Publications by authors named "Allison Cowan"

Although individuals with neurodevelopmental disorders (ND), such as intellectual disability (ID) and autism, are overrepresented in the criminal justice system, most psychiatry training is limited regarding NDs, and forensic psychiatry training tends to focus on psychotic and mood disorders. This article explores the complex interactions between NDs and criminality, including direct etiological explanations and potential mediating variables (e.g.

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A prospective study was designed to (a) investigate the rate of daily weight gain among kittens less than 9 weeks old presented to an animal shelter, (b) identify factors (e.g., sex, clinical signs of disease, diet, and medical treatment) that affect daily weight gain, and (c) investigate the mortality of study kittens.

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Psychiatry is one of the first medical specialties to move to the practice of telehealth. Social distancing in the time of COVID-19 has prompted many face-to-face practices, including psychotherapy, to transition to virtual formats. Patients and physicians may have reservations about the change in approach and may have concerns about privacy and the security of protected health information.

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Sexual assault and abuse can result in severe physical and emotional trauma to the victim. Deploying targeted psychotherapeutic treatment that is individualized for the survivor is important to achieving optimal patient outcomes. There are several valid and evidence-based treatments available for posttraumatic stress disorder (PTSD) and interpersonal difficulties that can result from sexual abuse and assault.

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Acceptance and commitment therapy (ACT), a form of cognitive behavioral therapy, predominately focuses on addressing one's relationship with thoughts and emotions rather than attempting to alter them. The use of ACT has demonstrated efficacy in interactions with patients suffering from a variety of mental health concerns. While there are no specific criteria for the use of ACT, one compelling argument that exists in support of its use is that ACT may be more efficacious than other control-based protocols in treating experiential avoidance.

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Article Synopsis
  • The Very Important Patient (VIP) presents unique challenges for psychiatrists due to their status, which can create emotional responses and treatment obstacles for the psychiatrist.
  • Issues like boundary violations, irregular scheduling, and problems related to transference and countertransference often arise during the treatment of VIP patients.
  • The article discusses the dynamics of treating VIP patients and suggests various therapeutic strategies that psychiatrists can use to effectively manage these situations.
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Individuals with intellectual disability experience higher rates of mental illness when compared with the general population, and there is a lack of medical and mental health professionals in rural and under-served areas. With the increase in discharge of individuals from institutional settings back to their home communities into the least restrictive environments, there are more patients with complex needs being added to the schedules of physicians in the outpatient delivery care system. Patients with disabilities may not travel well or tolerate changes in routine so may not have access to psychiatry.

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