Psychology and Mental Health in Contemporary Art
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The Hierarchically Mechanistic Mind: a Free-Energy Formulation of the Human Psyche
JID:PLREV AID:1045 /REV [m3SC+; v1.294; Prn:28/01/2019; 9:15] P.1(1-18) Available online at www.sciencedirect.com ScienceDirect Physics of Life Reviews ••• (••••) •••–••• www.elsevier.com/locate/plrev Review The hierarchically mechanistic mind: A free-energy formulation of the human psyche ∗ Paul B. Badcock a,b,c, , Karl J. Friston d, Maxwell J.D. Ramstead d,e,f a Centre for Youth Mental Health, The University of Melbourne, Melbourne, 3052, Australia b Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, 3010, Australia c Orygen, the National Centre of Excellence in Youth Mental Health, Melbourne, 3052, Australia d Wellcome Trust Centre for Neuroimaging, University College London, London, WC1N3BG, UK e Department of Philosophy, McGill University, Montreal, Quebec, H3A 2T7, Canada f Division of Social and Transcultural Psychiatry, Department of Psychiatry, McGill University, Montreal, Quebec, H3A 1A1, Canada Communicated by Prod Felix Schoeller Abstract This article presents a unifying theory of the embodied, situated human brain called the Hierarchically Mechanistic Mind (HMM). The HMM describes the brain as a complex adaptive system that actively minimises the decay of our sensory and physical states by producing self-fulfilling action-perception cycles via dynamical interactions between hierarchically organised neurocog- nitive mechanisms. This theory synthesises the free-energy principle (FEP) in neuroscience with an evolutionary systems theory of psychology that explains our brains, minds, and behaviour by appealing to Tinbergen’s four questions: adaptation, phylogeny, on- togeny, and mechanism. After leveraging the FEP to formally define the HMM across different spatiotemporal scales, we conclude by exploring its implications for theorising and research in the sciences of the mind and behaviour. -
Delirium: Presentation, Epidemiology, and Diagnostic Evaluation (Part 1)
IDENTIFYING AND MANAGING PSYCHIATRIC EMERGENCIES Delirium: Presentation, Epidemiology, and Diagnostic Evaluation (Part 1) COLIN J. HARRINGTON, MD; KALYA VARDI, MD 18 23 EN ABSTRACT state, acute brain dysfunction, acute brain failure, acute Delirium is a highly prevalent and complex neuro- organic brain syndrome, ICU psychosis, and metabolic en- psychiatric disorder marked by attentional dysfunction, cephalopathy, amongst others. The term delirium is derived disturbances in multiple cognitive domains, and changes from the Latin roots de (translated “away from”) and lira in motor behavior, perception, sleep, and thought pro- (translated “furrow of a field”) thus suggesting that one is cess. Delirium results from diverse toxic, metabolic, in- derailed from the plowed or straight path.11 fectious, and structural etiologies and is associated with The term encephalopathy is often employed in place of or a number of adverse outcomes. Delirium pathophysiol- alongside delirium and allows for the proper grouping togeth- ogy involves perturbation of multiple neurotransmitter er of delirium and dementia as cognitive disorders – while systems. Behavioral presentations of delirium are com- also providing for the longitudinal course-based distinction mon and are often misattributed to primary psychiatric between delirium and dementia, as acute and reversible, and processes. Diagnostic assessment of delirium includes chronic and progressive forms of encephalopathy, respec- thorough physical examination, careful cognitive test- tively. Use of this terminology also allows for description ing, appropriate metabolic and infectious studies, re- of the intermediate syndrome of sub-acute encephalopathy view of medications, and structural brain imaging and where cognitive dysfunction is often less obvious and electroencephalography as indicated. Pharmacologic and neuropsychiatric symptoms predominate. -
Fusionsprozess Der Gemeinden Oberweser Und Wahlsburg
Was machen, wenn der Regen ausbleibt? Fusionsprozess der Gemeinden Oberweser und Wahlsburg 1 Zu Beginn Lange Zeit hatte der Erdmännchen-Clan beste Lebensbedingungen in seiner angestammten Heimat. Doch plötzlich bedroht eine schwere Dürre seine Existenz. Was aber, wenn Niemand von der Gefahr etwas wissen will und Niemand von Ihnen die Gefahr erst nimmt? Was würden Sie tun? 2 Zu Beginn Es war einmal ein Clan von Erdmännchen, die in der Kalahari lebten, einem trockenen Landstrich im Süden Afrikas. Das Stück Land bot ihnen einen fast perfekten Lebensraum, die äußeren Bedingungen passten. 3 Zu Beginn Jeder hatte seine Aufgabe im Clan. Auch, als die Gruppe größer wurde, funktionierte der Clan. Die Gruppe hatte gelernt, sich außergewöhnlich gut zu verwalten. Man half sich gegenseitig – auch über die Clangrenzen hinaus. Auch wenn ihr Dasein kein reines Zuckerschlecken war, lebten sie im Großen und Ganzen recht gut. 4 Dringlichkeit wecken Aber dann: Weil der Regen schon lange ausgeblieben war, brach eine große Dürre aus. Es gab nicht mehr genug Nahrung für alle flauschigen Erdhörnchen. Hinzu kam, dass die Zahl der Raubtiere unglaublich zugenommen hatte. 5 Dringlichkeit wecken Dank ihres großen Pflichtbewusstseins schafften sie in ihrem Rahmen auch neue Maßnahmen – sie schickten Späher auf Bäume Aber die Maßnahmen reichten nicht aus und die Unruhe im Clan wurde größer… 6 Dringlichkeit wecken Ihre bisherigen Strategien reichten nicht mehr aus. Streit kam auf, weil die Probleme so groß wurden und sie mit ihren bisherigen Maßnahmen keine Lösung fanden. Die Erdmännchen waren am Ende ihrer Weisheit. Wie sollte es weitergehen? 7 Beauftragung Wahlsburg: Oberweser: • Beschluss • Gemeindevertretung Beschluss Gemeindevertretung • 06. -
Gewerbestandort „Langes Feld“ Teil I: Gewerbeflächenbedarf Und Verfügbare Gewerbeflächen in Kassel
Gewerbestandort „Langes Feld“ Teil I Gewerbeflächenbedarf und verfügbare Gewerbeflächen in Kassel Stadt Kassel Gewerbeflächenbedarf Auftraggeber: Stadt Kassel Der Magistrat Auftragnehmer: Planquadrat Dortmund Büro für Raumplanung, Städtebau + Architektur Gutenbergstraße 34, 44139 Dortmund 0231 / 55 71 14 -0, ¬ 0231 / 55 71 14 -99 E-Mail: [email protected] in Zusammenarbeit mit: Büro Sollmann Landschafts- und Freiraumplanung Poststraße 6, 34270 Schauenburg-Elgershausen 05601 / 93 49 -0, ¬ 05601 / 93 49 -20 E-Mail: [email protected] ambrosius • blanke verkehr • infrastruktur Westring 25, 44787 Bochum 0234 / 91 30 120, ¬ 0234 / 91 30 200 E-Mail: [email protected] Dortmund, Januar 2005 Stadt Kassel Gewerbeflächenbedarf Gewerbestandort „Langes Feld“ Teil I: Gewerbeflächenbedarf und verfügbare Gewerbeflächen in Kassel Inhalt 1. ZIELSETZUNG UND ARBEITSKONZEPT ...............................................1 2. INVESTITIONSSTRUKTUREN IM RAUM KASSEL ..............................3 2.1. Investitionen des Prod. Gewerbe in der amtlichen Statistik ......................................... 6 2.2. Entwicklung in der Region Kassel................................................................................. 12 2.3. Erstes Zwischenresümee: Gewerbeflächen-Investitionen ........................................... 14 3. DIE WIRTSCHAFTSENTWICKLUNG IN DER REGION KASSEL....15 3.1. Entwicklungs- und Portfolioanalyse.............................................................................. 15 3.2. Das Verarbeitende Gewerbe ......................................................................................... -
The Clinical Presentation of Psychotic Disorders Bob Boland MD Slide 1
The Clinical Presentation of Psychotic Disorders Bob Boland MD Slide 1 Psychotic Disorders Slide 2 As with all the disorders, it is preferable to pick Archetype one “archetypal” disorder for the category of • Schizophrenia disorder, understand it well, and then know the others as they compare. For the psychotic disorders, the diagnosis we will concentrate on will be Schizophrenia. Slide 3 A good way to organize discussions of Phenomenology phenomenology is by using the same structure • The mental status exam as the mental status examination. – Appearance –Mood – Thought – Cognition – Judgment and Insight Clinical Presentation of Psychotic Disorders. Slide 4 Motor disturbances include disorders of Appearance mobility, activity and volition. Catatonic – Motor disturbances • Catatonia stupor is a state in which patients are •Stereotypy • Mannerisms immobile, mute, yet conscious. They exhibit – Behavioral problems •Hygiene waxy flexibility, or assumption of bizarre • Social functioning – “Soft signs” postures as most dramatic example. Catatonic excitement is uncontrolled and aimless motor activity. It is important to differentiate from substance-induced movement disorders, such as extrapyramidal symptoms and tardive dyskinesia. Slide 5 Disorders of behavior may involve Appearance deterioration of social functioning-- social • Behavioral Problems • Social functioning withdrawal, self neglect, neglect of • Other – Ex. Neuro soft signs environment (deterioration of housing, etc.), or socially inappropriate behaviors (talking to themselves in -
Understanding the Mental Status Examination with the Help of Videos
Understanding the Mental Status Examination with the help of videos Dr. Anvesh Roy Psychiatry Resident, University of Toronto Introduction • The mental status examination describes the sum total of the examiner’s observations and impressions of the psychiatric patient at the time of the interview. • Whereas the patient's history remains stable, the patient's mental status can change from day to day or hour to hour. • Even when a patient is mute, is incoherent, or refuses to answer questions, the clinician can obtain a wealth of information through careful observation. Outline for the Mental Status Examination • Appearance • Overt behavior • Attitude • Speech • Mood and affect • Thinking – a. Form – b. Content • Perceptions • Sensorium – a. Alertness – b. Orientation (person, place, time) – c. Concentration – d. Memory (immediate, recent, long term) – e. Calculations – f. Fund of knowledge – g. Abstract reasoning • Insight • Judgment Appearance • Examples of items in the appearance category include body type, posture, poise, clothes, grooming, hair, and nails. • Common terms used to describe appearance are healthy, sickly, ill at ease, looks older/younger than stated age, disheveled, childlike, and bizarre. • Signs of anxiety are noted: moist hands, perspiring forehead, tense posture and wide eyes. Appearance Example (from Psychosis video) • The pt. is a 23 y.o male who appears his age. There is poor grooming and personal hygiene evidenced by foul body odor and long unkempt hair. The pt. is wearing a worn T-Shirt with an odd symbol looking like a shield. This appears to be related to his delusions that he needs ‘antivirus’ protection from people who can access his mind. -
The Expanding Field of Sensory Studies (V.1.0) July 2013
The Expanding Field of Sensory Studies (version 1.0 – July 2013) David Howes, Centre for Sensory Studies, Concordia University, Montreal The sensorium is a fascinating focus for cultural studies Walter J. Ong, “The Shifting Sensorium” (1991) In sensory studies, the senses are treated as both object of study and means of inquiry. Sensory studies stands for a cultural approach to the study of the senses and a sensory approach to the study of culture. It challenges the monopoly that the discipline of psychology has long exercised over the study of the senses and sense perception by highlighting the sociality of sensation. History and anthropology are the foundational disciplines of this field. Sensory studies encompasses many other disciplines besides these two, however, as scholars from across the humanities and social sciences have, over the past few decades, successively “come to their senses” and turned their attention on the sensorium. The Senses and Society journal, which launched in 2006, is one manifestation of this convergence. The Sensory Studies website, which went live in 2010, is another (see www.sensorystudies.org), This essay is dedicated to tracing the history of the sensory turn in contemporary scholarship, and pointing to some directions for future research. It starts with an overview of the emergence and development of the history and anthropology of the senses. It goes on (in Part II) to examine how the senses have come to figure as a subject of study and means of inquiry in a range of other disciplines, including, for example, geography, sociology, linguistics, aesthetics and communication studies. In Part III, the focus shifts to how the field of sensory studies can otherwise be conceptualized as made up of visual culture, auditory culture (or sound studies), smell culture, taste culture and the culture of touch. -
Flyer Eco Pfad Kulturgeschichte Wahlsburg
1947 errichtete die „Innere Mission“ mit Hilfe von aus Die Mühle Schormann Ansprechpartner Schlesien vertriebenen Diakonissenschwestern auf August Schormann aus Uslar kaufte die Mühle im Gemeinde Wahlsburg Eco Pfad dem Gelände des ehemaligen Paraxol-Werks eine Jahr 1882. Er war sehr betriebsam mit verschiedenen Am Mühlbach 15, 37194 Wahlsburg Heilstätte für Tuberkulosekranke, die 1968 zur Klinik Kulturgeschichte Unternehmungen. 1900 ersetzte er die Mühlräder Tel. 05572 9378-0, www.wahlsburg.de und zum Rehabilitationszentrum ausgebaut wurde. durch zwei Turbinen und versorgte seine Betriebe Heute befindet sich hier das „Klinikum Lippoldsberg Solling-Vogler-Region im Weserbergland e. V. Wahlsburg und andere Haushalte mit Strom. GmbH“. Touristikzentrum, Tel. 05536 960970 Die Bleichwiesen www.solling-vogler-region.de Die Wahlsburg Hessen war im 18. Jahrhundert ein bedeutendes Museen Zwischen den beiden Ortsteilen Lippoldsberg und Exportland für Garne und Leinen. In Vernawahls- Vernawahlshausen bildet die Hügelkette oberhalb Besucherzentrum Klosterpforte hausen hatte man sich auf das Bleichen des Roh- des Schwülmetals einen Sporn. Auf der Höhe des Klosterhof 10, 37194 Wahlsburg-Lippoldsberg leinens spezialisiert. Die Rasenbleiche gehörte zu den Sporns finden sich Gräben und Wälle einer frühmit- Tel. 05572 999226, www.klosterkirche.de größten in Hessen. Im Gemeindewappen erinnert die telalterlichen Burg. Schriftquellen des Mittelalters Täglich geöffnet von 10 bis 18 Uhr rechte Seite mit geschwungenen Linien an das weiße bezeichnen sie als Walesborg, Walsburg oder Leinen auf grüner Wiese. Museum und Werkstatt im Schäferhaus Walspurch. Sie wurde vermutlich zur Sicherung der Nachdem der Stoff in einer Lauge mehrere Stunden Schäferhof 22, 37194 Wahlsburg-Lippoldsberg fränkischen Herrschaft im Ober weserraum im 8. oder gezogen hatte, spannte man die Bahnen auf den Tel. -
Schuljahr 2015/2016 Landkreis Kassel
Ausgewählte Ergebnisse der Schuleingangsuntersuchung 2015 Übergewicht und Fettleibigkeit bis 5% > 5% - 10% > 10% - 15 % > 15% - 20% > 20% - 30% 16% Wahlsburg Bad Karlshafen 11% Oberweser 4% 15% Trendelburg 12% Hofgeismar 18% 14% Reinhardshagen Liebenau 5% Breuna Grebenstein 9% 27% Immenhausen Calden 7% 17% 10% Espenau Fuldatal Zierenberg 13% Vellmar 12% Ahnatal 8% Habichtswald 9% Wolfhagen 10% Niestetal Nieste 10% 9% 15% Zierenberg Kassel Schauenburg Kaufungen 3% Lohfelden 5% 5% Bad Emstal Helsa 8% 2% Baunatal 9% 10% Naumburg Fuldabrück 5% Söhrewald 6% © Stadt Kassel • Vermessung und Geoinformation Meter Quelle: Eigenuntersuchung des Gesundheitsamtes der Region Kassel 0 2.500 5.000 10.000 15.000 Ausgewählte Ergebnisse der Schuleingangsuntersuchung 2015 Vorgelegte Impfbücher bis 84% > 84% - 88% > 88% - 92% > 92% - 96% > 96% - 100% 99% Wahlsburg Bad Karlshafen 84% Oberweser 88% 94% Trendelburg 89% Hofgeismar 96% 95% Reinhardshagen Liebenau Breuna 95% 100% Grebenstein 93% Immenhausen Calden 97% 91% 100% Espenau Fuldatal Zierenberg 96% Vellmar 95% Ahnatal 97% Habichtswald 97% Wolfhagen 90% Niestetal 91% Nieste 95% 100% Kassel Zierenberg Schauenburg Kaufungen 96% Lohfelden 97% 95% Bad Emstal Baunatal Helsa 92% 94% 98% 97% Naumburg Fuldabrück 100% Söhrewald 94% © Stadt Kassel • Vermessung und Geoinformation Meter Quelle: Eigenuntersuchung des Gesundheitsamtes der Region Kassel 0 2.500 5.000 10.000 15.000 Ausgewählte Ergebnisse der Schuleingangsuntersuchung 2015 Impfstatus Hepatitis B bis 80% > 80% - 85% > 85% - 90% > 90% - 95% > 95% - 100% die -
Helmholtz's Physiological Psychology1
Helmholtz’s Physiological Psychology1 Lydia Patton [email protected] In Philosophy of Mind in the Nineteenth Century, ed. S. Lapointe (Routledge, 2018) Author’s copy. Published version available at: https://www.routledge.com/Philosophy-of- Mind-in-the-Nineteenth-Century-The-History-of-the- Philosophy/Lapointe/p/book/9781138243965 Hermann von Helmholtz (1821-1894) contributed two major works to the theory of sensation and perception in the nineteenth century. The first edition of the The Doctrine of the Sensations of Tone was published in 1863, and the first edition of the Handbook of Physiological Optics was published in toto in 1867. These works established results both controversial and enduring: Helmholtz’s analysis of mixed colors and of combination tones, his arguments against nativism, and his commitment to analyzing sensation and perception using the techniques of natural science, especially physiology and physics. This study will focus on the Physiological Optics (hereafter PO), and on Helmholtz’s account of sensation, perception, and representation via “physiological psychology”. Helmholtz emphasized that external stimuli of sensations are causes, and sensations are their effects, and he had a practical and naturalist orientation toward the analysis of phenomenal experience. 1 Above all, I would like to thank Sandra Lapointe for her insight into the configuration and promise of this project, for conceiving of this volume, and for astute and perceptive responses to earlier versions, which shaped the project as it stands now. Clinton Tolley read the penultimate version of the paper and contributed invaluable suggestions, including preventing me from making a most consequential error of translation, for which I am grateful. -
Psychiatric Evaluation of Adults Second Edition
PRACTICE GUIDELINE FOR THE Psychiatric Evaluation of Adults Second Edition 1 WORK GROUP ON PSYCHIATRIC EVALUATION Michael J. Vergare, M.D., Chair Renée L. Binder, M.D. Ian A. Cook, M.D. Marc Galanter, M.D. Francis G. Lu, M.D. AMERICAN PSYCHIATRIC ASSOCIATION STEERING COMMITTEE ON PRACTICE GUIDELINES John S. McIntyre, M.D., Chair Sara C. Charles, M.D., Vice-Chair Daniel J. Anzia, M.D. James E. Nininger, M.D. Ian A. Cook, M.D. Paul Summergrad, M.D. Molly T. Finnerty, M.D. Sherwyn M. Woods, M.D., Ph.D. Bradley R. Johnson, M.D. Joel Yager, M.D. AREA AND COMPONENT LIAISONS Robert Pyles, M.D. (Area I) C. Deborah Cross, M.D. (Area II) Roger Peele, M.D. (Area III) Daniel J. Anzia, M.D. (Area IV) John P. D. Shemo, M.D. (Area V) Lawrence Lurie, M.D. (Area VI) R. Dale Walker, M.D. (Area VII) Mary Ann Barnovitz, M.D. Sheila Hafter Gray, M.D. Sunil Saxena, M.D. Tina Tonnu, M.D. STAFF Robert Kunkle, M.A., Senior Program Manager Amy B. Albert, B.A., Assistant Project Manager Laura J. Fochtmann, M.D., Medical Editor Claudia Hart, Director, Department of Quality Improvement and Psychiatric Services Darrel A. Regier, M.D., M.P.H., Director, Division of Research This practice guideline was approved in December 2005 and published in June 2006. 2 APA Practice Guidelines CONTENTS Statement of Intent. Development Process . Introduction . I. Purpose of Evaluation. A. General Psychiatric Evaluation . B. Emergency Evaluation . C. Clinical Consultation. D. Other Consultations . II. Site of the Clinical Evaluation . -
An Observation of Impact of Neurological Consultations in Intensive Care Patients: Case Series of 23 Patients
ShortCommunication An observation of impact of neurological consultations in intensive care patients: Case series of 23 patients Kanwalpreet Sodhi, Rupinder Singh Bhatia1, Siddhartha Garg1, Anupam Shrivastava Objective: The objective of the present study was to assess the impact of neurological Access this article online consultation and intervention upon patient outcome in intensive care unit (ICU). Website: www.ijccm.org Settings: A retrospective observational study was conducted in the 24-bedded DOI: 10.4103/0972-5229.118430 multispecialty ICU of a 350 bedded tertiary care hospital over 8 months period, from Quick Response Code: Abstract January 2011 to August 2011. Critically, ill-patients with varied neurological symptomatology affecting the course of illness and ICU discharge were included. Neurological consult sought for, investigations ordered by the neurologist, interventions carried out, treatment started and the impact of such treatment on the outcome of patients were noted. The length of ICU stay was also noted. Results: Over a period of 8 months, there were 864 ICU admissions. On neurological consult, 23 patients had a positive fi nding affecting the outcome: 5 patients were diagnosed to have parkinson’s disease, 4 patients had neuromuscular disease, 9 patients had high creatinine phosphokinase levels, 2 patients had restless legs syndrome and 3 patients were diagnosed to have seizure disorder. Conclusions: On being examined and investigated by neurologist, a variety of co-existing neurological disorders could be diagnosed and if managed early, patients had a faster recovery, rapid weaning and early discharge from the ICU. Keywords: Delayed recovery, diffi cult weaning, neurological consults, outcome of intensive care unit patients Introduction care therapy, where a neurological consult could lead to diagnosis of an associated or incidental disease and With advances in critical care, critically ill-patients are treatment, thereof, can affect the outcome.