Imperfect Cognitions

Here  Martino Belvederi Murri (University of Ferrara) discusses research on epistemic justice and dignity for people with psychosis. A version of this post appeared on the EPIC blog in July 2024. Martino Belvederi Murri Individuals experiencing acute psychosis in inpatient psychiatric settings face unique challenges. Consider the case of Jake, a student who is struggling between familial conflicts and economic difficulties, as well as choices related to his life career. Auditory hallucinations may take the form of “voices” that comment on his everyday actions, and may lead Jake to think that people spy on him with malevolent intent. These symptoms can lead to angst and withdrawal from social activities, possibly culminating into severe anxiety and agitation. The grave societal stigma that is attached to mental illness exacerbates feelings of isolation and diminishes help-seeking. The promotion of patient empowerment is a key component of recovery, and is increasingly seen as a du...

This post is by Rabih Chattat . Rabih is Professor in the Department of Psychology at the University of Bologna. He works on psychosocial interventions in dementia and the clinical psychology of ageing. This post was originally published on the EPIC blog on 3rd July 2024. Rabih Chattat Dementia is an umbrella term used to indicate a variety of conditions characterised by neuronal damage. The most prevalent type of dementia is Alzheimer's disease which accounts for around 62% of all types of dementia followed by vascular dementia, frontotemporal dementia, and Lewy body dementia as the most frequent. Dementia is characterised by a progressive decline in several domains of cognitive abilities such as executive functions, learning and memory, language, perceptual and motor functions, complex attention and social cognition (DSM-5). The duration is up to 12-15 years.  Cognitive decline has an impact on the person’s capacity to retain information and also to recall memories, communicate ...

On 10th November 2015 the Royal Society of Medicine hosted a very interesting conference, entitled "Mind, Body and Soul: An update on psychiatric, philosophical and legal aspects of care nearing the end of life". Here is a report of the sessions I attended on the day. In Session 1,  Matthew Hotopf (King's College London) talked about his experience of treating people with depression in palliative care. Anti-depressants are effective with respect to placebos. People with strong suicidal ideas are in a difficult situation as they cannot be easily moved to psychiatric wards due to the special care they need. The important factor is to be able to contain risk of death by suicide and self-harm. Hotopf concluded by saying that it is normal to have extreme emotions near the end of life, and this does not mean that one suffers from a mental disorder. Annabel Price , Consultant Psychiatrist at the Cambridge and Peterborough Foundation Mental Trust, pictured above, foc...