In a Word - Transference (with a dash of neuroscience)

PsyDactic

#Science #Fitness #Medicine #Mental Health #T. Ryan O'Leary #Psychiatry #Psychopharmacology #Psychotherapy #Psych #Psychology #Medical Education #Neuroscience #Residents #Medical Students #Skeptic

5:58

In 1966, two Brazilian men were found dead on Vintém Hill under bizarre circumstances that continue to perplex investigators and conspiracy theorists alike. Lying side by side, their bodies were discovered wearing matching lead masks—shields with no eyeholes—alongside cryptic notes. Were they victims of a cult ritual, a failed experiment, or something even more otherworldly? See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info .…

for ca. et år siden 30:10

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--Dr. O'Leary discusses the term Transference, and if you listen until the end, he relates it to some computational neuroscience. Transference is a historically loaded term. Transference is supposed to be an unconscious process, so it can not really be observed, only inferred, so this means that both the definition of transference and any instance of it in psychotherapy is dependent upon the therapist’s model and their particular way of interpreting that model. But what exactly is this elusive but data rich unconscious process?
Please leave feedback at https://www.psydactic.com or send any comments to feedback@psydactic.com.
References and readings (when available) are posted at the end of each episode transcript, located at psydactic.buzzsprout.com. All opinions expressed in this podcast are exclusively those of the person speaking and should not be confused with the opinions of anyone else. We reserve the right to be wrong. Nothing in this podcast should be treated as individual medical advice.

73 episoder

In a Word - Transference (with a dash of neuroscience)

PsyDactic

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published for ca. et år siden

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MP3•Episode hjem

73 episoder

#Science #Fitness #Medicine #Mental Health #T. Ryan O'Leary #Psychiatry #Psychopharmacology #Psychotherapy #Psych #Psychology #Medical Education #Neuroscience #Residents #Medical Students #Skeptic

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1
Gambling Disorder - Rarely Diagnosed, Highly Prevalent 35:02

for 17 dage siden35:02

35:02

Gambling disorder may be the most under-diagnosed disorder in the DSM. This is an exhaustive treatment of the neurobiological, psychological, and societal aspects of gambling addiction , featuring discussions on the brain's reward system, cognitive distortions, and the impact of advertising and the design of gambling products. Please leave feedback at https://www.psydactic.com or send any comments to feedback@psydactic.com. References and readings (when available) are posted at the end of each episode transcript, located at psydactic.buzzsprout.com . All opinions expressed in this podcast are exclusively those of the person speaking and should not be confused with the opinions of anyone else. We reserve the right to be wrong. Nothing in this podcast should be treated as individual medical advice.…

1
Functional Neurological Disorder, Predictive Processing and Active Inference 24:37

for 24 dage siden24:37

24:37

Functional Neurological Disorder was previously called Conversion Disorder or psychogenic neurological symptoms and is a condition in which a patient develops any number of neurological symptoms (such as loss of ability to move or seizure like episodes or inability to feel parts of their body or phantom pain) that cannot be explained by a clear lesion in the nervous system. It was called conversion disorder because it was previously thought that repressed emotions or desires had been converted into neurological symptoms as a defense against those emotions or desires. Therefore, the symptoms were "psychogenic" instead of neurological or biological. Even though emotional states contribute to neurological function, we now know that this model is incorrect. The most compelling new models of functional neurological symptoms come from the theories of the Bayesian brain, predictive processing, and active inference. Please leave feedback at https://www.psydactic.com or send any comments to feedback@psydactic.com. References and readings (when available) are posted at the end of each episode transcript, located at psydactic.buzzsprout.com . All opinions expressed in this podcast are exclusively those of the person speaking and should not be confused with the opinions of anyone else. We reserve the right to be wrong. Nothing in this podcast should be treated as individual medical advice.…

1
Behaviorism Part 1 - Classical Conditioning 23:53

for 5 weeks siden23:53

23:53

Dr. O'Leary introduces PsyDactic - Child and Adolescent Board Study edition by sharing the first of two episodes on behaviorism, that field of psychology that took the radical stance of completely ignoring the fact that we have a mind. Please leave feedback at https://www.psydactic.com or send any comments to feedback@psydactic.com. References and readings (when available) are posted at the end of each episode transcript, located at psydactic.buzzsprout.com . All opinions expressed in this podcast are exclusively those of the person speaking and should not be confused with the opinions of anyone else. We reserve the right to be wrong. Nothing in this podcast should be treated as individual medical advice.…

1
Nicotinic Receptors, Anxiety, and PTSD - an A.I. generated discussion 15:30

for 7 weeks siden15:30

15:30

-- Dr. O'Leary explores how an artificial intelligence tool summarizes recent data on the use of nicotinic receptor modulators for the treatment of anxiety and PTSD. Please send any comments to feedback@psydactic.com. Please leave feedback at https://www.psydactic.com or send any comments to feedback@psydactic.com. References and readings (when available) are posted at the end of each episode transcript, located at psydactic.buzzsprout.com . All opinions expressed in this podcast are exclusively those of the person speaking and should not be confused with the opinions of anyone else. We reserve the right to be wrong. Nothing in this podcast should be treated as individual medical advice.…

1
An extraordinary perspective on Suicide Risk Assessments from Dr. Tyler Black via Psychiatry Boot Camp 1:47:05

for 10 weeks siden1:47:05

1:47:05

"People are 14 times more likely to die during a hospital stay than outside of hospital for inpatient psychiatry." In the last episode, I shared an episode of Psychiatry Boot Camp, which is a podcast created by Dr. Mark Mullen to help medical students and junior residents hone their psychiatric skills. Mark interviews some of the most competent and amazing psychiatrists our country has to offer. I am excited that Mark let me share his interview with Dr. Tyler Black, who talks about evaluating suicidal patients. I have never heard any advice about suicide assessments as insightful and compassionate as what Tyler Black has to offer. Please leave feedback at https://www.psydactic.com or send any comments to feedback@psydactic.com. References and readings (when available) are posted at the end of each episode transcript, located at psydactic.buzzsprout.com . All opinions expressed in this podcast are exclusively those of the person speaking and should not be confused with the opinions of anyone else. We reserve the right to be wrong. Nothing in this podcast should be treated as individual medical advice.…

1
Dr. Mark Mullen interviews Dr. Awais Aftab and Dr. Allen Frances on Psychiatry Boot Camp 1:09:24

for 13 weeks siden1:09:24

1:09:24

In the last episode, Dr. O'Leary interviewed the creator and host of the Psychiatry Bootcamp Podcast, Dr. Mark Mullen , who is currently a psychiatry clerkship director at St. Louis University School of Medicine. He created this podcast after discovering a dearth of resources available for medical students and junior psychiatry residents to prepare them for their transition to practice. He graciously allowed PsyDactic to include a couple of his episodes in this feed as a way to spread the good news about Psychiatry Boot Camp. This is his introductory episode where he sets the tone of PBC by interviewing Dr. Awais Aftab, Clinical Professor of Psychiatry at Case Western University, and Dr. Allen Frances, Chair of the DSM-4 Task Force and Chair Emeritus at Duke. Check out Psychiatry Boot Camp! https://linktr.ee/psychbootcamp https://pubmed.ncbi.nlm.nih.gov/38724723/ https://podcasts.apple.com/us/podcast/psychiatry-boot-camp/id1671902940 https://open.spotify.com/show/4Vjlz4CO0G5D6nGo74O0jE https://www.audible.com/podcast/Psychiatry-Boot-Camp/B0BVK4HYLW https://x.com/markrmullen Please leave feedback at https://www.psydactic.com or send any comments to feedback@psydactic.com. References and readings (when available) are posted at the end of each episode transcript, located at psydactic.buzzsprout.com . All opinions expressed in this podcast are exclusively those of the person speaking and should not be confused with the opinions of anyone else. We reserve the right to be wrong. Nothing in this podcast should be treated as individual medical advice.…

1
Meet the Psychiatry Bootcamp Podcast brought to you by Dr. Mark Mullen 26:56

for 13 weeks siden26:56

26:56

Dr. O'Leary is excited to introduce you to Psychiatry Boot Camp (PBC), a podcast created by Dr. Mark Mullen during his psychiatry residency to help prepare medical students for psychiatry residency. It covers fundamental topics in psychiatry and inspires young psychiatrists to think critically about their approach to the field. The curriculum is based on published literature on psychiatry crash courses and boot camps, and features interviews with experts in the field. Some specific PBC episodes that are discussed include those introducing students to psychiatry as a discipline with unique challenges, including interviews with Dr. Awais Aftab, Clinical Professor of Psychiatry at Case Western University, and Dr. Allen Frances, Chair of the DSM-4 Task Force and Chair Emeritus at Duke. We also discuss Dr. Mullen's eye-opening interview with Dr. Tyler Black, a suicidologist and child psychiatrist at British Columbia Children's Hospital who provides the best foundational discussion of the suicide assessment that Dr. O'Leary has ever encountered. Enjoy this interview and afterward, please check out Psychiatry Boot Camp. https://pubmed.ncbi.nlm.nih.gov/38724723/ https://podcasts.apple.com/us/podcast/psychiatry-boot-camp/id1671902940 https://open.spotify.com/show/4Vjlz4CO0G5D6nGo74O0jE https://www.audible.com/podcast/Psychiatry-Boot-Camp/B0BVK4HYLW https://x.com/markrmullen Please leave feedback at https://www.psydactic.com or send any comments to feedback@psydactic.com. References and readings (when available) are posted at the end of each episode transcript, located at psydactic.buzzsprout.com . All opinions expressed in this podcast are exclusively those of the person speaking and should not be confused with the opinions of anyone else. We reserve the right to be wrong. Nothing in this podcast should be treated as individual medical advice.…

1
In a Word - Agonist 24:01

for 15 weeks siden24:01

24:01

--In today's episode, Dr. O'Leary explores agonists, inverse agonists, partial agonists, and antagonists. These terms describe how molecules bind to receptors and either increase, decrease, or prevent changes in receptor signaling. Agonists increase receptor activity, with full agonists like dopamine and serotonin raising activity to its maximum. Partial agonists can increase activity in the absence of full agonists but decrease it in their presence. Inverse agonists reduce the baseline activity of receptors. Antagonists block receptor activity without changing the baseline rate. We also discussed the complex interactions between these molecules and how their effects can vary depending on the presence of other molecules and the specific receptors involved. Below are a couple of helpful references: https://pmc.ncbi.nlm.nih.gov/articles/PMC2804881/ https://link.springer.com/article/10.2165/00023210-199605050-00007 Please leave feedback at https://www.psydactic.com or send any comments to feedback@psydactic.com. References and readings (when available) are posted at the end of each episode transcript, located at psydactic.buzzsprout.com . All opinions expressed in this podcast are exclusively those of the person speaking and should not be confused with the opinions of anyone else. We reserve the right to be wrong. Nothing in this podcast should be treated as individual medical advice.…

1
In a Word - Transference (with a dash of neuroscience) 30:10

for 34 weeks siden30:10

30:10

--Dr. O'Leary discusses the term Transference, and if you listen until the end, he relates it to some computational neuroscience. Transference is a historically loaded term. Transference is supposed to be an unconscious process, so it can not really be observed, only inferred, so this means that both the definition of transference and any instance of it in psychotherapy is dependent upon the therapist’s model and their particular way of interpreting that model. But what exactly is this elusive but data rich unconscious process? Please leave feedback at https://www.psydactic.com or send any comments to feedback@psydactic.com. References and readings (when available) are posted at the end of each episode transcript, located at psydactic.buzzsprout.com . All opinions expressed in this podcast are exclusively those of the person speaking and should not be confused with the opinions of anyone else. We reserve the right to be wrong. Nothing in this podcast should be treated as individual medical advice.…

1
Catatonia in Autism and Neuroatypical Patients - Easy to miss, Harder to Treat 35:54

for 35 weeks siden35:54

35:54

-- More recently I have faced the diagnostic conundrum of catatonia in autism, and that is what I want to explore in more excruciating detail today. There is surprisingly little literature on the subject, and that is concerning because being able to identify and treat catatonia can be life-saving, not to mention life-altering for patients and their caretakers. Misidentifying catatonia as mere aggression or highly limited interests in autism can result in exactly the wrong medication being given or no medication being given and a worsening of the condition. -- Please leave feedback at https://www.psydactic.com or send any comments to feedback@psydactic.com. References and readings (when available) are posted at the end of each episode transcript, located at psydactic.buzzsprout.com . All opinions expressed in this podcast are exclusively those of the person speaking and should not be confused with the opinions of anyone else. We reserve the right to be wrong. Nothing in this podcast should be treated as individual medical advice.…

1
Mindhunting with Forensic Psychiatrist Dr Michael Schirripa 56:11

for 38 weeks siden56:11

56:11

-- Dr. O’Leary interviews forensic psychiatrist and author Dr. Michael Schirripa about his career as a forensic psychiatrist, the release of his first thriller, Mindhunt , and his podcast Mindhunting . Dr. Shirripa explores how his love of literature influenced his decision to pursue forensic psychiatry and ultimately resulted in his creation of an international thriller with an ambitious forensic psychiatrist as the main character. We explore topics like medical ethics, medical education, popular culture, mental health stigma, Australian football, and how people react when we tell them we are psychiatrists. Learn more about Michael at https://michaelschirripa.com/ . Please leave feedback at https://www.psydactic.com or send any comments to feedback@psydactic.com. References and readings (when available) are posted at the end of each episode transcript, located at psydactic.buzzsprout.com . All opinions expressed in this podcast are exclusively those of the person speaking and should not be confused with the opinions of anyone else. We reserve the right to be wrong. Nothing in this podcast should be treated as individual medical advice.…

1
Psychedelics - A skeptical approach to MDMA aka Ecstasy 31:46

for 39 weeks siden31:46

31:46

- - In the world of psychotropic medication, the question is not just whether it works or not, but whether it works better than a placebo and whether the effect size is clinically significant and the benefits outweigh the risks. In the case of MDMA (aka molly or ecstasy), the effect size for improving post-traumatic stress disorder symptoms reported by researchers has been very large. Often it is found to be two to three times higher than is often found for serotonin reuptake inhibitors, which are currently the first line therapy for PTSD. On the surface this is super exciting. A deeper look will reveal why excitement may need to be tempered, and why an independent panel recommended that the FDA not approve this medication. Please leave feedback at https://www.psydactic.com or send any comments to feedback@psydactic.com. References and readings (when available) are posted at the end of each episode transcript, located at psydactic.buzzsprout.com . All opinions expressed in this podcast are exclusively those of the person speaking and should not be confused with the opinions of anyone else. We reserve the right to be wrong. Nothing in this podcast should be treated as individual medical advice.…

1
The Narrative Fallacy in Psychological and Psychiatric Clinical Practice with Dr. Alexey Tolchinsky, PsyD 55:14

for 41 weeks siden55:14

55:14

The Narrative Fallacy describes our tendency to find meaning, connections, and causal relationships where they do not necessarily exist. In this episode, Dr. O'Leary had the pleasure of interviewing Dr. Alexey Tolchinsky. He recently published a paper called “Narrative fallacy and other limitations of psychodynamic case formulation.” Dr. Tolchenski did not invent the idea of the Narrative Fallacy, but he is working to apply this idea to his own clinical practice. We could all benefit from recognizing the ways that Narrative Fallacy plays out in our lives. The great thing about these ideas is that they are so generalizable. The Narrative fallacy is not limited to medicine or science, but can be applied, for example in how we explain to ourselves why our neighbor seems to hate us. Tolchinsky, A. (2023). Narrative fallacy and other limitations of psychodynamic case formulation. Practice Innovations. https://osf.io/preprints/psyarxiv/znxs5 Please leave feedback at https://www.psydactic.com or send any comments to feedback@psydactic.com. References and readings (when available) are posted at the end of each episode transcript, located at psydactic.buzzsprout.com . All opinions expressed in this podcast are exclusively those of the person speaking and should not be confused with the opinions of anyone else. We reserve the right to be wrong. Nothing in this podcast should be treated as individual medical advice.…

1
Psychometrics - The Dangers of Rating Scales and Screeners 31:45

for 42 weeks siden31:45

31:45

Dr. O'Leary discusses a variety of concerns that all clinicians should have in mind when using psychometrics. In the end, he hopes you come away with some level of agreement with the statement: “Our primary concern should not be with the quantity of data, but with the quality of the data.” Statistics are conceptual machines that will produce results no matter what you feed them. These results can be truly helpful and informative. But statistics are also poop in poop out machines, and adding more malarky does not magically convert the results into something other than BS. Please leave feedback at https://www.psydactic.com or send any comments to feedback@psydactic.com. References and readings (when available) are posted at the end of each episode transcript, located at psydactic.buzzsprout.com . All opinions expressed in this podcast are exclusively those of the person speaking and should not be confused with the opinions of anyone else. We reserve the right to be wrong. Nothing in this podcast should be treated as individual medical advice.…

1
In a Word - Aphasia 37:22

for 44 weeks siden37:22