Reflections on Tribalism and Aging.

As a geriatric psychiatrist, I have become interested in gene-culture coevolution to better understand the meaning of aging. This investigation has led me to try to understand tribalism. This essay provides a background on gene-culture coevolution and tribalism from five, of several, comprehensible and recommendable books: The Social Conquest of Earth by Edward O.

Reflections on Aging and Wisdom.

The author experienced an unexpected finding over 30 years ago. Despite many losses, older primary care patients had less psychiatric symptomatology than younger patients. This has led to a long learning and teaching focus on the positive relationship between aging and wisdom.

RESPECT-PTSD: re-engineering systems for the primary care treatment of PTSD, a randomized controlled trial.

Background: Although collaborative care is effective for treating depression and other mental disorders in primary care, there have been no randomized trials of collaborative care specifically for patients with Posttraumatic stress disorder (PTSD).

Objective: To compare a collaborative approach, the Three Component Model (3CM), with usual care for treating PTSD in primary care.

Design: The study was a two-arm, parallel randomized clinical trial.

Improving depression care in a psychiatry resident psychopharmacology clinic: measurement, monitoring, feedback and education.

Objective: Better outcomes for major depressive disorder (MDD) are associated with proactive treatment, including timely follow-up, systematic assessment and treatment changes for inadequate improvement. The effectiveness of an intervention to facilitate proactive treatment for MDD in a resident psychopharmacology clinic was studied.

Methods: A quality improvement program with administrative process changes to improve flow and a 40-week pre/post study to evaluate the effect of education and feedback was conducted.

RESPECT-Mil: feasibility of a systems-level collaborative care approach to depression and post-traumatic stress disorder in military primary care.

Background: U.S. military ground forces report high rates of war-related traumatic stressors, posttraumatic stress disorder (PTSD), and depression following deployment in support of recent armed conflicts in Iraq and Afghanistan.