MGH McLean Adult Psychiatry Residency Program

“NIMH will be re-orienting its research away from DSM categories,” stated NIMH director Thomas Insel in April, 2013. He supports an effort to re-categorize mental-health disorders according to their biological bases. To this end, the NIMH is developing a framework called the Research Domain Criteria (RDoC). Many scientists protest that the DSM categories do not allow for effective clinical treatment. Some researchers also have concerns that the RDoC focus on biological mechanisms will detract from research on clinical symptoms.

Read the full article here.  Source: Nature, Wednesday, May 10, 2013

"Brainbow," originally developed by researchers at Harvard University in 2007, is getting an upgrade. This system creates colorful images of brain tissue by activating multiple fluorescent proteins in neurons. Brainbow has the resolution to visualize individual neurons, which has enhanced researchers' ability to chart the circuitry of the brain and nervous system.

In 2013 Brainbow is getting significant technical improvements. The colors will be brighter, more variable, more persistent, and therefore more usable. These enhancements will enable researchers to better target certain parts of the brain and visualize the neuronal connections between different regions of the brain.

Read the full article in the Harvard Gazette. Source: Harvard Gazette, Wednesday, May 15, 2013

The loss of a loved one is an especially painful and disruptive event. A study by Harvard researchers shows that, for a small number of people, the sorrow that comes with the death of a spouse or partner can lead to problems not only in remembering the past, but also in imagining the future.

As described in a paper published last month in Clinical Psychological Science, Professor of Psychology Richard McNally and clinical psychology graduate student Don Robinaugh found that while people suffering from complicated grief — a syndrome marked by intense, debilitating emotional distress and yearning for a lost loved one — had difficulty envisioning specific future events, those problems disappeared when they were asked to imagine an alternate future that included their lost loved one.

The full story available at here.

Does religious belief have anything to do with psychiatric treatment outcomes? Recent research by David Rosmarin of McLean Hospital suggests that the level of a patient's belief in God may have influence on the likelihood of treatment response.

By asking 159 patients in a day-treatment program the question "To what extent do you believe in God or a Higher Power?" Rosmarin found that those who answered "Very" or "Moderately" were more likely to respond to treatment than patients who expressed lesser religious belief. This relationship is believed to be mediated by a greater expectancy of treatment success: greater belief in God was correlated to greater belief in credibility of treatment and expectation of treatment efficacy.

Further reading available here. The published journal article can be found here.