to read too much into the Forensic Board’s request for more information, as it typically requests additional comments in about one in three cases. The board did not have any comments on the first report in November.
    Judge Wenche Elizabeth Arntzen informed the court today that the psychiatrists would deliver their supplementary report over the weekend. The case is expected to continue this week with testimony by those seriously injured by the government bomb blast.
    Get daily or weekly updates from CSMonitor.com delivered to your inbox. Sign up today.

    Related stories


    via anders behring breivik - Google News on 4/26/12

    BBC News

    Anders Behring Breivik: Oslo bomb survivors testify
    BBC News
    Survivors of Anders Behring Breivik's bomb attack on Oslo on 22 July have been testifying on the ninth day of his trial in the Norwegian capital. One, Harald Fosker, had to have surgery on his face as a result of the blast in the government quarter, ...
    Thousands defy Norway mass killer Breivik in songKansas City Star
    Breivik says psychiatric report deeming him insane is full of 'fabrications'Christian Science Monitor
    Breivik's publicity at trial just what he wantedBoston.com
    USA TODAY
    all 1,046 news articles »

    via anders behring breivik - Google News on 4/26/12


    Tens of thousands protest at Norway Breivik trial
    Reuters
    | OSLO (Reuters) - Around 40000 people gathered in Oslo on Thursday to sing a popular children's song ridiculed by Anders Behring Breivik, who killed 77 people last July, as a show of protest against the right-wing activist's anti-immigrant views.

    via anders behring breivik - Google News on 4/26/12

    CBS News

    Thousands defy Norway mass killer Breivik in song
    CBS News
    OSLO, Norway — Facing terror with music, tens of thousands have gathered across Norway to sing a children's song that mass killer Anders Behring Breivik has claimed is being used to brainwash young Norwegians. The event was organized as an act of ...


    Home » Business Insider » Breivik Says His Psychiatrists Don’t Understand Political Violence

    Breivik Says His Psychiatrists Don’t Understand Political Violence

    Posted by on Apr 25, 2012 in Business Insider, EconoBrowser | 0 comments
    Anders Breivik
    Anders Behring Breivik, the Norwegian behind last summer’s twin terror attacks, today blasted a forensic psychiatric report deeming him insane and warned his actions could be just the beginning of violence in Europe by militant nationalists.
    In the sixth day of his court testimony, an adamant – but, as usual, composed – Mr. Breivik told prosecutors that 80 percent of the report by psychiatrists Torgeir Husby and Synne Sørheim, which diagnosed him with paranoid schizophrenia, was fabricated.
    He accused the psychiatrists of being emotionally affected by the July 22 attacks that killed 77, mostly teenagers, and of not having enough knowledge of politically motivated violence to understand his terminology.
    RELATED: Anders Behring Breivik on trial: A roundup of global opinion
    “I got the impression that they concluded very early,” Breivik told public prosecutor Svein Holden, saying the two doctors had constructed their diagnosis to support their conclusion. “That person they describe in the report is not me.”
    He cited an example in which he was portrayed as bacteria-phobic because he sometimes wore a mouth mask while living with his mother after 2006. He told prosecutors he had used a particle-filter mask to protect himself from dust while drilling detonation cases in preparation for his attack.
    He said that what the psychiatrists had experienced as “emotional flatness” was actually part of his military dehumanization training and Bushido meditation to ward off fear in order to prepare for his gruesome attack.
    “Huseby told me about two patients who thought they were Jesus,” he said, referring to their claim he had said he would “single-handedly save” Europe. “I believe he meant that I should be the third case,” Breivik said, denying that he ever said the word “save.”
    The crux of the case against Breivik hinges on his sanity after two conflicting forensic psychiatric reports. The first concluded in November that Breivik is insane and therefore not criminally punishable, but a second report earlier this month deemed he was not psychotic.
    Breivik has said that he wants to be judged sane so that his anti-Islamic ideology is taken seriously. He admitted responsibility for the attacks, although he pled not guilty, claiming he was acting preventively against the ethnic cleansing of indigenous Norwegians, which was being promoted by the Labor party’s lenient immigration policies that resulted in an influx of Muslims.
    He also criticized the conclusion of the second report, which described him as “narcissistic and dissocial” and dismissed the existence of a Knights Templar group, describing it as “sprung from his fantasy.” Breivik reiterated earlier statements made during testimony that he met with six people connected to a militant nationalist Knights Templar network and said more attacks could come from two others in the network.
    If found sane, Breivik faces a maximum sentence of 21 years in prison for placing a car bomb outside government offices in Oslo, killing eight, and shooting and killing a further 69 on the Labor party’s youth summer camp at Utøya island.
    The effort to determine Breivik’s sanity took an unexpected turn on April 23, when the court asked the second set of psychiatrists, Agnar Aspaas and Terje Tørrisen, to provide a supplementary statement following a request by the Norwegian Board of Forensic Medicine. The board was concerned that Breivik had given strategic replies, and also about the lack of information about his childhood and the period after 2006, when he moved back in with his mother.
    Media outlets have reported, based on leaks from the confidential psychiatric reports, that Breivik was diagnosed as emotionally damaged as early as age four and was near to being forcibly removed from his mother. Breivik has refused to elaborate on his childhood.
    Psychiatrist experts have warned not to read too much into the Forensic Board’s request for more information, as it typically requests additional comments in about one in three cases. The board did not have any comments on the first report in November.
    Judge Wenche Elizabeth Arntzen informed the court today that the psychiatrists would deliver their supplementary report over the weekend. The case is expected to continue this week with testimony by those seriously injured by the government bomb blast.

    Please follow International on Twitter and Facebook.

    via forensic psychiatry international - Google Blog Search by Valeria Criscione on 4/25/12
    Anders Behring Breivik, the Norwegian behind last summer's twin terror attacks, today blasted a forensic psychiatric report deeming him insane and warned his actions could be just the beginning of violence in Europe by militant national... ... RELATED: Anders Behring Breivik on trial: A roundup of global opinion. “I got the impression that they concluded very early,” Breivik told public prosecutor Svein Holden, saying the two doctors had constructed their diagnosis to ...
    
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    Books on psychiatric diagnosis

    Books on psychiatric diagnosis 


    1. Ask a Psychiatrist Online | Mental-Health.JustAnswer.com


    Search Results


    1. Psychiatric Diagnosis: Challenges and Prospects

      		2.
      books.google.comIhsan M. Salloum, Juan E. Mezzich - 2009 - 332 pages - Preview
      In this book, leading experts in the field provide a broad and integrated coverage of the concepts, structure and context of psychiatric diagnosis.



    2. Psychiatric diagnosis: a world perspective

      		3.
      books.google.comJuan E. Mezzich, Yutaka Honda, M. Kastrup - 1994 - 336 pages - Preview
      To reflect these developments, the Section on Classification, Diagnostic Assessment and Nomenclature of the World Psychiatric Association has prepared this volume which is organized around five prominent themes in contemporary psychiatric ...



    3. Psychiatric diagnosis

      		4.
      books.google.comDonald W. Goodwin, Samuel B. Guze - 1996 - 365 pages - Snippet view
      Well known for providing a thorough yet concise view of the natural history of psychiatric disorders, this popular text has been completely updated chapter by chapter in this Fifth Edition.



    4. Psychiatric diagnosis: proceedings of an international ...

      		5.
      books.google.comJoseph Agassi - 1981 - 184 pages - Full view



      ...

      and I wish to thank the directors and the staff of the Center For Interdisciplinary Studies in Bielefeld, for having catered for the small conference on psychiatric diagnosis. As a starting point I wish to present before you a case.

    5. Psychiatric diagnosis: exploration of biological predictors

      		6.
      books.google.comHagop S. Akiskal, William L. Webb - 1978 - 493 pages - Snippet view

    6. Psychiatric diagnosis: a review of research

      		7.
      books.google.comGeorge Frank - 1975 - 140 pages - Snippet view
      CHAPTER 1 THE DIAGNOSTIC PRINCIPLE Before we proceed with the analysis of the studies per se, we should confront the entire issue of why we diagnose in the first place. As regards the study of psychopathology, ...



    7. Values and psychiatric diagnosis

      		8.
      books.google.comJohn Z. Sadler - 2004 - 540 pages - Preview
      In his carefully nuanced and exhaustively referenced monograph, psychiatrist and philosopher of psychiatry John Z. Sadler describes the manifold kinds of values and value judgements involved in psychiatric diagnosis and classification ...

    8. Psychiatric diagnosis

      		9.
      books.google.comVivian M. Rakoff, University of Toronto. Dept. of Psychiatry - 1977 - 240 pages - Snippet view



      ...

      1973 a new Task Force on Nomenclature and Statistics of the American Psychiatric Association was constituted to develop the Third Edition of the American Psychiatric Association's Diagnostic and Statistical Manual (DSM-III).



    9. Psychiatric diagnosis: a biopsychosocial approach using DSM-III-R

      		10.
      books.google.comJess Amchin - 1991 - 200 pages - Snippet view



    10. Psychiatric Diagnosis: Psychiatric Assessment, Psychiatric ...
    books.google.comSource Wikipedia - 2011 - 110 pages - No preview
    Please note that the content of this book primarily consists of articles available from Wikipedia or other free sources online.
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    Book Review: Psychology's Ghosts - WSJ.com

    Book Review: Psychology's Ghosts - WSJ.com


  • BOOKSHELF


  • April 25, 2012, 6:05 p.m. ET

    • Psychology and Its Discontents

    We see an area in the brain 'light up' when we think about a topic, and assume we know something about thought. But what, exactly?

    more in Books »

    By CAROL TAVRIS

    In his long and distinguished career, Jerome Kagan, now emeritus professor of psychology at Harvard, has written numerous books for general audiences on major discoveries and controversies in his field, particularly in his specialty of child development. In works such as "Three Seductive Ideas" (1998), he developed a style of discussing three or four different topics in a series of essays, interweaving each with data and observations across psychology, history and culture, and tying them together with an overarching theme. Or not.
    Mr. Kagan's latest effort, "Psychology's Ghosts," might be called "Four Seductive Ideas," since it consists of his assessment of four problems in psychological theory and clinical practice. The first problem is laid out in the chapter "Missing Contexts": the fact that many researchers fail to consider that their measurements of brains, behavior and self-reported experience are profoundly influenced by their subjects' culture, class and experience, as well as by the situation in which the research is conducted. This is not a new concern, but it takes on a special urgency in this era of high-tech inspired biological reductionism.
    If we can find which area of the brain lights up when we think about love or chocolate or politics, we assume we know something. But what, exactly, do we know? Sometimes less than we think. "An adolescent's feeling of shame because a parent is uneducated, unemployed, and alcoholic," Mr. Kagan writes, "cannot be translated into words or phrases that name only the properties of genes, proteins, neurons, neurotransmitters, hormones, receptors, and circuits without losing a substantial amount of meaning"—and meaning is as fundamental to psychology as genes are to biology. Many psychological concepts, he notes, including fear, self-regulation, well-being and agreeableness, are studied without regard to the context in which they occur—with the resulting implication that they mean the same thing across time, cultures and content. They do not.
    In his second essay, "Happiness Ascendant," Mr. Kagan virtually demolishes the popular academic effort to measure "subjective well-being," let alone to measure and compare the level of happiness of entire nations. No psychologist, he observes, would accept as reliable your own answer to the question: "How good is your memory?" Whether your answer is "great" or "terrible," you have no way of knowing whether your memory of your memories is accurate. But psychologists, Mr. Kagan argues, are willing to accept people's answer to how happy they are as if it "is an accurate measure of a psychological state whose definition remains fuzzy."

    Psychology's Ghosts

    By Jerome Kagan
    (Yale, 392 pages, $32)
    Many people will tell you that having many friends, a fortune or freedom is essential to happiness, but Mr. Kagan believes they are wrong. "A fundamental requirement for feelings of serenity and satisfaction," Mr. Kagan says, is "commitment to a few unquestioned ethical beliefs" and the confidence that one lives in a community and country that promote justice and fair play. "Even four-year-olds have a tantrum," he notes, "if a parent violates their sense of fairness." His diagnosis of the "storm of hostility" felt by Americans on the right and left, and the depression and anomie among so many young people, is that this essential requirement has been frustrated by the bleak events of the past decades. War, corruption, the housing bubble and the financial crisis, not to mention the fact that so many of those responsible have not been held unaccountable, have eroded optimism, pride and the fundamental need to believe the world is fair.
    In the third and fourth essays, "Who Is Mentally Ill?" and "Helping the Mentally Ill," Mr. Kagan turns to the intransigent problems of psychiatric diagnosis and treatment. The Diagnostic and Statistical Manual of Mental Disorders is going ungently into its fifth edition, accompanied by a cacophony of complaints from inside and outside the psychiatric establishment. The DSM "regards every intense bout of sadness or worry, no matter what their origin, as a possible sign of mental disorder," Mr. Kagan laments. But "most of these illness categories are analogous to complaints of headaches or cramps. Physicians can decide on the best treatment for a headache only after they have determined its cause. The symptom alone is an insufficient guide."
    Nonetheless, the DSM is primarily a collection of symptoms, overlooking the context in which a symptom such as anxiety or low sexual desire occurs and what it means to an individual. It might mean nothing at all. What it means to an American might mean nothing to a Japanese. The same one-size-fits-all approach plagues treatment: "Most drugs can be likened to a blow on the head," Mr. Kagan observes—they are blunt instruments, not precisely tailored remedies. Psychotherapy depends largely on the client's belief that it will be helpful, which is why all therapies help some people and some people are not helped by any. No experience affects everyone equally—including natural disasters, abuse, having a cruel parent, losing a job or having an illicit affair—though many therapists wish us to believe the opposite.
    Mr. Kagan acknowledges that his critiques are not new, that others have made the same arguments—about the failure to consider cultural influences, about the exasperating DSM, about the flaws in happiness research and the negative side of positive psychology, about the medicalizing of normal problems in living. Yet he makes his case persuasively and readably, with extensive empirical support. For a public enamored of looking inward to genes, brain circuits and medications to find solutions to the problems that plague us privately and politically, the message that most of those solutions require us to look outward—to culture, class and context—can't be repeated often enough.
    Ms. Tavris, a social psychologist, is co-author, with Elliot Aronson, of "Mistakes Were Made (But Not by Me)."
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    NIMH's Joel Kleinman on the Brain's Genes - YouTube

    NIMH's Joel Kleinman on the Brain's Genes - YouTube


    Uploaded by on Nov 16, 2011
    Dr. Joel Kleinman explains when and where genes turn on in the brain

    Category:

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    NIMHgov - YouTube

    NIMHgov - YouTube
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    NIMH · Director's Biography

    NIMH · Director's Biography

    Director's Biography

    Thomas R. Insel, Director of NIMHThomas R. Insel, M.D., is Director of the National Institute of Mental Health (NIMH), the component of the National Institutes of Health charged with generating the knowledge needed to understand, treat, and prevent mental disorders. His tenure at NIMH has been distinguished by groundbreaking findings in the areas of practical clinical trials, autism research, and the role of genetics in mental illnesses.
    Prior to his appointment as NIMH Director in the Fall 2002, Dr. Insel was Professor of Psychiatry at Emory University. There, he was founding director of the Center for Behavioral Neuroscience, one of the largest science and technology centers funded by the National Science Foundation and, concurrently, director of an NIH-funded Center for Autism Research. From 1994 to 1999, he was Director of the Yerkes Regional Primate Research Center in Atlanta. While at Emory, Dr. Insel continued the line of research he had initiated at NIMH studying the neurobiology of complex social behaviors. He has published over 250 scientific articles and four books, including the Neurobiology of Parental Care (with Michael Numan) in 2003.
    Dr. Insel has served on numerous academic, scientific, and professional committees and boards. He is a member of the Institute of Medicine, a fellow of the American College of Neuropsychopharmacology, and is a recipient of several awards including the Outstanding Service Award from the U.S. Public Health Service. Dr. Insel graduated from the combined B.A.-M.D. program at Boston University in 1974. He did his internship at Berkshire Medical Center, Pittsfield, Massachusetts, and his residency at the Langley Porter Neuropsychiatric Institute at the University of California, San Francisco.
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    NIMH · The Future of Psychiatry (= Clinical Neuroscience)

    NIMH · The Future of Psychiatry (= Clinical Neuroscience)

    Director’s Blog
    April 20, 2012

    The Future of Psychiatry (= Clinical Neuroscience)

    Thomas Insel
    Last week a short piece in the British medical journal, The Lancet, described an “identity crisis” in psychiatry. In the U.K., the number of medical students choosing psychiatry has dropped more than 50 percent since 2009 and over the past decade the number of psychiatrists has dropped by 26 percent while the number of physicians overall has increased more than 31 percent. Ninety-five percent of posts for junior physicians across all specialties are generally filled; but psychiatry posts, as of last summer, were running more than one third unfilled.
    Tom Brown, Assistant Registrar of Recruitment at the Royal College of Psychiatrists, U.K., told The Lancet: “Common perceptions within the medical profession include the view that psychiatry is just not scientific enough, is too remote from the rest of medicine, is often viewed negatively by other medical professionals, and is a specialty too often characterised by difficult doctor-patient relationships and limited success rates of therapeutic interventions.”
    Meanwhile, psychiatry in the U.S. is undergoing a quiet resurgence which appears to run counter to the British experience. This might not have been apparent last month at match day, the day when medical students match with their post-graduate residencies. Match day is always a moment to track the popularity of different medical specialties. This year, slightly less than 4 percent of graduating students chose psychiatry, which is a bit lower than recent years. But this number hides an extraordinary trend: psychiatry has become the hot specialty for MD-PhD students who want to do research.
    The number of MD-PhD students choosing psychiatry has more than doubled in the past decade. This year, 50 percent of the students who matched with the Yale psychiatry residency were MD-PhDs. At Columbia, 20 percent of psychiatric residents in recent years have been MD-PhDs. In other psychiatry residency programs, while the number of applicants has not increased, the number of MD-PhDs has. Why is this important? Getting into an MD-PhD training program is even more competitive than getting into medical school. The training includes intensive research experience, and many (but not all) graduates go on to do independent research either in the clinic or in a laboratory setting. In the past, most of these elite students have chosen a medical specialty such as oncology or a high paying surgical specialty such as ophthalmology.
    Why are they now selecting psychiatry? I asked this question at Brain Camp a couple weeks ago. Each year, NIMH runs a 4-day intensive Brain Camp for some of the top physicians in their second year of psychiatric residency training. The faculty, including Nobel laureates and other distinguished scientists, describe recent insights from neuroscience relevant to the problems facing psychiatric residents. The residents, who are still at a very early stage of their training, are challenged with charting the future of psychiatry. The result is one of the most inspiring 4 days of the year for all of us who attend.
    This year, 11 of the 17 psychiatric residents at Brain Camp were MD-PhDs. Many had been neuroscience majors in college, had published high impact papers in medical school, and were continuing to do research during their clinical training. Prior to residency, all 17 were medical students who had been at the top of their class and could have gone into any specialty. When I asked them why they had chosen psychiatry instead of another specialty, I heard various reasons but they all agreed that psychiatry is the specialty where they can have the greatest impact. To paraphrase, one student said, “The questions are profound, the patients are fascinating, and the tools are finally available to make unprecedented progress.” Another told me confidently, “This is the place to make a mark.”
    These brilliant young scientists have mostly come from a neuroscience background. They are but a few of the gifted and committed trainees currently in the pipeline who have been attracted to psychiatry in the U.S. They see psychiatry as the natural application of their interest in how the brain works. They want to transform psychiatry into clinical neuroscience, not with less of a commitment to clinical excellence but with a great commitment to developing a new scientific basis for clinical care. This year Brain Camp was largely focused on neuromodulation—using cognitive training and repetitive transcranial magnetic stimulation (rTMS)—to alter symptoms of depression and anxiety by modulating specific brain circuits. For this new generation, psychiatry already is clinical neuroscience.
    So maybe there is an identity crisis for psychiatry in the U.S. as well as the U.K. But the U.S. version seems filled with hope and excitement, with many of the best and brightest now deciding that they can bring new approaches to help people challenged by mental illness.

    References

    Lancet. 2012 Apr 7;379(9823):1274.
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