“Middle class professionals… are the country’s biggest problem drinkers,” is the stark and somewhat misleading claim in The Daily Telegraph, with similar claims appearing across the UK media.
The story is based on a study looking at just 49 ‘white collar’ people’s attitudes towards alcohol consumption.

Many of us enjoy a drink in the pub after work without realising how social drinking can damage health. Phil didn’t realise the harm his alcohol intake was doing until he was diagnosed with cirrhosis of the liver. He talks about his experience and the shock he felt at being diagnosed.

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NHS Choices

Brain Anatomy 1908 Edwardian Vintage Medical Chart ~ Etsy

Brain Anatomy 1908 Edwardian Vintage Medical Chart ~ Etsy

Different brain areas are activated when we choose to suppress an emotion, compared to when we are instructed to inhibit an emotion, according a new study from the UCL Institute of Cognitive Neuroscience and Ghent University.

In this study, published in Brain Structure and Function, the researchers scanned the brains of healthy participants and found that key brain systems were activated when choosing for oneself to suppress an emotion. They had previously linked this brain area to deciding to inhibit movement.

“This result shows that emotional self-control involves a quite different brain system from simply being told how to respond emotionally,” said lead author Dr Simone Kuhn (Ghent University).

In most previous studies, participants were instructed to feel or inhibit an emotional response. However, in everyday life we are rarely told to suppress our emotions, and usually have to decide ourselves whether to feel or control our emotions.

In this new study the researchers showed fifteen healthy women unpleasant or frightening pictures. The participants were given a choice to feel the emotion elicited by the image, or alternatively to inhibit the emotion, by distancing themselves through an act of self-control.

The researchers used functional magnetic resonance imaging (fMRI) to scan the brains of the participants. They compared this brain activity to another experiment where the participants were instructed to feel or inhibit their emotions, rather than choose for themselves.

Different parts of the brain were activated in the two situations. When participants decided for themselves to inhibit negative emotions, the scientists found activation in the dorso-medial prefrontal area of the brain. They had previously linked this brain area to deciding to inhibit movement.

In contrast, when participants were instructed by the experimenter to inhibit the emotion, a second, more lateral area was activated.

“We think controlling one’s emotions and controlling one’s behaviour involve overlapping mechanisms,” said Dr Kuhn.

“We should distinguish between voluntary and instructed control of emotions, in the same way as we can distinguish between making up our own mind about what do, versus following instructions.”

Regulating emotions is part of our daily life, and is important for our mental health. For example, many people have to conquer fear of speaking in public, while some professionals such as health-care workers and firemen have to maintain an emotional distance from unpleasant or distressing scenes that occur in their jobs.

Professor Patrick Haggard (UCL Institute of Cognitive Neuroscience) co-author of the paper said the brain mechanism identified in this study could be a potential target for therapies.

“The ability to manage one’s own emotions is affected in many mental health conditions, so identifying this mechanism opens interesting possibilities for future research.

“Most studies of emotion processing in the brain simply assume that people passively receive emotional stimuli, and automatically feel the corresponding emotion. In contrast, the area we have identified may contribute to some individuals’ ability to rise above particular emotional situations.

“This kind of self-control mechanism may have positive aspects, for example making people less vulnerable to excessive emotion. But altered function of this brain area could also potentially lead to difficulties in responding appropriately to emotional situations.”

University College of London

brain image

A study of the brain images of 124 cognitively normal, non-diabetic adults with a family history of Alzheimer’s disease showed a link between high blood sugar and reduced brain metabolism. (Credit: U. Arizona)

About 5 percent of men and women, ages 65 to 74, have Alzheimer’s disease, and it is estimated that nearly half of those age 85 and older may have the disease. Among known risks are age and genetics.

A new University of Arizona study, published in the journal Neurology, suggests a possible link between elevated blood sugar levels and risk for developing Alzheimer’s disease.
About 5 percent of men and women, ages 65 to 74, have Alzheimer’s disease, and it is estimated that nearly half of those age 85 and older may have the disease, according to the U.S. Centers for Disease Control and Prevention. Among the known factors that contribute to the disease are age and genetics. Scientists also think that high blood pressure, high cholesterol and diabetes may increase risk. [continue reading…]

The Intelligent Clinician’s Guide to the DSM-5: an Interview with Dr Joel Paris from Clinton Power on Vimeo.

I must commend my colleague Clinton Power of Australian Counselling for this most excellent interview with Dr. Joel Parish.

Dr. Joel Paris is a research associate at the Sir Mortimer B. Davis Jewish General Hospital in Montreal. Since 1994 he has been a full professor at McGill University and served as chair of its Department of Psychiatry from 1997 to 2007. He has supervised psychiatric evaluation with residents for over 30 years and has won many awards for his teaching. Dr. Paris is a past president of the Association for Research on Personality Disorders. Over the last 20 years, he has conducted research on the biological and psychological causes and the long-term outcome of borderline personality disorder. Dr. Paris is the author of 183 peer reviewed articles, 40 book chapters and15 books. He’s also editor-in-chief of the Canadian Journal of Psychiatry. Most recently, he’s the author of the book, ‘Treatment of Borderline Personality Disorder: A Guide to Evidence-Based Practice’ amzn.to/14Y7Q22 and his latest book is called ‘The Intelligent Clinician’s Guide to the DSM 5’ amzn.to/YfD8N2

PS~ You can pre-order the new DSM-5 here: amzn.to/161bQPo

Australian Counselling