The Impact of a One-Day Workshop on Good Psychiatric Management for Adolescent (GPM-A) Borderline Personality Disorder.

Objective: Despite evidence validating the diagnosis of borderline personality disorder (BPD) in youth, specifically showing persistence of BPD symptoms and morbidity similar to adults, there is reluctance to diagnose this in teens. Further, there is a belief among many trainees and academic child and adolescent psychiatrists (CAPs) that only specialty programs are effective, leading to treatment delays. This study charts the impact of a full-day workshop offered to an entire academic CAP department.

Dark Skies, Rays of Hope.

In this month's Book Forum, Deepika Shaligram and Raman Baweja confront loss in their review of the Hindi-language film, The Sky Is Pink. Together these academic child and adolescent psychiatrists contemplate what happens to parents and siblings when the threat of losing a child to medical illness looms over family life. They note that-with breaks in the existential clouds and levity here and there-The Sky Is Pink is a thought-provoking meditation on the vulnerability of being a parent and being a pediatric physician.

Writing Notes, Thinking About People.

In 2021, a research group led by Jenny Park published a qualitative study of 600 medical encounter notes written by 138 physicians. The researchers found some language that conveyed positive regard, was clearly informative, and effective, while also discovering at least 5 ways in which doctors expressed negative feelings toward their patients. Their paper highlights phrases that convey incredulity ("he claims that nicotine patches don't work for him"), disapproval, stereotyping, and the extent to which providers find patients difficult.

Eye Openers.

Do you ever find that someone-perhaps an author, actor, or pop icon-comes along and makes you a better therapist? Perhaps the day after reading their work or seeing them on TV, you find yourself just a little more conversationally brave, open, structured, or spontaneous? As our family eye-dabblingly makes our way through the most recent season of Netflix's Queer Eye, lately for me that person has been Karamo Brown. Brown is a therapist and life coach who gracefully repeats phrases of individuals whom the "Fab Five" are trying to help. He affirms ("You deserve the best") and challenges ("I'm going to push back on that"), holding people accountable to their strengths and to the ways that their defenses have become a barrier to fulfilling their desires.

'I can actually do it without any help or someone watching over me all the time and giving me constant instruction': Autistic adolescent boys' perspectives on engagement in online video gaming.

Research into autistic adolescents' engagement in online gaming has so far focused on time spent gaming, or characterizing problematic gaming behaviour and has relied mostly on caregiver report. In the current study, we interviewed 12 autistic adolescent boys, asking about their perspectives on their engagement in online gaming, and their motivations. We analysed the interview data using thematic analysis and identified three key themes in the data, which focused on agency and a sense of belonging, emotion regulation, and acknowledgement of the differing perceptions that the young people and their caregivers had of gaming.

Getting Real-er.

Dilemmas of diagnostic heterogeneity in psychiatric disorders occur at many levels. Symptoms themselves and the experience of distress with symptoms may differ in nature. Put plainly, one child's sadness is not the same as another's, and the degree to which that young person finds their sadness distressing or impairing may differ from that of their peers.

Family Matters.

Given the focus of the Journal this month, the Book Forum features Jessica Lahey's The Addiction Inoculation: Raising Healthy Kids in a Culture of Dependence. Lahey is a former teacher and writer whose work has appeared in the New York Times, The Atlantic, and Washington Post, focusing mostly on parenting and development. Her guide to decreasing children's risk of substance use disorders (SUDs) and building a sense of self-efficacy is reviewed this month by psychiatry resident Nat Mulkey and their faculty mentor, Amy Yule.

Eco-Anxiety.

People of all ages are increasingly worried about our planet. The burden, though, rests on the young, and they are feeling it. Caroline Hickman and colleagues at the University of Bath polled 10,000 youths aged 16 to 25 years from 10 countries.

Emotional Content of Comics Drawn by Medical Students and Residents.

Objective: Medical students and residents face high rates of burnout. Drawing comics may help trainees process their experiences and feel both valued and connected to those who read their work. In this study, the authors sought to elucidate the predominant emotions and themes conveyed in medical students' and residents' comics about stressful situations.

Impact of an alternate feeding program on broiler breeder pullet behavior, performance, and plasma corticosterone.

Broiler breeders are commonly feed restricted using some variation of skip-a-day feeding to prevent excessive body weight (BW) gain and poor flock uniformity that results in lower production levels. However, the level of feed restriction has increased leading to negative effects on broiler breeder welfare. Research needs to be conducted to evaluate alternative feeding programs to diminish the negative impact of restricted feeding on bird welfare.

Qualitative analysis of the Meals, Mindfulness, & Moving Forward (M ) lifestyle programme: Cultivating a 'safe space' to start on a 'new path' for youth with early episode psychosis.

Aim: The Meals, Mindfulness, & Moving Forward (M ) programme included nutrition education, hands-on cooking classes, mindfulness meditation practice, physical activities and facilitated group sharing. M was designed as a supplement to standard care for youths (age 15-25 years) with first-episode psychosis (FEP) who were clients of coordinated specialty care teams. M 's primary aim was feasibility by demonstrating high programme attendance; secondary aims included cardiometabolic measures.

Supremely elastic gel polymer electrolyte enables a reliable electrode structure for silicon-based anodes.

Silicon-based materials are promising anodes for next-generation lithium-ion batteries, owing to their high specific capacities. However, the huge volume expansion and shrinkage during cycling result in severe displacement of silicon particles and structural collapse of electrodes. Here we report the use of a supremely elastic gel polymer electrolyte to address this problem and realize long-term stable cycling of silicon monoxide anodes.

CAPs and College.

Time flies. Young people grow up and are off to college. It's exciting.

Minds, Maps, Meanderings.

In her book Mind Fixers: Psychiatry's Troubled Search for the Biology of Mental Illness, historian Anne Harrington challenges psychiatrists to embrace complexity. Her central message is that society has often projected a lot onto psychiatry, with our field far too eager to accept these and to fill an expertise void: at one point, with psychoanalytic grandiosity, later with overpromised, underperforming biological boasts and reified diagnostic labels. Echoing Foucault, Harrington invites us to avoid mistaking the name of the thing for the thing itself and to keep struggling for answers, embracing a slow science, marketing expertise humbly.

A Little Magic.

Despite advances in the neuroscience of addiction, progress in medication-assisted treatment (MAT), and legislative momentum, in 2017 more than 70,000 Americans died due to drug overdose. Clearly there are no perfect answers to the opioid crisis. Albeit messy, we must begin somewhere, and one upstream approach includes providing public education and reducing stigma such that people will reach out for help and find support readily accessible.

Analysis of Health Technology Assessments of Orphan Drugs in Ireland from 2012 to 2017.

Background: In Ireland, health technology assessment (HTA) submissions for orphan drugs or drugs for rare diseases have increased in recent years but have not been explicitly analysed. All evaluations are conducted by the National Centre for Pharmacoeconomics (NCPE).

Objectives: The objectives of this study were to ascertain the number of orphan drug submissions to the NCPE and determine how these drugs proceeded through the NCPE critical evaluation process compared with non-orphan drug submissions.

Metamorphosis.

It is little wonder that the ancient Greeks used the same word for butterfly and for soul (ψυχή = psyche), or that our specialty adopted this name. In child and adolescent psychiatry we know well the powerful feeling of seeing a young person truly get their wings. Bursting from that which may have nurtured and encumbered, the chrysalis of unfortunate circumstance or psychiatric disorder, we feel a thrill when our patients fly free.

The Body and the Traumatic Real.

The symbol (word) first manifests itself as the killing of the thing…-Jacques Lacan This month our books and reviewers challenge us to examine the mental worlds and lived experience of women whose bodies are brutalized, pushed to extremes of overeating and undereating, of wishing to shout yet being unable to say a word. Nathalie Szilagyi reviews writer and feminist Roxane Gay's Hunger, a memoir detailing the author's struggles with self-acceptance and her body in the aftermath of severe trauma. In her review, Szilgayi asks us to imagine how we can help people facing situations like that of Gay, in ways more affirming and effective.