Suicide: Psychache and Alienation Psychache (sīk-āk), a neologism coined by suicidologist Edwin Shneidman,1 is unbearable psychological pain—hurt, anguish, soreness, and aching. Shneidman theorized that unresolved psychache results in suicidal behavior.
A New Report on Pain in America: Like Déjà Vu All Over Again The title of this column comes from a quote often attributed to the great baseball player Yogi Berra. It is used to acknowledge that something that is supposed to be new is in fact very familiar. As I read the Institute of Medicine’s (IOM) new report, Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research,1 I experienced a feeling of déjà vu.
Children and Pets: A Winning Combination More than 50 years ago, Charles M. Schulz, creator of “Peanuts,” coined the term “Happiness is a warm puppy.” Schulz may have been more visionary than he recognized.
Cultural Considerations in Child and Adolescent Psychiatry The onset of psychiatric illness in a child is a life-changing event for families. Families from immigrant and ethnocultural communities often must come to an understanding of their child’s psychiatric difficulties while simultaneously interacting with an unfamiliar health care system and its practitioners.
The Early Psychiatrist: A Piercing Eye and Commanding Presence Among the many changes in psychiatric practice often attributed to the psychotherapist Carl Rogers was a shift in the therapist’s relationship with the patient. In particular, Rogers is rightly famous for advocating a “client-centered” or “person-centered” therapy.
Evaluation and Management of Low Back Pain Although several guidelines have been published on the diagnosis and treatment of acute LBP (most notably that issued by the US Department of Health and Human Services in 19941), there has been a dearth of similar guidelines based on the scientific literature for chronic LBP.