みゃおさん家住人 @Myaonese

@demian_power 医療サイトのM3を見ると、おっしゃる通りですね。昔聖職と呼ばれた時代がありましたが。

認知障害をもつひとが補聴器を使っても認知症リスクを減らせないという報告。けれど周りの人とのコミュニケーションは認知機能の保持に有効なはずだ。

JAMA Neurology @JAMANeuro

2 weeks ago

Among older adults with #MildCognitiveImpairment and hearing loss, hearing aid intervention did not significantly reduce dementia-level impairment over 24 months vs hearing care education. ja.ma/4z2OiZw

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DSMを作った先生が、その欠点を認めている・・。

Allen Frances @AllenFrancesMD

2 weeks ago

Best review re why #Autism diagnosis has exploded confirms its mostly my fault- for allowing definition to expand in DSM-IV. I was very strict re DSM-IV changes in adult diagnoses- we rejected 92 of 94 suggestions. But I knew much less re child psych/missed big risk of misuse.

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反精神医学による大半の主張が理不尽なのは、Frances先生がおっしゃるとおり。さらに、殆どのひとが自己流の心理学者であり、それぞれの精神医学を持っていることだと思う。

Allen Frances @AllenFrancesMD

3 weeks ago

Why is there no "anti-neurology" movement or "anti-oncology" when their results are so often worse than ours? 1)Relationship much less intimate 2)Treatments more technical 3)Symptoms less personal 4)Expecations more reasonable 5)Judgment more objective 6)Tranference much weaker

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@aiko33151709 そうですね。沖縄県民への侮辱ですね。

チェルノブイリ原発事故からソ連崩壊まで16年。

東北大震災から15年経った。あっという間だった。 第一次世界大戦でドイツが敗北してから、ワイマール共和国崩壊まで15年、こんなに短い間隔だったのだ。 社会が壊れるまでの時間。

抗認知症薬が長期的に、患者の予後を改善するという報告が続いている。認知機能改善の効果はわずかだが、機能低下をある程度遅らせ、また死亡率を下げる。 アミロイド抗体治療薬が発売され、治療を受ける人が増えているけれど、従来の抗認知症薬も一定の有用性があることが証明されている。

Jungst先生は百歳で亡くなった。ドイツの精神病理をしっかりと踏まえた双極性障害の権威でした。

Chris Aiken, MD @chrisaikenmd

a month ago

Jules Angst (1926-2026) leaves us with a rich history. Learn how he split mood disorders into iunipolar and #bipolar, then spent the rest of his career filling in the gaps between them, and what it means for med response: psych-partners.com/remembering-ju…

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6年前に、ファウチさんのような人が日本にいたら、と羨んでいた人が、今このような目に遭っている・・

The BMJ @bmj_latest

2 months ago

Republican members of the Senate committee have voted to hold Anthony Fauci in contempt of Congress. When politics replaces science as the arbiter of truth, the ultimate casualty is not Fauci: it is the health of the American public, argues this Opinion bmj.com/content/394/bm…

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@CDP2017NARA 次元的→時限的　ですね。

Throughout my career, I always spent 3 mornings/week in ER. Best place to learn/teach/practice psychiatry. Wonderful window into patients/systems/community/yourself. Where I got best results as practitioner/teacher. Sometimes a right thing said at right time changes a life.

Tyler Black, MD @tylerblack32

3 months ago

I am an emergency psychiatrist who specialized in the tertiary care of the most severely mentally ill kids in my province. I took a great pride in delivering excellent emergency care, such that I was very much a sought after physician in my tertiary hospital. I thought that

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そうか、退屈は新しいアイデアを母体なのか。退屈をばかにしてはいけない。

Nicholas Fabiano, MD @NTFabiano

3 months ago

Boredom activates the brain’s default mode network. Crucial for creativity and fostering a sense of self. Boredom is a luxury in a world with constant overstimulation.

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A German bureaucrat with no PhD, no grant, and no university affiliation built a system in the 1950s that produced 70 books and 400 papers, and the tool he used was a wooden box and one rule so simple it sounds like nothing. His name was Niklas Luhmann. The system is called the Zettelkasten. He was born in 1927 in Lüneburg, the son of a brewery owner. He studied law at Freiburg after the war, passed his exams, and entered the civil service. From 1954 to 1962 he worked as an administrative officer at the Ministry of Culture in Lower Saxony. Government files. Bureaucratic memos. Education reform paperwork. Nobody was watching him. Nobody was funding him. There was no department, no lab, no dissertation committee waiting on his progress. He started filling index cards anyway. The rule was this: one idea per card, written in his own words, never copied from the source. Every card had to connect to at least one other card already in the box. No folders. No categories. No topic hierarchy of any kind. Just a flat web of linked ideas growing in every direction. He called it his communication partner. That phrase is not a metaphor. Luhmann believed the box genuinely surprised him. He would pull out a card he had written years earlier and find that it connected to something he had just added in a way he had never planned when he wrote either one. The system was producing relationships his conscious mind had never made. He was not retrieving stored information. He was discovering new ideas inside material he already owned. Most people take notes to remember things. Luhmann built a system that thought for him. In 1965, the sociologist Helmut Schelsky saw one of Luhmann's manuscripts. He was so astonished by the quality and depth of what a government clerk had produced without institutional support that he offered him a research position at the University of Münster on the spot. When Bielefeld University needed to qualify him formally for a professorship in 1966, they accepted two books he had already written from the box as his PhD thesis and habilitation simultaneously. He skipped the entire academic ladder. By 1968 he was the first full professor at the newly founded University of Bielefeld. He held that chair for 25 years and never stopped filling cards. By the time he died in 1998, the box contained 90,000 handwritten index cards organized across two separate slip boxes he had built over four decades. The cards covered law, economics, politics, religion, ecology, mass media, love, and the theory of modern society. They generated 70 published books and nearly 400 scholarly articles. He left 150 unfinished manuscripts in his estate when he died. At least one of them was 1,000 pages long. The reason the output was possible is the reason most people's notes produce nothing. Luhmann never took notes to file information. He took notes to force a connection. Every time he read something, his only job was to ask one question: what does this link to inside the box? Not what category does it belong to. Not what topic should I file it under. What does this idea touch, contradict, extend, or challenge inside the network that already exists. The moment you file a note in a folder, you have decided in advance what it relates to. Which means you will never discover what else it might. Filing is the enemy of thinking. The box had no folders. Every idea had to earn its place by connecting to something else. Over time the box stopped being storage. It became a record of every intellectual relationship Luhmann had ever noticed, and because the cards were physical and linked, he could walk through the network and find collisions between ideas he had written years apart without ever planning them. The box remembered what he had forgotten. It held conversations he had long since moved past. It was the only thinking partner he had that never forgot anything. That is why he said, in an interview late in his career: "I don't think everything on my own. Mostly it happens in the slip box." He was not being modest. He was being precise. NotebookLM is the closest thing that exists today to what Luhmann built by hand. Not as a filing cabinet. Not as a search tool. As a network of connected material that can surface relationships between ideas you uploaded at different times without knowing they were related. The people generating the most original thinking right now are not the ones reading the most. They are the ones connecting the best. Luhmann proved that with 90,000 cards and a wooden box in a government office in Lower Saxony. The box is now inside your browser. Most people are still using it like a highlighter.

40年前、まだ研修医の頃、子供の微細脳症候群という言葉がよく使われていた。書物を読んでも、よく分からない症候群だった。今の発達障害とかなり重なる病態だったと思う。その頃も、熱心な親たちが、その症候群の治療に熱心だった。

松下正明先生の2009年の論文「MCI概念の功罪」では、「かつてのKralの「良性のもの忘れ」のように、いずれ消えていく運命」と書かれています。最近のアミロイド抗体療法の開発で、MCIがこのように持て囃されるとは、さすがの松下先生でも予見は難しかったようです。しかし、その議論自身は真っ当です

うつ病で自殺願望のひとに安楽死とは・・

Noah Smith 🐇🇺🇸🇺🇦🇹🇼 @Noahpinion

7 months ago

Offering euthanasia to depressed people is state-sponsored murder. There is no ambiguity. It is murder.

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安楽死の法制化は、何らかの形で、安楽死へ強制する圧力を及ぼす。

Humza Yousaf @HumzaYousaf

7 months ago

No jubilation or victory rhetoric, just quiet relief as the Assisted Dying Bill is rejected by Parliament. We could not afford to pass a Bill that the most vulnerable told us they feared would open the door to coercion - regardless of how subtle it may be - to end their lives.

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神経性食指不振症を安楽死の理由にすることに、抵抗を感じる医師は多いと思います。

Charles Tannock @CharlesTannock

7 months ago

@historykev As a retired psychiatrist I regard this practice of "voluntary" euthanasia of the mentally disordered as unacceptable & glad I will never have to work clinically under such a legal framework potentially coming to the UK.

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NHKで放送していた安楽死のドキュメンタリーでは、カナダで「精神障害」を持つ人の安楽死を求める運動が始まっていると放送されていたけれど・・。

Prof Linda Gask @suzypuss

7 months ago

Of the 30 people under age 30 who received psychiatric euthanasia in 2024, in the Netherlands, 25 were female. theatlantic.com/ideas/2026/03/…

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