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Svensk Psykiatri #1 Tidskriften för Svensk Psykiatri #1 Tidskrift för Svenska Psykiatriska Föreningen, Svenska Föreningen för Barn- och Ungdomspsykiatri och Svenska Rättspsykiatriska Föreningen - Mars 2018 ANSVARIG UTGIVARE: HUVUDREDAKTÖR: Ullakarin Nyberg Tove Gunnarsson Innehållsförteckning: Alltid i Svensk Psykiatri: Psykiatriska nyheter: 3 Redaktionsruta 42 Hej från Uppsala, Lisa Ekselius 3 Redaktionell ledare, Tove Gunnarsson 43 Ny avhandling. Attention deficit/hyperactivity disorder 4 SPF styrelseruta, ledare, Ullakarin Nyberg in adults, Dan Edvinsson 5 SFBUP styrelseruta, ledare, Sara Lundqvist 46 Ny avhandling. Säsongsvariation för suicid: Teoretiska och kliniska implikationer, Georgios Makris 6 SRPF styrelseruta, ledare, Per-Axel Karlsson 47 Hormonbehandling verkar profylaktiskt mot depressiva 8 Kommande temanummer symptom i klimakteriet, 10 Krönika enligt Tiger, Mikael Tiger Cathrine Axfors, Alkistis Skalkidou 22 Senaste nytt från SPF´s Utbildningsutskott, Jonas Rask 48 Aktuella avhandling från BUP 2017, Per Gustafsson 38 10 frågor. I det här numret intervjuar vi Matilda Naes- ström, ny ordförande i STpsykiatri, Stina Djurberg 52 Nya nationella riktlinjer för vård och stöd vid schizofreni och schizofreniliknande tillstånd, Sofia von 67 Bokrecension: Ologiskt. Varför smarta människor fat- Malortie, Ellinor Cronqvist, Gunilla Ringbäck tar irrationella beslut, Thomas Silfving Weitoft, Lena Flyckt, Karin Bodlund, Mussie 69 Bokrecension: Hemligheternas värld. En idéhistorisk Msghina, Rickard Färdig, David Rosenberg, avhandling om Bror Gadelius, Jerker Hanson Thomas Davidsson 72 Bokrecension: Neurovetenskaplig psykiatri, 55 Tidig och ihållande minskning av skattad suicidalitet Daniel Frydman vid SSRI-behandling av vuxna med depression, Jakob Näslund 74 Bokrecension: Fördel ADHD: var på skalan ligger du? Björn Wrangsjö 56 Ketamin ger snabb minskning av suicidtankar, Johan Fernström 75 Andvändbar evidens. Om följsamhet och anpassningar, Björn Wrangsjö Debatt: 77 1) Krig, tortyr och flykt. Vad gör det med människan 58 Reflektioner om medicinsk etik och rätt, och hur vi kan hjälpa. 2) Familjen i exil. Flyktingfamil- Mikaela O´Neill jer i en interkulturell och psykosocial kontext, Björn Wrangsjö 61 Underlåtenhetssynder, Olle Hollertz 79 Kalendarium 62 Politiskt missbruk av psykiatrin - tyvärr fortsatt ett Tema: allvarligt problem, Sten Thelander 12 Var finns vården? Björn Wrangsjö 64 Finns framtidens psykiatri nu? Del IV: Hjärnfunktioner 14 Var finns psykiatrin? Per-Axel Karlsson och psykiatrisk diagnostik, Björn-Erik Thalén 16 Skatta dig till hälsa, Thomas Silfving 18 Intergenerational trauma hos aboriginerna. En studie- Övrigt: resa till västra Australien med stöd av Cullbergstipen- diet, Esther van de Wall 11 Samhällsintresserade kollegor se hit! SPF´s styrelse 22 Senast nytt från SPFs utbildningsutskott, Jonas Rask 32 Om gruppterapi, Lars Tauvon 24 Barn- och ungdomspsykiatri i Beirut, Nasim Pourghazian 35 Utställare vid Svenska Psykiatrikongressen 2018 Rapporter från möten och resor: 36 Äkta kärlek och juridik, Cecilia Mattisson 18 Intergenerational trauma hos aboriginerna. En studie- 57 Påminnelse om Svenska Psykiatriska Föreningens års- resa till västra Australien med stöd av Cullbergstipen- möte på SPK 2018 diet, Esther van de Wall 24 Barn- och ungdomspsykiatri i Beirut, Nasim Pourghazian Deadline för bidrag till 29 Down the Rabbit hole. ST-läkarkonferensen 2018, nästa nummer: 16/05 Stenungsund, Karl Lundblad Tema:Det som inte syns på utsidan 40 Akut mani, affektiv drömmottagning och en SSBS Anthem. Rapoort från SSBS höstmöte, Maria Larsson 22 Tidskriften Tidskriften för fSvenskör Svensk Psykiatri Psykiatri #1. #1, Mars Mars 2018 2018 Tidskriften för Svensk Psykiatri #1 Tidskrift för Svenska Psykiatriska Föreningen, Svenska Föreningen för Barn- och Ungdomspsykiatri Tidskriften för och Svenska Rättspsykiatriska Föreningen - Februari 2018 Svensk Psykiatri TOVE GUNNARSSON Redaktionell ledare ANSVARIG UTGIVARE: HUVUDREDAKTÖR: Ullakarin Nyberg Tove Gunnarsson Var finns vården... SVENSK PSYKIATRI … det var frågan vi ställde den här gången. Svaret är förstås be- Tidskrift för roende av var i världen du befinner dig. Förutom iakttagelser och Svenska Psykiatriska Föreningen, reflektioner från den svenska vårdvardagen har vi reseberättelser Svenska Föreningen för Barn- och Ungdomspsykiatri och från två Cullbergstipendiater. De skildrar vistelser i bl.a. libane- Svenska Rättspsykiatriska Föreningen siska flyktingläger och bland den australiensiska ursprungsbefolk- ningen aboriginer, där den psykiatriska vården fått anpassas efter ANSVARIG UTGIVARE rådande villkor och utmaningar. Ullakarin Nyberg HUVUDREDAKTÖR När detta nummer kommer ut är det mindre än en vecka kvar till Tove Gunnarsson Svenska Psykiatrikongressen på Münchenbryggeriet i Stockholm. [email protected] Jag hoppas få träffa många av er där! Lyssnar du på något intres- REDAKTÖRER sant som du vill dela med dig av? Skriv gärna en liten rapport för Hanna Edberg publicering i Svensk Psykiatri! Det behöver inte vara långt eller ([email protected]) komplicerat – hellre kort och kärnfullt. Det här gäller förstås även dig som besöker någon annan psykiatrisk konferens, t.ex. BUP- Daniel Frydman ([email protected] ) kongressen eller APA. Per Gustafsson Nästa nummers tema… ([email protected]) … är Det som inte syns på utsidan. Björn Wrangsjö ([email protected]) Vårt arbete är avhängigt av vad våra patienter och deras när- stående förmedlar resp. inte förmedlar till oss. Vi är väl alla mer TEKNISK REDAKTÖR eller mindre bra på att dölja vad som pågår i vårt inre – vi väljer Stina Djurberg [email protected] vad vi vill dela med andra och vad vi vill hålla inne med. Och visst händer det att vi blir lurade av patienter och andra! FOTO/GRAFISK DESIGN Carol Schultheis Det som inte syns kan gälla enskilda individer men också hela [email protected] (där inget annat anges) familjer där man pga. skam eller skuld bevarar en hemlighet; det kan röra sig om missbruk, psykisk sjukdom, kriminalitet eller an- OMSLAGSBILD nat. Man håller fasaden gentemot omvärlden. Carol Schultheis Sander van der Werf/ Shutterstock.com Marie Linner/Shutterstock.com En del i våra bedömningar bygger på det outsagda; stämningar Roman Samborskyi/Shutterstock.com i rummet, hur patienten rör sig på väg till eller från samtal m.m. En aktuell fråga är ifall det går att fånga upp sådan icke-verbal kommunikation i de nya vårdtjänsterna av typen ”läkarbesök i INTERNET www.svenskpsykiatri.se mobilen”? Annonser skickas till [email protected] Så tänk till och skriv till oss! Tove Gunnarsson Redaktör Svensk Psykiatri Tidskriften för Svensk Psykiatri #1. Mars 2018 3 2 Tidskriften för Svensk Psykiatri #1, Mars 2018 Tidskriften för Svensk Psykiatri #1, Mars 2018 3 Psykiatri - en medicinsk specialitet som andra ULLAKARIN NYBERG Ordforande Svenska Psykiatriska Föreningen Vi kan glädjas åt att intresset för psykiatri i vårt land är stort och fort- SVENSKA PSYKIATRISKA FÖRENINGENS sätter att växa. Nu kliver allt fler människor med egen erfarenhet av psykisk ohälsa fram, berättar sin historia och får mycket positiv upp- STYRELSE märksamhet. Charlie Eriksson, skaparen av ”Aldrig ensam”, Christian ORDFÖRANDE: Ullakarin Nyberg Dahlström, upphovsmannen till podcasten ”Sinnessjukt”, youtubedrott- ([email protected]) ningen Therese Lindgren; exemplen är många. Mental Health Run och Mental Health Evening lockar allt fler deltagare. Självmordsförebyg- VICE ORDFÖRANDE: Alessandra Hedlund gande initiativ tas av en växande skara. Artiklar om psykisk sjukdom ([email protected]) dyker upp i populärpressen och frågorna diskuteras i TV på bästa sänd- SEKRETERARE: Michael Ioannou ningstid. ([email protected]) SKATTMÄSTARE: Christina Ysander Intresset för psykiatri hos kollegor inom somatiken är stort. Ja, det ver- ([email protected]) kar faktiskt som att fler och fler har kommit till insikt om att psykisk ohälsa berör oss alla och det är förstås en rimlig slutsats att dra när livs- VETENSKAPLIG SEKRETERARE: Daniel Lindqvist tidsprevalensen för ångestsjukdomar är 30 % och för affektiva tillstånd ([email protected]) 20 %, samtidigt som allt fler får nedsatt arbetsförmåga på grund av FACKLIG SEKRETERARE: Jonas Rask stressrelaterade tillstånd. ([email protected]) Så är då slutsatsen av denna utveckling att vårdbehov, vårdutbud, kom- REDAKTÖR SVENSK PSYKIATRI: Tove Gunnarsson petensutveckling och resurstilldelning är i balans? Nja, inte riktigt. ([email protected]) Tvärtom faktiskt. Samtidigt som stigmatiseringen runt psykisk ohälsa minskar och intresset ökar pågår häpnadsväckande nog en parallell ut- LEDAMOT: Michael John veckling som kommer att leda till att nyblivna läkare i framtiden har ([email protected]) lägre kompetens inom psykiatri. LEDAMOT: Cecilia Mattisson ([email protected]) Vad har då hänt? Jo, förslaget om att läkares nuvarande AT-tjänst- göring ska ersättas med en ettårig bastjänstgöring utan obligatorisk ST-REPRESENTANT: Karl Lundblad psykiatriplacering verkar gå igenom och får stöd av Svenska Läkare- ([email protected]) sällskapet. Bastjänstgöringen är tänkt att fungera som en ”strukturerad KANSLI: Svenska Psykiatriska Föreningen introduktion till hälso- och sjukvården” mellan en sexårig läkarutbild- 851 71 Sundsvall ning och specialiseringstjänstgöringen. Den ska ge fördjupad kompe- [email protected] tens i den praktiska yrkesrollen
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