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James L. Knoll IV, MD

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hover:text-black border-l border-current pl-auto first:border-none first:pl-0 " href="/topics/major-depressive-disorder"> Major Depressive Disorder </a><div class="mt-4 max-w-[125px]"></div></div><div class=""><a class="block cursor-pointer text-primary hover:underline px-2 pb-3 hover:text-black border-l border-current pl-auto first:border-none first:pl-0 " href="/topics/schizophrenia"> | Schizophrenia/Psychosis </a><div class="mt-4 max-w-[125px]"></div></div><div class=""><a class="block cursor-pointer text-primary hover:underline px-2 pb-3 hover:text-black border-l border-current pl-auto first:border-none first:pl-0 " href="/topics/mental-health-awareness"> | Mental Health Awareness Month </a><div class="mt-4 max-w-[125px]"></div></div></div></div></div></nav><div id="james-l-knoll-iv-md" class="container mx-auto flex m-1 min-h-[57vh] px-4"><div class="flex-auto w-[calc(100%-300px)] pr-0 md:pr-6 mt-16 sm:mt-0"><div class="pb-24 my-2"><h1 class="text-3xl">James L. Knoll IV, MD</h1><div class="w-full mb-2 border border-secondary"></div><div class=" flex-1 py-2 text-sm"><a class="text-primary" href="/">home</a><a class="text-primary" href="/authors"> <!-- -->/<!-- --> <span class="">authors</span></a><span class="text-gray-400"> <!-- -->/<!-- --> <span class=" text-gray-400">james-l-knoll-iv-md</span></span></div><div class="flex justify-end gap-2"></div><div class="flex flex-col sm:flex-row"><div id="description-summary" class="py-2 text-sm text-gray-500 sm:w-[calc(100%-100px)]"><div class="blockText_blockContent__TbCXh"></div></div></div><h3 class="text-xl">Articles</h3><div class="flex flex-wrap w-full"><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/leveraging-and-balancing-skills-in-a-big-data-era"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:62.5%"></span><img alt="forensics" title="forensics" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="forensics" title="forensics" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F60c819456c01248496a7d3cc7802af08040e596e-5000x3125.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F60c819456c01248496a7d3cc7802af08040e596e-5000x3125.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F60c819456c01248496a7d3cc7802af08040e596e-5000x3125.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F60c819456c01248496a7d3cc7802af08040e596e-5000x3125.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F60c819456c01248496a7d3cc7802af08040e596e-5000x3125.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F60c819456c01248496a7d3cc7802af08040e596e-5000x3125.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F60c819456c01248496a7d3cc7802af08040e596e-5000x3125.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F60c819456c01248496a7d3cc7802af08040e596e-5000x3125.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F60c819456c01248496a7d3cc7802af08040e596e-5000x3125.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/leveraging-and-balancing-skills-in-a-big-data-era">Leveraging and Balancing Skills in a Big Data Era</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a></div><a href="/view/leveraging-and-balancing-skills-in-a-big-data-era"><span class="text-sm text-gray-500 pl-4">November 15th 2024</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">Learn more about topics of interest in forensic psychiatry in this month&#x27;s Special Report!</p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/trauma-and-transition-trajectories-the-risk-of-caenisian-reversion"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.54371881102192%"></span><img alt="gender identity" title="gender identity" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="gender identity" title="gender identity" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F26fad5280c8f523891e32863211777cd03fe6b2b-4609x3067.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F26fad5280c8f523891e32863211777cd03fe6b2b-4609x3067.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F26fad5280c8f523891e32863211777cd03fe6b2b-4609x3067.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F26fad5280c8f523891e32863211777cd03fe6b2b-4609x3067.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F26fad5280c8f523891e32863211777cd03fe6b2b-4609x3067.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F26fad5280c8f523891e32863211777cd03fe6b2b-4609x3067.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F26fad5280c8f523891e32863211777cd03fe6b2b-4609x3067.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F26fad5280c8f523891e32863211777cd03fe6b2b-4609x3067.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F26fad5280c8f523891e32863211777cd03fe6b2b-4609x3067.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/trauma-and-transition-trajectories-the-risk-of-caenisian-reversion">Trauma and Transition Trajectories: The Risk of Caenisian Reversion</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/daniel-jackson-md">Daniel Jackson, MD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/donald-e-mclawhorn-jr-md-phd">Donald E. 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Knoll IV, MD</a></div><a href="/view/gilding-the-goldwater-lily"><span class="text-sm text-gray-500 pl-4">February 2nd 2022</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">Psychiatry and politics do not have a history of mixing well. 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Knoll IV, MD</a></div><a href="/view/9-11-20th-anniversary-covid-19-endgame"><span class="text-sm text-gray-500 pl-4">September 6th 2021</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">How has human behavior been affected by the tragedy of 9/11 and the recent trauma of the COVID-19 pandemic? </p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/bad-men-do-what-good-men-dream"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.63326653306613%"></span><img alt="Bad Men Do What Good Men Dream" title="Bad Men Do What Good Men Dream" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Bad Men Do What Good Men Dream" title="Bad Men Do What Good Men Dream" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F84e270107aa9cf69aaaf779eb57a621358f0b187-998x665.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F84e270107aa9cf69aaaf779eb57a621358f0b187-998x665.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F84e270107aa9cf69aaaf779eb57a621358f0b187-998x665.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F84e270107aa9cf69aaaf779eb57a621358f0b187-998x665.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F84e270107aa9cf69aaaf779eb57a621358f0b187-998x665.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F84e270107aa9cf69aaaf779eb57a621358f0b187-998x665.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F84e270107aa9cf69aaaf779eb57a621358f0b187-998x665.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F84e270107aa9cf69aaaf779eb57a621358f0b187-998x665.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F84e270107aa9cf69aaaf779eb57a621358f0b187-998x665.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/bad-men-do-what-good-men-dream">Bad Men Do What Good Men Dream</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a></div><a href="/view/bad-men-do-what-good-men-dream"><span class="text-sm text-gray-500 pl-4">September 30th 2020</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">Throughout the centuries, we have continued to puzzle over our capacity for antisocial behavior</p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/dose-much-needed-medicine"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:100%"></span><img alt="A Dose of Much-Needed Medicine" title="A Dose of Much-Needed Medicine" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="A Dose of Much-Needed Medicine" title="A Dose of Much-Needed Medicine" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F1b7c8dafff8750928f236ee4d9422c1137a8a6ff-816x816.png%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F1b7c8dafff8750928f236ee4d9422c1137a8a6ff-816x816.png%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F1b7c8dafff8750928f236ee4d9422c1137a8a6ff-816x816.png%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F1b7c8dafff8750928f236ee4d9422c1137a8a6ff-816x816.png%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F1b7c8dafff8750928f236ee4d9422c1137a8a6ff-816x816.png%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F1b7c8dafff8750928f236ee4d9422c1137a8a6ff-816x816.png%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F1b7c8dafff8750928f236ee4d9422c1137a8a6ff-816x816.png%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F1b7c8dafff8750928f236ee4d9422c1137a8a6ff-816x816.png%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F1b7c8dafff8750928f236ee4d9422c1137a8a6ff-816x816.png%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/dose-much-needed-medicine">A Dose of Much-Needed Medicine</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a></div><a href="/view/dose-much-needed-medicine"><span class="text-sm text-gray-500 pl-4">September 11th 2020</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">Sometimes, life’s lessons appear unexpectedly. </p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="flex md:hidden justify-center items-center"></div><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/panic-and-pandemics-return-absurd"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:61.6%"></span><img alt="Panic and Pandemics: The Return of the Absurd" title="Panic and Pandemics: The Return of the Absurd" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Panic and Pandemics: The Return of the Absurd" title="Panic and Pandemics: The Return of the Absurd" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F1ed7fa8c239332211ada966e56b5067fd770f8e0-1000x616.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F1ed7fa8c239332211ada966e56b5067fd770f8e0-1000x616.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F1ed7fa8c239332211ada966e56b5067fd770f8e0-1000x616.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F1ed7fa8c239332211ada966e56b5067fd770f8e0-1000x616.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F1ed7fa8c239332211ada966e56b5067fd770f8e0-1000x616.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F1ed7fa8c239332211ada966e56b5067fd770f8e0-1000x616.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F1ed7fa8c239332211ada966e56b5067fd770f8e0-1000x616.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F1ed7fa8c239332211ada966e56b5067fd770f8e0-1000x616.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F1ed7fa8c239332211ada966e56b5067fd770f8e0-1000x616.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/panic-and-pandemics-return-absurd">Panic and Pandemics: The Return of the Absurd</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a></div><a href="/view/panic-and-pandemics-return-absurd"><span class="text-sm text-gray-500 pl-4">March 30th 2020</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">We often push thoughts of death far out of our awareness, but at the present time they unavoidably re-emerge. Can we learn something helpful from this?</p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/psychiatric-malpractice-grand-rounds-addiction-psychiatry"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.675%"></span><img alt="Psychiatric Malpractice Grand Rounds: Addiction Psychiatry " title="Psychiatric Malpractice Grand Rounds: Addiction Psychiatry " src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Psychiatric Malpractice Grand Rounds: Addiction Psychiatry " title="Psychiatric Malpractice Grand Rounds: Addiction Psychiatry " sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F5459c4fb065c659f7884b27cd8373d05943f4072-4000x2667.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F5459c4fb065c659f7884b27cd8373d05943f4072-4000x2667.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F5459c4fb065c659f7884b27cd8373d05943f4072-4000x2667.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F5459c4fb065c659f7884b27cd8373d05943f4072-4000x2667.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F5459c4fb065c659f7884b27cd8373d05943f4072-4000x2667.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F5459c4fb065c659f7884b27cd8373d05943f4072-4000x2667.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F5459c4fb065c659f7884b27cd8373d05943f4072-4000x2667.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F5459c4fb065c659f7884b27cd8373d05943f4072-4000x2667.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F5459c4fb065c659f7884b27cd8373d05943f4072-4000x2667.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/psychiatric-malpractice-grand-rounds-addiction-psychiatry">Psychiatric Malpractice Grand Rounds: Addiction Psychiatry </a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a></div><a href="/view/psychiatric-malpractice-grand-rounds-addiction-psychiatry"><span class="text-sm text-gray-500 pl-4">February 25th 2020</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">James L. Knoll IV, MD, analyzes the ethical and legal duties of psychiatrists treating substance use disorders.</p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/cruel-immoral-behavior-not-mental-illness"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.72222222222223%"></span><img alt="gun violence, mental disorders" title="gun violence, mental disorders" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="gun violence, mental disorders" title="gun violence, mental disorders" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F21a55016de499837cb00f59b5178d9632925cd52-1800x1201.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F21a55016de499837cb00f59b5178d9632925cd52-1800x1201.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F21a55016de499837cb00f59b5178d9632925cd52-1800x1201.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F21a55016de499837cb00f59b5178d9632925cd52-1800x1201.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F21a55016de499837cb00f59b5178d9632925cd52-1800x1201.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F21a55016de499837cb00f59b5178d9632925cd52-1800x1201.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F21a55016de499837cb00f59b5178d9632925cd52-1800x1201.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F21a55016de499837cb00f59b5178d9632925cd52-1800x1201.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F21a55016de499837cb00f59b5178d9632925cd52-1800x1201.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/cruel-immoral-behavior-not-mental-illness">Cruel, Immoral Behavior Is Not Mental Illness</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/ronald-w-pies-md">Ronald W. Pies, MD</a></div><a href="/view/cruel-immoral-behavior-not-mental-illness"><span class="text-sm text-gray-500 pl-4">February 24th 2020</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">How can a human being commit such acts without being under the influence of some powerful “alien” force? How can they not be &quot;mentally ill&quot;? Here&#x27;s how.</p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/mass-shooter-and-his-mental-functioning"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.8%"></span><img alt="The Mass Shooter and His Mental Functioning" title="The Mass Shooter and His Mental Functioning" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="The Mass Shooter and His Mental Functioning" title="The Mass Shooter and His Mental Functioning" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F0f2a872bbd50c80dbced1bcef950476e83f809b7-1000x668.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F0f2a872bbd50c80dbced1bcef950476e83f809b7-1000x668.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F0f2a872bbd50c80dbced1bcef950476e83f809b7-1000x668.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F0f2a872bbd50c80dbced1bcef950476e83f809b7-1000x668.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F0f2a872bbd50c80dbced1bcef950476e83f809b7-1000x668.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F0f2a872bbd50c80dbced1bcef950476e83f809b7-1000x668.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F0f2a872bbd50c80dbced1bcef950476e83f809b7-1000x668.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F0f2a872bbd50c80dbced1bcef950476e83f809b7-1000x668.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F0f2a872bbd50c80dbced1bcef950476e83f809b7-1000x668.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/mass-shooter-and-his-mental-functioning">The Mass Shooter and His Mental Functioning</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/j-reid-meloy-phd">J. Reid Meloy, PhD</a></div><a href="/view/mass-shooter-and-his-mental-functioning"><span class="text-sm text-gray-500 pl-4">February 17th 2020</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">A tripartite dimensional approach may be used to better understand the mental functioning of those who commit mass violence.</p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/zen-and-art-documentation"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:68.18181818181817%"></span><img alt="Zen and the Art of Documentation" title="Zen and the Art of Documentation" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Zen and the Art of Documentation" title="Zen and the Art of Documentation" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F18d4bb5b01adba933e038dd565df81979327f6e0-1056x720.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F18d4bb5b01adba933e038dd565df81979327f6e0-1056x720.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F18d4bb5b01adba933e038dd565df81979327f6e0-1056x720.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F18d4bb5b01adba933e038dd565df81979327f6e0-1056x720.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F18d4bb5b01adba933e038dd565df81979327f6e0-1056x720.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F18d4bb5b01adba933e038dd565df81979327f6e0-1056x720.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F18d4bb5b01adba933e038dd565df81979327f6e0-1056x720.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F18d4bb5b01adba933e038dd565df81979327f6e0-1056x720.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F18d4bb5b01adba933e038dd565df81979327f6e0-1056x720.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/zen-and-art-documentation">Zen and the Art of Documentation</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. 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Take these steps to protect yourself.</p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/guidance-along-path-20-meditations-psychiatry-residents"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:68.18181818181817%"></span><img alt="Guidance Along the Path: 20 Meditations for Psychiatry Residents" title="Guidance Along the Path: 20 Meditations for Psychiatry Residents" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Guidance Along the Path: 20 Meditations for Psychiatry Residents" title="Guidance Along the Path: 20 Meditations for Psychiatry Residents" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F49b552b7332aa636af7d27b1b80042b75c29b53f-1056x720.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F49b552b7332aa636af7d27b1b80042b75c29b53f-1056x720.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F49b552b7332aa636af7d27b1b80042b75c29b53f-1056x720.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F49b552b7332aa636af7d27b1b80042b75c29b53f-1056x720.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F49b552b7332aa636af7d27b1b80042b75c29b53f-1056x720.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F49b552b7332aa636af7d27b1b80042b75c29b53f-1056x720.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F49b552b7332aa636af7d27b1b80042b75c29b53f-1056x720.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F49b552b7332aa636af7d27b1b80042b75c29b53f-1056x720.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F49b552b7332aa636af7d27b1b80042b75c29b53f-1056x720.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/guidance-along-path-20-meditations-psychiatry-residents">Guidance Along the Path: 20 Meditations for Psychiatry Residents</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iii-md">James L. Knoll III, MD</a></div><a href="/view/guidance-along-path-20-meditations-psychiatry-residents"><span class="text-sm text-gray-500 pl-4">October 15th 2019</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">In the spirit of honoring and guiding trainees, the authors provide advice to today’s psychiatric residents-the psychiatric leaders of tomorrow.</p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/psychiatric-malpractice-grand-rounds-tarasoff-dilemma"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:50%"></span><img alt="medical malpractice" title="medical malpractice" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="medical malpractice" title="medical malpractice" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fc8bf10f2852569dfc51959b40df5bb722b685474-8000x4000.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fc8bf10f2852569dfc51959b40df5bb722b685474-8000x4000.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fc8bf10f2852569dfc51959b40df5bb722b685474-8000x4000.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fc8bf10f2852569dfc51959b40df5bb722b685474-8000x4000.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fc8bf10f2852569dfc51959b40df5bb722b685474-8000x4000.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fc8bf10f2852569dfc51959b40df5bb722b685474-8000x4000.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fc8bf10f2852569dfc51959b40df5bb722b685474-8000x4000.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fc8bf10f2852569dfc51959b40df5bb722b685474-8000x4000.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fc8bf10f2852569dfc51959b40df5bb722b685474-8000x4000.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/psychiatric-malpractice-grand-rounds-tarasoff-dilemma">Psychiatric Malpractice Grand Rounds: The Tarasoff Dilemma</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a></div><a href="/view/psychiatric-malpractice-grand-rounds-tarasoff-dilemma"><span class="text-sm text-gray-500 pl-4">September 27th 2019</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">An expert provides sage advice to avoid a malpractice lawsuit, even in the face of potentially tragic outcomes.</p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/what-cain-and-abel-can-teach-us-about-mass-shootings"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:98.80546075085324%"></span><img alt="mass shootings historical perspectives" title="mass shootings historical perspectives" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="mass shootings historical perspectives" title="mass shootings historical perspectives" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F940f8c694bfea42245be0aa5a7d9e1bd95193699-586x579.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F940f8c694bfea42245be0aa5a7d9e1bd95193699-586x579.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F940f8c694bfea42245be0aa5a7d9e1bd95193699-586x579.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F940f8c694bfea42245be0aa5a7d9e1bd95193699-586x579.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F940f8c694bfea42245be0aa5a7d9e1bd95193699-586x579.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F940f8c694bfea42245be0aa5a7d9e1bd95193699-586x579.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F940f8c694bfea42245be0aa5a7d9e1bd95193699-586x579.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F940f8c694bfea42245be0aa5a7d9e1bd95193699-586x579.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F940f8c694bfea42245be0aa5a7d9e1bd95193699-586x579.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/what-cain-and-abel-can-teach-us-about-mass-shootings">What Can Cain and Abel Teach Us About Mass Shootings?</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/ronald-w-pies-md">Ronald W. Pies, MD</a></div><a href="/view/what-cain-and-abel-can-teach-us-about-mass-shootings"><span class="text-sm text-gray-500 pl-4">September 24th 2019</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">A close analysis of the psychodynamics of Cain’s crime shows us something important about his mentality-not to be confused with mental illness.</p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="flex md:hidden justify-center items-center"></div><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/duty-care-and-informed-consent"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:100%"></span><img alt="psychiatry and malpractice" title="psychiatry and malpractice" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="psychiatry and malpractice" title="psychiatry and malpractice" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6acc117bb149465a60bd96166b2ba48a5d813863-1000x1000.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6acc117bb149465a60bd96166b2ba48a5d813863-1000x1000.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6acc117bb149465a60bd96166b2ba48a5d813863-1000x1000.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6acc117bb149465a60bd96166b2ba48a5d813863-1000x1000.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6acc117bb149465a60bd96166b2ba48a5d813863-1000x1000.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6acc117bb149465a60bd96166b2ba48a5d813863-1000x1000.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6acc117bb149465a60bd96166b2ba48a5d813863-1000x1000.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6acc117bb149465a60bd96166b2ba48a5d813863-1000x1000.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6acc117bb149465a60bd96166b2ba48a5d813863-1000x1000.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/duty-care-and-informed-consent">Duty of Care and Informed Consent</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a></div><a href="/view/duty-care-and-informed-consent"><span class="text-sm text-gray-500 pl-4">March 15th 2019</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">Medical malpractice, a form of professional negligence, remains a heavily criticized legal solution for ensuring patient autonomy and competent health care.</p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/moving-beyond-motives-mass-shootings"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.44951140065146%"></span><img alt="gun control" title="gun control" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="gun control" title="gun control" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6b9fc52148069d6d0dfeab58ef5d26dcef138eca-4912x3264.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6b9fc52148069d6d0dfeab58ef5d26dcef138eca-4912x3264.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6b9fc52148069d6d0dfeab58ef5d26dcef138eca-4912x3264.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6b9fc52148069d6d0dfeab58ef5d26dcef138eca-4912x3264.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6b9fc52148069d6d0dfeab58ef5d26dcef138eca-4912x3264.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6b9fc52148069d6d0dfeab58ef5d26dcef138eca-4912x3264.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6b9fc52148069d6d0dfeab58ef5d26dcef138eca-4912x3264.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6b9fc52148069d6d0dfeab58ef5d26dcef138eca-4912x3264.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F6b9fc52148069d6d0dfeab58ef5d26dcef138eca-4912x3264.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/moving-beyond-motives-mass-shootings">Moving Beyond “Motives” in Mass Shootings</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/ronald-w-pies-md">Ronald W. Pies, MD</a></div><a href="/view/moving-beyond-motives-mass-shootings"><span class="text-sm text-gray-500 pl-4">January 14th 2019</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">Focusing on concerning behaviors may better assist with prevention than sensationalizing individual perpetrators’ motives.</p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/psychiatry-dangerousness-president"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:129.44444444444446%"></span><img alt="©Lightspring/Shutterstock" title="©Lightspring/Shutterstock" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="©Lightspring/Shutterstock" title="©Lightspring/Shutterstock" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F71508ca20cc8b1d9defb20c31a4c9ba64e736b01-900x1165.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F71508ca20cc8b1d9defb20c31a4c9ba64e736b01-900x1165.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F71508ca20cc8b1d9defb20c31a4c9ba64e736b01-900x1165.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F71508ca20cc8b1d9defb20c31a4c9ba64e736b01-900x1165.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F71508ca20cc8b1d9defb20c31a4c9ba64e736b01-900x1165.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F71508ca20cc8b1d9defb20c31a4c9ba64e736b01-900x1165.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F71508ca20cc8b1d9defb20c31a4c9ba64e736b01-900x1165.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F71508ca20cc8b1d9defb20c31a4c9ba64e736b01-900x1165.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F71508ca20cc8b1d9defb20c31a4c9ba64e736b01-900x1165.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/psychiatry-dangerousness-president">Psychiatry, “Dangerousness,” and the President</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/ronald-w-pies-md">Ronald W. Pies, MD</a></div><a href="/view/psychiatry-dangerousness-president"><span class="text-sm text-gray-500 pl-4">February 16th 2018</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">Labeling a (clinically unexamined) public figure as &quot;dangerous&quot; can do as much or more harm as promulgating a specific psychiatric diagnosis.</p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/warning-antidepressants-may-cause-messaging-manslaughter"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:61.199999999999996%"></span><img alt="© ICEDMOCHA/SHUTTERSTOCK.COM" title="© ICEDMOCHA/SHUTTERSTOCK.COM" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="© ICEDMOCHA/SHUTTERSTOCK.COM" title="© ICEDMOCHA/SHUTTERSTOCK.COM" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F534c731e8cfbe1f506ecea9da693976963ec28f4-1000x612.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F534c731e8cfbe1f506ecea9da693976963ec28f4-1000x612.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F534c731e8cfbe1f506ecea9da693976963ec28f4-1000x612.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F534c731e8cfbe1f506ecea9da693976963ec28f4-1000x612.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F534c731e8cfbe1f506ecea9da693976963ec28f4-1000x612.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F534c731e8cfbe1f506ecea9da693976963ec28f4-1000x612.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F534c731e8cfbe1f506ecea9da693976963ec28f4-1000x612.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F534c731e8cfbe1f506ecea9da693976963ec28f4-1000x612.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F534c731e8cfbe1f506ecea9da693976963ec28f4-1000x612.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/warning-antidepressants-may-cause-messaging-manslaughter">Warning: Antidepressants May Cause Messaging Manslaughter</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/george-david-annas-md">George David Annas, MD</a></div><a href="/view/warning-antidepressants-may-cause-messaging-manslaughter"><span class="text-sm text-gray-500 pl-4">September 19th 2017</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">Neither time nor science has given pause to some attorneys who exploit the misunderstanding that surrounds the putative &quot;criminogenic&quot; effects of antidepressants. </p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/mini-quiz-capital-punishment"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:94.76744186046511%"></span><img alt="Mini Quiz: Capital Punishment" title="Mini Quiz: Capital Punishment" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Mini Quiz: Capital Punishment" title="Mini Quiz: Capital Punishment" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F2bd7c3e90cd493265431d6bde3f2b59e68a64c8f-172x163.gif%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F2bd7c3e90cd493265431d6bde3f2b59e68a64c8f-172x163.gif%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F2bd7c3e90cd493265431d6bde3f2b59e68a64c8f-172x163.gif%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F2bd7c3e90cd493265431d6bde3f2b59e68a64c8f-172x163.gif%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F2bd7c3e90cd493265431d6bde3f2b59e68a64c8f-172x163.gif%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F2bd7c3e90cd493265431d6bde3f2b59e68a64c8f-172x163.gif%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F2bd7c3e90cd493265431d6bde3f2b59e68a64c8f-172x163.gif%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F2bd7c3e90cd493265431d6bde3f2b59e68a64c8f-172x163.gif%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F2bd7c3e90cd493265431d6bde3f2b59e68a64c8f-172x163.gif%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/mini-quiz-capital-punishment">Mini Quiz: Capital Punishment</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/sanjay-k-chhablani-jd">Sanjay K. Chhablani, JD</a></div><a href="/view/mini-quiz-capital-punishment"><span class="text-sm text-gray-500 pl-4">June 23rd 2017</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">The 1990s can be considered a high-water mark for support of the death penalty, as well as for imposing it. Where does that figure stand now? Take the quiz and learn more.</p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/mental-illness-and-capital-punishment-potential-complications"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:98.9%"></span><img alt="© shutterstock.com" title="© shutterstock.com" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="© shutterstock.com" title="© shutterstock.com" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fd43273ef6eb02df37d7017f29200d29e9c671852-1000x989.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fd43273ef6eb02df37d7017f29200d29e9c671852-1000x989.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fd43273ef6eb02df37d7017f29200d29e9c671852-1000x989.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fd43273ef6eb02df37d7017f29200d29e9c671852-1000x989.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fd43273ef6eb02df37d7017f29200d29e9c671852-1000x989.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fd43273ef6eb02df37d7017f29200d29e9c671852-1000x989.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fd43273ef6eb02df37d7017f29200d29e9c671852-1000x989.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fd43273ef6eb02df37d7017f29200d29e9c671852-1000x989.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fd43273ef6eb02df37d7017f29200d29e9c671852-1000x989.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/mental-illness-and-capital-punishment-potential-complications">Mental Illness and Capital Punishment: Potential Complications</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/sanjay-k-chhablani-jd">Sanjay K. Chhablani, JD</a></div><a href="/view/mental-illness-and-capital-punishment-potential-complications"><span class="text-sm text-gray-500 pl-4">June 22nd 2017</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">The authors discuss some potential complications arising from a constitutional ban on executing persons with mental illness. </p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/maintenance-certification-and-self-mortification"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:87.22222222222223%"></span><img alt="Flagellants,15th century, woodcut (Wikipedia.org)" title="Flagellants,15th century, woodcut (Wikipedia.org)" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Flagellants,15th century, woodcut (Wikipedia.org)" title="Flagellants,15th century, woodcut (Wikipedia.org)" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F01ce6ffe7e13733c6741fb8a8459abed659aa7d7-900x785.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F01ce6ffe7e13733c6741fb8a8459abed659aa7d7-900x785.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F01ce6ffe7e13733c6741fb8a8459abed659aa7d7-900x785.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F01ce6ffe7e13733c6741fb8a8459abed659aa7d7-900x785.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F01ce6ffe7e13733c6741fb8a8459abed659aa7d7-900x785.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F01ce6ffe7e13733c6741fb8a8459abed659aa7d7-900x785.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F01ce6ffe7e13733c6741fb8a8459abed659aa7d7-900x785.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F01ce6ffe7e13733c6741fb8a8459abed659aa7d7-900x785.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F01ce6ffe7e13733c6741fb8a8459abed659aa7d7-900x785.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/maintenance-certification-and-self-mortification">Maintenance of Certification and Self-Mortification</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/dan-cotoman-md">Dan Cotoman, MD</a></div><a href="/view/maintenance-certification-and-self-mortification"><span class="text-sm text-gray-500 pl-4">January 5th 2017</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">Health care and medical education must march ever onward-although recently there has been a growing uprising among the ranks of experienced physicians. </p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/mini-quiz-methods-suicide"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:94.76744186046511%"></span><img alt="Mini Quiz: Methods of Suicide" title="Mini Quiz: Methods of Suicide" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Mini Quiz: Methods of Suicide" title="Mini Quiz: Methods of Suicide" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F4c03aa45fd0fb22f30945a57b83178d3e14974e3-172x163.gif%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F4c03aa45fd0fb22f30945a57b83178d3e14974e3-172x163.gif%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F4c03aa45fd0fb22f30945a57b83178d3e14974e3-172x163.gif%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F4c03aa45fd0fb22f30945a57b83178d3e14974e3-172x163.gif%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F4c03aa45fd0fb22f30945a57b83178d3e14974e3-172x163.gif%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F4c03aa45fd0fb22f30945a57b83178d3e14974e3-172x163.gif%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F4c03aa45fd0fb22f30945a57b83178d3e14974e3-172x163.gif%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F4c03aa45fd0fb22f30945a57b83178d3e14974e3-172x163.gif%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2F4c03aa45fd0fb22f30945a57b83178d3e14974e3-172x163.gif%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/mini-quiz-methods-suicide">Mini Quiz: Methods of Suicide</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a></div><a href="/view/mini-quiz-methods-suicide"><span class="text-sm text-gray-500 pl-4">January 21st 2016</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">What is the most common method of suicide in the US?</p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="flex md:hidden justify-center items-center"></div><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/mounties-cowboys-avengersand-cultural-script-gun-violence"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:52%"></span><img alt="©Guy J. 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So what changes may help account for our recent spate of mass shootings?</p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/forensic-psychiatry-essential-major-subspecialty"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:104.91666666666666%"></span><img alt="Forensic Psychiatry: An Essential Major Subspecialty" title="Forensic Psychiatry: An Essential Major Subspecialty" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Forensic Psychiatry: An Essential Major Subspecialty" title="Forensic Psychiatry: An Essential Major Subspecialty" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fcb22f45df0c3b79008bc0caa65a2614053387002-1200x1259.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fcb22f45df0c3b79008bc0caa65a2614053387002-1200x1259.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fcb22f45df0c3b79008bc0caa65a2614053387002-1200x1259.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fcb22f45df0c3b79008bc0caa65a2614053387002-1200x1259.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fcb22f45df0c3b79008bc0caa65a2614053387002-1200x1259.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fcb22f45df0c3b79008bc0caa65a2614053387002-1200x1259.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fcb22f45df0c3b79008bc0caa65a2614053387002-1200x1259.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fcb22f45df0c3b79008bc0caa65a2614053387002-1200x1259.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fcb22f45df0c3b79008bc0caa65a2614053387002-1200x1259.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/forensic-psychiatry-essential-major-subspecialty">Forensic Psychiatry: An Essential Major Subspecialty</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a></div><a href="/view/forensic-psychiatry-essential-major-subspecialty"><span class="text-sm text-gray-500 pl-4">October 30th 2015</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">With a consistent and evolving presence in the US, forensic psychiatry has grown increasingly complex, with many specialty areas under its subspecialty umbrella.</p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><a class=" md:flex-none w-full md:w-48 mt-2" href="/view/lessons-litigation"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:96.93877551020408%"></span><img alt="Lessons From Litigation" title="Lessons From Litigation" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Lessons From Litigation" title="Lessons From Litigation" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fe8076a1ce5a1dbaf661c00700da2cd2f16ed680a-490x475.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=640&amp;q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fe8076a1ce5a1dbaf661c00700da2cd2f16ed680a-490x475.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=750&amp;q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fe8076a1ce5a1dbaf661c00700da2cd2f16ed680a-490x475.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=828&amp;q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fe8076a1ce5a1dbaf661c00700da2cd2f16ed680a-490x475.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1080&amp;q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fe8076a1ce5a1dbaf661c00700da2cd2f16ed680a-490x475.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1200&amp;q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fe8076a1ce5a1dbaf661c00700da2cd2f16ed680a-490x475.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=1920&amp;q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fe8076a1ce5a1dbaf661c00700da2cd2f16ed680a-490x475.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=2048&amp;q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fe8076a1ce5a1dbaf661c00700da2cd2f16ed680a-490x475.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fpsychtimes%2Fe8076a1ce5a1dbaf661c00700da2cd2f16ed680a-490x475.jpg%3Ffit%3Dcrop%26auto%3Dformat&amp;w=3840&amp;q=75" decoding="async" data-nimg="responsive" style="border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem;position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/lessons-litigation">Lessons From Litigation</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a></div><a href="/view/lessons-litigation"><span class="text-sm text-gray-500 pl-4">May 28th 2015</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">In this article, the author covers some basic mapractice concepts and briefly address 2 key issues that frequently arise in the course of psychiatric malpractice litigation: documentation and the defendant psychiatrist’s deposition.</p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><div class="flex justify-center md:flex-none w-full md:w-48"><span style="box-sizing:border-box;display:inline-block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative;max-width:100%"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;max-width:100%"><img style="display:block;max-width:100%;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0" alt="" aria-hidden="true" src="data:image/svg+xml,%3csvg%20xmlns=%27http://www.w3.org/2000/svg%27%20version=%271.1%27%20width=%27100%27%20height=%27100%27/%3e"/></span><img alt="Site Logo" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:contain"/><noscript><img alt="Site Logo" srcSet="/_next/image?url=%2FPsychiatricTimesLogo.png&amp;w=128&amp;q=75 1x, /_next/image?url=%2FPsychiatricTimesLogo.png&amp;w=256&amp;q=75 2x" src="/_next/image?url=%2FPsychiatricTimesLogo.png&amp;w=256&amp;q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:contain" loading="lazy"/></noscript></span></div><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/heatstroke-and-psychiatric-patients">Heatstroke and Psychiatric Patients</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/nicole-charder-md">Nicole Charder, MD</a><span class="mr-1 ml-[1px]">;</span><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a></div><a href="/view/heatstroke-and-psychiatric-patients"><span class="text-sm text-gray-500 pl-4">July 15th 2014</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">A variety of commonly used psychiatric medications increase the risk of heatstroke, leaving psychiatric patients in jails and prisons at risk.</p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><div class="flex justify-center md:flex-none w-full md:w-48"><span style="box-sizing:border-box;display:inline-block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative;max-width:100%"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;max-width:100%"><img style="display:block;max-width:100%;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0" alt="" aria-hidden="true" src="data:image/svg+xml,%3csvg%20xmlns=%27http://www.w3.org/2000/svg%27%20version=%271.1%27%20width=%27100%27%20height=%27100%27/%3e"/></span><img alt="Site Logo" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:contain"/><noscript><img alt="Site Logo" srcSet="/_next/image?url=%2FPsychiatricTimesLogo.png&amp;w=128&amp;q=75 1x, /_next/image?url=%2FPsychiatricTimesLogo.png&amp;w=256&amp;q=75 2x" src="/_next/image?url=%2FPsychiatricTimesLogo.png&amp;w=256&amp;q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:contain" loading="lazy"/></noscript></span></div><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/parkland-still">Parkland Still</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. Knoll IV, MD</a></div><a href="/view/parkland-still"><span class="text-sm text-gray-500 pl-4">November 22nd 2013</span><div class="mt-2 ml-4"></div><div class="flex flex-row gap-2"></div><p class=" mt-4 text-gray-800 pl-4">I have often wondered: did any of Parkland&#x27;s sets of medical eyes experience a moment of stillness with the collective father who had just been declared dead? I readily acknowledge the difficulty with great humility.</p><div class="pl-4"></div></a><div class="flex flex-col sm:flex-row pl-2 mt-4"></div></div></div></div></div></div><div class="w-full h-full"><hr class="mt-1 w-full " style="border-top-width:1px;border-top-color:#F3F4F6"/><div class="w-full h-full"><div class="w-full md:w-auto md:flex md:flex-col md:items-center lg:items-start lg:flex-row mb-4 mt-3 "><div class="flex flex-1 md:col-span-2 " style="background-color:transparent;border-color:#F3F4F6;border-width:0;border-top-left-radius:0rem;border-top-right-radius:0rem;border-bottom-left-radius:0rem;border-bottom-right-radius:0rem"><div class="flex justify-center md:flex-none w-full md:w-48"><span style="box-sizing:border-box;display:inline-block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative;max-width:100%"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;max-width:100%"><img style="display:block;max-width:100%;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0" alt="" aria-hidden="true" src="data:image/svg+xml,%3csvg%20xmlns=%27http://www.w3.org/2000/svg%27%20version=%271.1%27%20width=%27100%27%20height=%27100%27/%3e"/></span><img alt="Site Logo" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:contain"/><noscript><img alt="Site Logo" srcSet="/_next/image?url=%2FPsychiatricTimesLogo.png&amp;w=128&amp;q=75 1x, /_next/image?url=%2FPsychiatricTimesLogo.png&amp;w=256&amp;q=75 2x" src="/_next/image?url=%2FPsychiatricTimesLogo.png&amp;w=256&amp;q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:contain" loading="lazy"/></noscript></span></div><div class="flex-auto w-[200%] md:w-auto ml-2 flex-1"><p class="font-bold text-[1rem] pl-4 text-undefined" style="font-size:1rem"><a href="/view/warning-antidepressants-may-cause-bank-robbery">Warning: Antidepressants May Cause Bank Robbery</a></p><div class=" pl-4"><a class="text-sm text-sky-800" href="/authors/james-l-knoll-iv-md">James L. 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Thus, a professor of history and philosophy—in an article titled, “Forget talking, just fill a script: how modern psychiatry lost its mind”—","_key":"ad3923e532df0"},{"_type":"span","marks":["14d18f83fb1e"],"text":"wrote","_key":"f0928d2e9911"},{"_type":"span","marks":[],"text":"","_key":"a8fcf47fef95"},{"_type":"span","marks":[],"text":":","_key":"94bc6be6ea4d"}],"_type":"block","style":"normal","_key":"a6383326d262","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[{"blank":true,"_type":"link","href":"https://theconversation.com/forget-talking-just-fill-a-script-how-modern-psychiatry-lost-its-mind-9569","_key":"14d18f83fb1e"}]},{"_type":"block","style":"blockquote","_key":"0a28fab4df2f","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[],"children":[{"_type":"span","marks":[],"text":"In clinical practice, DSM-III led to a “Chinese menu” approach to psychiatric diagnosis: a specific mental illness can be diagnosed if a sufficient number of boxes can be ticked. This is only of limited value in clinical practice.","_key":"5aca93396c100"},{"_type":"span","marks":["superscript"],"text":"3","_key":"94b44aaa353d"}]},{"_type":"block","style":"normal","_key":"bab7d1828d16","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[{"_key":"7c5dce4cd2ce","blank":true,"_type":"link","href":"https://www.psychologytoday.com/us/blog/freud-fluoxetine/202006/psychiatric-diagnosis-20-the-myth-the-symptom-checklist"},{"blank":true,"_type":"link","href":"https://dsm.psychiatryonline.org/","_key":"a40e0494c206"}],"children":[{"_type":"span","marks":[],"text":"Indeed, merely checking off boxes of symptoms (and signs) ","_key":"dd87609bcfdd0"},{"text":"is","_key":"dd87609bcfdd1","_type":"span","marks":["em"]},{"_type":"span","marks":[],"text":" of very limited clinical value—","_key":"dd87609bcfdd2"},{"_type":"span","marks":["em"],"text":"but that is not at all what DSM-5 calls for.","_key":"dd87609bcfdd3"},{"_type":"span","marks":[],"text":" As my colleague, Dr Mark Ruffalo, and I ","_key":"dd87609bcfdd4"},{"_type":"span","marks":["7c5dce4cd2ce"],"text":"pointed out","_key":"1343d1c8c660"},{"_type":"span","marks":[],"text":"","_key":"29a9eeaa7daa"},{"marks":[],"text":", the DSM-5 makes it crystal clear: Simply checking off symptoms ","_key":"95714023b2f1","_type":"span"},{"text":"cannot and does not constitute a psychiatric diagnosis—","_key":"dd87609bcfdd5","_type":"span","marks":["em"]},{"_type":"span","marks":[],"text":"which requires a comprehensive ","_key":"dd87609bcfdd6"},{"_type":"span","marks":["em"],"text":"case formulation.","_key":"dd87609bcfdd7"},{"_type":"span","marks":["em","superscript"],"text":"4","_key":"7b7908229203"},{"_type":"span","marks":["superscript"],"text":" ","_key":"dd87609bcfdd8"},{"_type":"span","marks":[],"text":"As the ","_key":"4981780c6043"},{"text":"Manual ","_key":"dd87609bcfdd9","_type":"span","marks":["em"]},{"marks":[],"text":"itself ","_key":"dd87609bcfdd10","_type":"span"},{"_type":"span","marks":["a40e0494c206"],"text":"notes","_key":"17931b7ccdaa"},{"_type":"span","marks":[],"text":"","_key":"52c6816f8f0f"},{"text":":","_key":"ae521907939c","_type":"span","marks":[]}]},{"_type":"block","style":"blockquote","_key":"097fbc5bf59d","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[],"children":[{"_type":"span","marks":[],"text":"The case formulation for any given patient must involve a careful clinical history and concise summary of the social, psychological and biological factors that may have contributed to developing a given mental disorder. ","_key":"85ab544a4f4a0"},{"_type":"span","marks":["em"],"text":"Hence, it is not sufficient to simply check off the symptoms of the diagnostic criteria to make a mental disorder diagnosis ","_key":"85ab544a4f4a1"},{"_type":"span","marks":[],"text":"(emphasis added).","_key":"85ab544a4f4a2"},{"_type":"span","marks":["superscript"],"text":"5(p19)","_key":"33c92ab96b83"}]},{"medias":null,"uploadAudio":null,"_type":"sidebar","_key":"bb15b1acef8e","upload_doc":null,"content":[{"children":[{"_type":"span","marks":["em","strong"],"text":"\"You cannot snag a DSM diagnosis merely by collecting a group of signs and symptoms.\"","_key":"b8e0da0891d1"}],"_type":"block","style":"normal","_key":"5eeefcbe8854","markDefs":[]}]},{"_key":"568dfef4eabc","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[{"_type":"link","href":"http://www.lacounseling.org/images/lca/Conference/DSM-5%20LCA%20Case%20Formulation%20Rev.pdf","_key":"277f401e0e25","blank":true}],"children":[{"_key":"d92361110e490","_type":"span","marks":[],"text":"As Dr Gary G. Gintner has "},{"_type":"span","marks":["277f401e0e25"],"text":"explained","_key":"614ec03d46cf"},{"text":"","_key":"ad0054afc94c","_type":"span","marks":[]},{"_type":"span","marks":[],"text":", the case formulation “. . . is a core clinical skill that links assessment information and treatment planning. It is a hypothesis about the mechanisms that cause and maintain the problem. It answers the question, ‘Why is this person, having this type of problem, now?’”","_key":"593064299bc4"},{"_type":"span","marks":["superscript"],"text":"6","_key":"ad00fead3832"}],"_type":"block","style":"normal"},{"_type":"block","style":"normal","_key":"c33a1708e853","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[{"blank":true,"_type":"link","href":"https://en.wikipedia.org/wiki/DSM-5","_key":"6730571c1bd0"}],"children":[{"_type":"span","marks":[],"text":"In principle, the case formulation—and by extension, the final DSM diagnosis—requires medical knowledge, or at least access to medical consultation, in order to assess the “biological factors” that may have contributed to the patient’s problem. Finally, we should note that, in addition to meeting sign/symptom criteria for a mental disorder, virtually all the major ","_key":"90c06147a54a0"},{"_key":"76e7903202a7","_type":"span","marks":["6730571c1bd0"],"text":"DSM-5 categories"},{"_type":"span","marks":[],"text":"","_key":"d887b4f66c33"},{"_key":"aa7780433f3d","_type":"span","marks":[],"text":" require evidence of “clinically significant distress or impairment in social, occupational or other important areas of functioning.” You cannot snag a DSM diagnosis merely by collecting a group of signs and symptoms. There must also be adverse consequences in the person’s life."}]},{"style":"normal","_key":"7569c721b605","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"The DSM-5 Is “Biomedical”? Not So Much","_key":"13577f2f584d0"}],"_type":"block"},{"style":"normal","_key":"aee8b68d7d35","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[],"children":[{"marks":[],"text":"It is clear from the aforementioned description of the case formulation that the DSM-5 explicitly uses a “biopsychosocial” approach to diagnosis. In addition, DSM-5 has extensive coverage of cultural issues, as they impinge on differential diagnosis. Excellent examples of the “case conceptualization” using a bio-psychosocial-cultural approach may be found in the text by Sperry and Sperry.","_key":"4cbb04c594a80","_type":"span"},{"_type":"span","marks":["superscript"],"text":"7","_key":"c4eb4d2cae95"}],"_type":"block"},{"style":"normal","_key":"a89b1bf1dc19","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[{"href":"https://journals.sagepub.com/doi/abs/10.1177/0959353512467974","_key":"2cad2965cdb7","blank":true,"_type":"link"}],"children":[{"_type":"span","marks":[],"text":"Nonetheless, some commentators—mainly critics of psychiatric nosology—have asserted that DSM-5 represents the “biomedical” model. For example, 1 paper ","_key":"31f81735a0bf0"},{"text":"argues","_key":"ad2720f585c5","_type":"span","marks":["2cad2965cdb7"]},{"_type":"span","marks":[],"text":"","_key":"c28d62decd5d"},{"_type":"span","marks":[],"text":" that,","_key":"c07307108016"}],"_type":"block"},{"upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[],"children":[{"text":"The ","_key":"4d7d5c8398940","_type":"span","marks":[]},{"_type":"span","marks":["em"],"text":"Diagnostic and Statistical Manual of Mental Disorders","_key":"4d7d5c8398941"},{"_type":"span","marks":[],"text":" . . . offers a biomedical framing of people’s experiences of distress and impairment, and despite decades of criticism, it remains the dominant approach.","_key":"4d7d5c8398942"},{"_key":"7ad7cb0112b3","_type":"span","marks":["superscript"],"text":"8"}],"_type":"block","style":"blockquote","_key":"40c18087430d"},{"children":[{"_type":"span","marks":[],"text":"These authors go on to argue that, “. . . a biomedical construction of ‘mental illness’ all too frequently fails to protect individuals from delegitimation and stigma.” That is a provocative claim worth examining but is beyond the scope of this essay. What is striking about the paper by these 2 psychologists is that the term “biomedical” is never fully defined. The authors do ","_key":"462ecf099e420"},{"_type":"span","marks":["bcea9ca8aa06"],"text":"note","_key":"6bc99380248b"},{"_type":"span","marks":[],"text":"","_key":"0f6884a260d0"},{"_type":"span","marks":[],"text":" the biomedical model is oriented “around the problems of the body . . . such as genetics or neurochemistry.”","_key":"21a8318dcccb"},{"_key":"c89e7cb62697","_type":"span","marks":["superscript"],"text":"8"}],"_type":"block","style":"normal","_key":"deba9e3ad206","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[{"blank":true,"_type":"link","href":"https://journals.sagepub.com/doi/abs/10.1177/0959353512467974","_key":"bcea9ca8aa06"}]},{"medias":null,"uploadAudio":null,"markDefs":[{"blank":true,"_type":"link","href":"https://www.psychiatrictimes.com/view/early-warnings-neuropsychiatric-manifestations-huntington-disease","_key":"0de6f0e3140c"}],"children":[{"_type":"span","marks":[],"text":"If we take that rough formulation as a guide, it can be readily seen that—with a few exceptions—there is very little in DSM-5 that invokes “genetics” or “neurochemistry.” True, DSM-5’s discussion of ","_key":"dce356c6a1660"},{"_type":"span","marks":["0de6f0e3140c"],"text":"Huntington disease","_key":"998e080ba613"},{"_key":"b0108c3ca6e7","_type":"span","marks":[],"text":""},{"_type":"span","marks":[],"text":" does reference abnormalities on chromosome 4; and other neurocognitive disorders, such as Lewy body disease, are linked to genetic abnormalities. But such references to specific genetic abnormalities are by far the exception, particularly for the more classically “psychiatric” disorders, such as schizophrenia and bipolar disorders. (We do find, under the rubric of “Risk and Prognostic Factors,” the statement that “Schizophrenia and bipolar disorder likely share a genetic origin . . .”","_key":"c3733e7056ec"},{"marks":["superscript"],"text":"5","_key":"4801e82e8f19","_type":"span"},{"_type":"span","marks":[],"text":" but that is about as far as the ","_key":"2c93b622354d"},{"text":"Manual","_key":"dce356c6a1661","_type":"span","marks":["em"]},{"marks":[],"text":" goes).","_key":"dce356c6a1662","_type":"span"}],"_type":"block","style":"normal","_key":"39b09f4a19b7","upload_doc":null},{"_key":"a3e1379b9f75","_type":"figure","alignment":"right","upload_doc":null,"medias":null,"imgcaption":[{"_key":"6feec78dec53","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Table 1. What DSM-5 Is and What It Is Not","_key":"65990a6ffa25"}],"_type":"block","style":"normal"}],"uploadAudio":null,"blank":true,"asset":{"mimeType":"image/jpeg","size":151048,"uploadId":"CIt12qnuyVAvA9XFe4KbVclvZW1t51Uh","assetId":"34def3064505b4e400fdc8147dc7123c929c23f4","originalFilename":"PSY032021_PiesDSM_Table1.jpg","extension":"jpg","sha1hash":"34def3064505b4e400fdc8147dc7123c929c23f4","path":"images/0vv8moc6/psychtimes/34def3064505b4e400fdc8147dc7123c929c23f4-992x776.jpg","_createdAt":"2021-03-23T15:01:55Z","url":"https://cdn.sanity.io/images/0vv8moc6/psychtimes/34def3064505b4e400fdc8147dc7123c929c23f4-992x776.jpg","_updatedAt":"2021-03-23T15:01:55Z","_rev":"5q8DjueuIO7vq4ld9RpoHA","_type":"sanity.imageAsset","_id":"image-34def3064505b4e400fdc8147dc7123c929c23f4-992x776-jpg","metadata":{"hasAlpha":false,"lqip":"data:image/jpeg;base64,/9j/2wBDAAYEBQYFBAYGBQYHBwYIChAKCgkJChQODwwQFxQYGBcUFhYaHSUfGhsjHBYWICwgIyYnKSopGR8tMC0oMCUoKSj/2wBDAQcHBwoIChMKChMoGhYaKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCgoKCj/wAARCAAQABQDASIAAhEBAxEB/8QAFwAAAwEAAAAAAAAAAAAAAAAAAAQGBf/EAB4QAAICAgMBAQAAAAAAAAAAAAECAwQAERITUUEF/8QAFQEBAQAAAAAAAAAAAAAAAAAAAwT/xAAaEQACAwEBAAAAAAAAAAAAAAAAAQMREgJR/9oADAMBAAIRAxEAPwByKwVGjKoG/Mp6UVN4I5JSnYR9TeSS8yQwTYy0/MhtGpE8UKEcfMaRuiWJLRpVadJoQeiN9/eAwxuqLAhAdVU+AYYFsozz4f/Z","dimensions":{"height":776,"_type":"sanity.imageDimensions","width":992,"aspectRatio":1.2783505154639174},"isOpaque":true,"_type":"sanity.imageMetadata","palette":{"vibrant":{"background":"#3c7c8c","_type":"sanity.imagePaletteSwatch","foreground":"#fff","title":"#fff","population":0.01},"dominant":{"foreground":"#fff","title":"#fff","population":6.37,"background":"#2f4349","_type":"sanity.imagePaletteSwatch"},"_type":"sanity.imagePalette","darkMuted":{"population":6.37,"background":"#2f4349","_type":"sanity.imagePaletteSwatch","foreground":"#fff","title":"#fff"},"muted":{"population":1.9,"background":"#69828a","_type":"sanity.imagePaletteSwatch","foreground":"#fff","title":"#fff"},"lightVibrant":{"title":"#fff","population":0.2,"background":"#b4cadc","_type":"sanity.imagePaletteSwatch","foreground":"#000"},"darkVibrant":{"background":"#3c8484","_type":"sanity.imagePaletteSwatch","foreground":"#fff","title":"#fff","population":0.48},"lightMuted":{"background":"#9dbec4","_type":"sanity.imagePaletteSwatch","foreground":"#000","title":"#fff","population":0.65}}}},"link":"https://cdn.sanity.io/images/0vv8moc6/psychtimes/34def3064505b4e400fdc8147dc7123c929c23f4-992x776.jpg?auto=format","widthP":35},{"children":[{"_type":"span","marks":["strong"],"text":"What About “Neurochemistry”?","_key":"9977b2841c2e0"}],"_type":"block","style":"normal","_key":"a16c790a0e87","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[]},{"markDefs":[{"blank":true,"_type":"link","href":"https://dsm.psychiatryonline.org/","_key":"a0aeb0d0ce16"}],"children":[{"_type":"span","marks":[],"text":"As far as I know, discussion of “neurochemistry” as a ","_key":"4558c0fb942f0"},{"_key":"4558c0fb942f1","_type":"span","marks":["em"],"text":"causal or etiological factor"},{"_type":"span","marks":[],"text":" in any of the common psychiatric disorders is entirely lacking in DSM-5. (So much for “chemical imbalances”). With only a few exceptions, DSM-5 avoids commitments regarding etiology. Indeed, the ","_key":"4558c0fb942f2"},{"_type":"span","marks":["em"],"text":"Manual ","_key":"4558c0fb942f3"},{"_type":"span","marks":[],"text":"explicitly ","_key":"4558c0fb942f4"},{"_key":"4854258bf606","_type":"span","marks":["a0aeb0d0ce16"],"text":"notes"},{"marks":[],"text":"","_key":"42e91efbcfe0","_type":"span"},{"_key":"dd9ac997a7f8","_type":"span","marks":[],"text":", “a diagnosis does not carry any necessary implications regarding the etiology or causes of the individual’s mental disorder. . .”"},{"_type":"span","marks":["superscript"],"text":"5(p25)","_key":"08a9a0df8f98"},{"_key":"b4306e79b14a","_type":"span","marks":[],"text":" One can see this as a serious deficiency in the DSM-5—but one cannot claim the "},{"_type":"span","marks":["em"],"text":"Manual ","_key":"4558c0fb942f5"},{"_type":"span","marks":[],"text":"endorses anything resembling neurochemical etiologies or “chemical imbalances” for the major mental disorders.","_key":"4558c0fb942f6"}],"_type":"block","style":"normal","_key":"ba2aa9da3917","upload_doc":null,"medias":null,"uploadAudio":null},{"style":"normal","_key":"63200e276463","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[{"_key":"4a6c213a1875","blank":true,"_type":"link","href":"https://journals.sagepub.com/doi/abs/10.1177/0959353512467974"}],"children":[{"marks":[],"text":"In sum, there is no credible basis for ","_key":"dec98c7ab62f0","_type":"span"},{"_type":"span","marks":["4a6c213a1875"],"text":"arguing","_key":"f761fd457434"},{"marks":[],"text":"","_key":"075f6897ed7b","_type":"span"},{"_type":"span","marks":[],"text":" that the DSM-5 “offers a biomedical framing of people’s experiences of distress and impairment.”","_key":"dd0a65d63a6e"},{"_key":"1a8d78fa18fb","_type":"span","marks":["superscript"],"text":"8"},{"_key":"fb4909ed388e","_type":"span","marks":[],"text":" Deacon, in a detailed review and critique, argues that “The biomedical model posits that mental disorders are brain diseases and emphasizes pharmacological treatment to target presumed biological abnormalities.”"},{"_type":"span","marks":["superscript"],"text":"9","_key":"6f09945f91c8"},{"marks":[],"text":" I do not contest that description, but nothing in Deacon’s analysis shows that DSM-5 is essentially “biomedical” in the sense he explicates.","_key":"e23a3f8136b2","_type":"span"}],"_type":"block"},{"_key":"61ff117070c1","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Fuzzy Boundaries, Overlapping Symptoms, and Dimensions of Pathology","_key":"e6f630d9933d0"}],"_type":"block","style":"normal"},{"upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[],"children":[{"marks":[],"text":"Another common claim is that DSM-5 is a strictly “categorical” framework that conceptualizes mental illness as a collection of discrete, diagnostically separable entities. As one paper puts it, “. . . the DSM-5 is a categorical system. Thus, individual disorders are regarded as discrete units—“you either have it, or you don't.”","_key":"e04600f374050","_type":"span"},{"_type":"span","marks":["superscript"],"text":"10","_key":"70938dab549b"},{"_type":"span","marks":[],"text":" A related claim is that DSM-5 posits a clear and distinct separation between mental abnormality and “normal” mental or psychological states. ","_key":"0edae070055e"}],"_type":"block","style":"normal","_key":"4f560435e5e8"},{"_type":"block","style":"normal","_key":"4d793f1845fb","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[{"blank":true,"_type":"link","href":"https://cdn.sanity.io/images/0vv8moc6/psychtimes/34def3064505b4e400fdc8147dc7123c929c23f4-992x776.jpg?auto=format","_key":"24338a1fb671"}],"children":[{"_type":"span","marks":[],"text":"In truth, neither claim is supported in the DSM-5 (","_key":"5c60fad957dd0"},{"_type":"span","marks":["strong","24338a1fb671"],"text":"Table 1","_key":"5c60fad957dd1"},{"marks":[],"text":"","_key":"279eb87df95b","_type":"span"},{"_type":"span","marks":[],"text":"). On the contrary, the Introduction to the ","_key":"5c60fad957dd2"},{"marks":["em"],"text":"Manual ","_key":"56b2b05c3e89","_type":"span"},{"_type":"span","marks":[],"text":"clearly states,","_key":"691b4ad75a36"}]},{"uploadAudio":null,"markDefs":[],"children":[{"_type":"span","marks":[],"text":"The results of numerous studies of comorbidity and disease transmission . . . make strong arguments for what many astute clinicians have long observed: the boundaries between many disorder “categories” are more fluid over the life course than DSM-IV recognized, and many symptoms assigned to a single disorder may occur, at varying levels of severity, in many other disorders. These findings mean that DSM . . . should accommodate ways to introduce dimensional approaches to mental disorders, including dimensions that cut across categories . . . Although some mental disorders may have well-defined boundaries around symptom clusters, scientific evidence now places many, if not most, disorders on a spectrum with closely related disorders that have shared symptoms, shared genetic and environmental risk factors, and possibly shared neural substates . . . ","_key":"78107f484f400"},{"marks":["em"],"text":"In short, we have come to recognize that the boundaries between disorders are more porous than originally believed.","_key":"2d61b5d3ba19","_type":"span"},{"_type":"span","marks":[],"text":"” (Italics added)","_key":"19facd202b8c"},{"marks":["superscript"],"text":"5(pp5-6)","_key":"3fb484507689","_type":"span"},{"text":"","_key":"365491a27bc70","_type":"span","marks":[]}],"_type":"block","style":"blockquote","_key":"57dc0cc46007","upload_doc":null,"medias":null},{"_type":"block","style":"normal","_key":"8d71057879ae","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Furthermore, the DSM-5 does not argue for a hard and fast boundary between “normal” and “abnormal” states and conditions. 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To be sure, many different approaches to psychiatric diagnosis have been ","_key":"5a6089611570","_type":"span","marks":[]},{"_type":"span","marks":["f99e57bd700a"],"text":"proposed and debated","_key":"e59dbb7f245b"},{"_type":"span","marks":[],"text":"","_key":"4ead56afdde0"},{"_type":"span","marks":[],"text":"—each with its pros and cons.","_key":"f49e75a15fe0"},{"_key":"942f805d585e","_type":"span","marks":["superscript"],"text":"14"},{"marks":[],"text":" ","_key":"0dfaf38aca8e","_type":"span"}],"_type":"block","style":"normal","_key":"b7e4837fc372"},{"children":[{"_type":"span","marks":[],"text":"Personally, I favor a prototype-based diagnostic approach for every-day clinical work; and a parallel set of “research diagnostic criteria” for investigative purposes (","_key":"8e8f2ea67577"},{"_type":"span","marks":["strong","0f1c047ee704"],"text":"Table 2","_key":"fe1ed015da421"},{"marks":[],"text":"","_key":"c5cb85b9d6c1","_type":"span"},{"_type":"span","marks":[],"text":"). “Prototype” diagnosis refers to the use of idealized models or archetypes of disease, rather than either “categorical” or “dimensional” methods of classification. ","_key":"fe1ed015da422"},{"marks":["f7f35df24f73"],"text":"Phillips and colleagues","_key":"fe1ed015da423","_type":"span"},{"_type":"span","marks":["superscript"],"text":"14","_key":"fe1ed015da424"},{"_key":"5edeba76678b","_type":"span","marks":[],"text":" discuss and debate various diagnostic models in a wide-ranging colloquium."}],"_type":"block","style":"normal","_key":"4c6d89dae9a4","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[{"blank":true,"_type":"link","href":"https://peh-med.biomedcentral.com/articles/10.1186/1747-5341-7-9","_key":"f7f35df24f73"},{"href":"https://cdn.sanity.io/images/0vv8moc6/psychtimes/609ade8b5182635e0794137012407eede1478403-979x861.jpg?auto=format","_key":"0f1c047ee704","blank":true,"_type":"link"}]},{"upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[],"children":[{"marks":[],"text":"It seems very clear that diagnosis is, and will always remain, a necessary part of clinical care, both in general medicine and psychiatry. When a patient presents with the complaint, “I hear threatening voices in my head,” we simply must","_key":"ecc53e65abd80","_type":"span"},{"_key":"ecc53e65abd81","_type":"span","marks":["em"],"text":" diagnose"},{"_key":"ecc53e65abd82","_type":"span","marks":[],"text":"—a word whose etymology means, “knowing the difference between.” For example, we must know the difference between “threatening voices” stemming from combat-related trauma, on the one hand, versus schizophrenia or anti-NMDA receptor encephalitis"},{"_type":"span","marks":["superscript"],"text":"15","_key":"06256ee9df73"},{"_type":"span","marks":[],"text":" on the other. Otherwise, our treatment is likely to be misguided.","_key":"85a9f0b3a9f8"}],"_type":"block","style":"normal","_key":"e9bf0e5cde7c"},{"uploadAudio":null,"markDefs":[{"href":"https://www.medscape.com/viewarticle/942694#vp_1","_key":"f5e26e0eaf4d","blank":true,"_type":"link"},{"_type":"link","href":"https://www.psychiatry.org/","_key":"bd7fde28952e"}],"children":[{"_type":"span","marks":[],"text":"No, whatever the lay press claims, DSM-5 is not “The Bible of psychiatry.’ It is not a sacred, eternal, and inviolable text, or even a very sophisticated diagnostic tool. 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So, I would hope people would not be bound by it, but be flexible and use their clinical judgment instead.”","_key":"6d51fa25d22c"},{"text":"16","_key":"e10d99057a89","_type":"span","marks":["superscript"]}],"_type":"block","style":"normal","_key":"f20428555e02","upload_doc":null,"medias":null},{"style":"normal","_key":"7e515a3586b6","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[],"children":[{"_type":"span","marks":[],"text":"I agree. But before we use the DSM-5’s text to line our bird cages—as a renowned British psychiatrist I once met described the utility of the DSM-III—we should at least understand what DSM-5 does, and does not, represent.","_key":"85ae6926e9850"}],"_type":"block"},{"_key":"353d669181c3","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[],"children":[{"_key":"1494743e6aec0","_type":"span","marks":["strong"],"text":"Dr Pies"},{"_type":"span","marks":["em"],"text":" is professor emeritus of psychiatry and lecturer on bioethics and humanities, SUNY Upstate Medical University; clinical professor of psychiatry, Tufts University School of Medicine; and editor in chief emeritus of ","_key":"1494743e6aec1"},{"_type":"span","marks":[],"text":"Psychiatric Times","_key":"1494743e6aec2"},{"_type":"span","marks":["em","superscript"],"text":"TM","_key":"1494743e6aec3"},{"text":" (2007-2010).","_key":"81cc63a101b8","_type":"span","marks":["em"]}],"_type":"block","style":"normal"},{"_type":"block","style":"normal","_key":"a1580b85ff0e","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[{"blank":true,"_type":"link","href":"mailto:PTEditor@mmhgroup.com","_key":"b931db2d80b6"}],"children":[{"_type":"span","marks":["strong","em"],"text":"Let us hear from you!","_key":"f34aa6cd02f60"},{"_type":"span","marks":["em"],"text":" Share comments with your colleagues by emailing ","_key":"f34aa6cd02f61"},{"_type":"span","marks":["b931db2d80b6","em"],"text":"PTEditor@mmhgroup.com","_key":"f34aa6cd02f62"},{"_type":"span","marks":["em"],"text":". Comments may be shared online pending review and editing for style.","_key":"f34aa6cd02f63"}]},{"children":[{"_type":"span","marks":["strong"],"text":"References","_key":"d552fbd715ca0"}],"_type":"block","style":"normal","_key":"69c23961020e","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[]},{"_type":"block","style":"normal","_key":"da809d3e1dd1","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[{"blank":true,"_type":"link","href":"https://www.youtube.com/watch?v=WA_NnXyDDLk","_key":"7565756addbb"}],"children":[{"text":"1. jmm1000. Dr Pepper \"So Misunderstood\" feat Carol Kane - 1973-1974. YouTube. June 30, 2017. Accessed March 17, 2021. ","_key":"1cefe98664810","_type":"span","marks":[]},{"text":"https://www.youtube.com/watch?v=WA_NnXyDDLk","_key":"1cefe98664811","_type":"span","marks":["7565756addbb"]}]},{"upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[],"children":[{"marks":[],"text":"2. Regier DA, Narrow WE, Clarke DE, et al. DSM-5 field trials in the United States and Canada, Part II: test-retest reliability of selected categorical diagnoses. ","_key":"5248ab0cc9fd0","_type":"span"},{"_type":"span","marks":["em"],"text":"Am J Psychiatry.","_key":"5248ab0cc9fd1"},{"_type":"span","marks":[],"text":" 2013;170(1):59-70.","_key":"5248ab0cc9fd2"}],"_type":"block","style":"normal","_key":"66a1eb4e0fad"},{"uploadAudio":null,"markDefs":[{"_type":"link","href":"https://theconversation.com/forget-talking-just-fill-a-script-how-modern-psychiatry-lost-its-mind-9569","_key":"e024b1ca6628","blank":true}],"children":[{"_type":"span","marks":[],"text":"3. Pols H: Forget talking, just fill a script: how modern psychiatry lost its mind. ","_key":"f168f272ee680"},{"marks":["em"],"text":"The Conversation.","_key":"f168f272ee681","_type":"span"},{"marks":[],"text":" October 21, 2012. Accessed March 17, 2021. ","_key":"f168f272ee682","_type":"span"},{"_type":"span","marks":["e024b1ca6628"],"text":"https://theconversation.com/forget-talking-just-fill-a-script-how-modern-psychiatry-lost-its-mind-9569","_key":"f168f272ee683"}],"_type":"block","style":"normal","_key":"f64f9b483afc","upload_doc":null,"medias":null},{"style":"normal","_key":"60f9cdbdf6f1","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[{"blank":true,"_type":"link","href":"https://www.psychologytoday.com/us/blog/freud-fluoxetine/202006/psychiatric-diagnosis-20-the-myth-the-symptom-checklist","_key":"ffbca7489e39"}],"children":[{"_type":"span","marks":[],"text":"4. Ruffalo ML. Pies RW. Psychiatric Diagnosis 2.0: The Myth of the Symptom Checklist. ","_key":"6af5f02f71600"},{"marks":["em"],"text":"Psychology Today.","_key":"6af5f02f71601","_type":"span"},{"marks":[],"text":" June 14, 2020. Accessed March 17, 2021. ","_key":"6af5f02f71602","_type":"span"},{"_type":"span","marks":["ffbca7489e39"],"text":"https://www.psychologytoday.com/us/blog/freud-fluoxetine/202006/psychiatric-diagnosis-20-the-myth-the-symptom-checklist","_key":"6af5f02f71603"}],"_type":"block"},{"upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[{"blank":true,"_type":"link","href":"https://dsm.psychiatryonline.org/","_key":"6e46aa9a8f30"}],"children":[{"_type":"span","marks":[],"text":"5. American Psychiatric Association. ","_key":"edb7e3c6b25d0"},{"_type":"span","marks":["6e46aa9a8f30"],"text":"Diagnostic and Statistical Manual of Mental Disorders","_key":"edb7e3c6b25d1"},{"_key":"edb7e3c6b25d2","_type":"span","marks":["6e46aa9a8f30"],"text":", 5th edition"},{"_key":"33c968533ba6","_type":"span","marks":[],"text":""},{"text":". Washington, DC; American Psychiatric Publishing, Inc: 2013.","_key":"b63148cecbe3","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"b7168d238e0f"},{"markDefs":[{"blank":true,"_type":"link","href":"http://www.lacounseling.org/images/lca/Conference/DSM-5%20LCA%20Case%20Formulation%20Rev.pdf","_key":"da172dc45f25"}],"children":[{"_type":"span","marks":[],"text":"6. Gintner GG. Using DSM-5 in Case Formulation. Louisiana Counseling Association presentation. Accessed March 17, 2021. 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Lafrance MN, McKenzie-Mohr S. ","_key":"f9a0650bbb9c0"},{"text":"The DSM and its lure of legitimacy","_key":"f9a0650bbb9c3","_type":"span","marks":["02088501317c"]},{"text":". ","_key":"f9a0650bbb9c4","_type":"span","marks":[]},{"_type":"span","marks":["em"],"text":"Fem Psychol","_key":"f9a0650bbb9c5"},{"_type":"span","marks":[],"text":". 2013;23(1):119-140.","_key":"f9a0650bbb9c6"}],"_type":"block","style":"normal","_key":"d44d804fd832","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[{"href":"https://www.researchgate.net/scientific-contributions/Suzanne-McKenzie-Mohr-2024012959","_key":"2f4f2d398c39","_type":"link"},{"blank":true,"_type":"link","href":"https://journals.sagepub.com/doi/abs/10.1177/0959353512467974","_key":"02088501317c"}]},{"_key":"8d7ffcf8a0e6","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[],"children":[{"_type":"span","marks":[],"text":"9. Deacon BJ. The biomedical model of mental disorder: a critical analysis of its validity, utility, and effects on psychotherapy research. ","_key":"2a12c50fe55c0"},{"text":"Clin Psychol Rev.","_key":"2a12c50fe55c1","_type":"span","marks":["em"]},{"_type":"span","marks":[],"text":" 2013;33(7):846-861.","_key":"2a12c50fe55c2"}],"_type":"block","style":"normal"},{"style":"normal","_key":"1728e396d8eb","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[],"children":[{"_type":"span","marks":[],"text":"10. van Heugten-van der Kloet D, van Heugten T. The classification of psychiatric disorders according to DSM-5 deserves an internationally standardized psychological test battery on symptom level. ","_key":"c9c91979e1cb0"},{"_type":"span","marks":["em"],"text":"Front Psychol","_key":"c9c91979e1cb1"},{"_type":"span","marks":[],"text":". 2015;6:1108.","_key":"c9c91979e1cb2"}],"_type":"block"},{"children":[{"marks":[],"text":"11. Kendler KS, Zachar P, Craver C. 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Gabor, GT. ‘Carving nature at its joint’: The Platonic method of division in Plato, Aristotle, and their Neoplatonic commentators. ","_key":"1fca78705c270"},{"_type":"span","marks":["em"],"text":"ETD Collection for Fordham University","_key":"1fca78705c271"},{"_key":"1fca78705c272","_type":"span","marks":[],"text":". AAI3466699. 2011. Accessed March 17, 2021. https://research.library.fordham.edu/dissertations/AAI3466699"}]},{"style":"normal","_key":"efc0819a51a9","upload_doc":null,"medias":null,"uploadAudio":null,"markDefs":[{"href":"https://winstonchurchill.org/resources/quotes/the-worst-form-of-government/","_key":"ba888ebed4b5","_type":"link"}],"children":[{"_type":"span","marks":[],"text":"13. Churchill W. The Worst Form of Government. International Churchill Society. November 11, 1947. Accessed March 17, 2021. 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C.","_key":"wGodPfgt"},{"_type":"span","marks":[],"text":" The diagnostic model for personality disorders","_key":"T9PFHpmI"}],"_type":"block"},{"_type":"block","style":"normal","_key":"dAvXHolE","markDefs":[],"children":[{"text":"Key points:","_key":"wKK5TObP","_type":"span","marks":[]}]},{"children":[{"_type":"span","marks":[],"text":"• Despite multiple proposed categorical or dimensional changes, only a few were adopted in the final version of DSM-5\n• One of the major proposals rejected was the revision of ","_key":"txysUoey"},{"_type":"span","marks":["em"],"text":"the hybrid categorical-dimensional model for personality disorders","_key":"TDoAlVEI"},{"_key":"yKtFA98a","_type":"span","marks":[],"text":"\n• Implementation of this proposed new model by October 2014 would probably have imposed significant burden on clinical practice and the research community and would have required a revision of academic curricula for residency programs and clinical practice guidelines\n• Instead, 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Which of the items mentioned in this quiz did not change in DSM-5?","taxonomyMapping":[{"_createdAt":"2020-03-26T06:11:21Z","_rev":"snQqhhB4O8T5bi1viUSkee","_type":"taxonomy","name":"Quizzes","_id":"pst_taxonomy_341_quizzes","_updatedAt":"2020-06-10T19:45:36Z","identifier":"resources/quizzes","parent":{"name":"Resources","parent":null,"_id":"pst_taxonomy_53203_resources","_updatedAt":"2021-10-07T14:44:15Z","identifier":"resources","_createdAt":"2020-03-26T06:11:21Z","_rev":"CT8kz40NBv9JvHKzAk1WJ4","_type":"taxonomy"}},{"_createdAt":"2020-03-26T06:11:21Z","_type":"taxonomy","name":"DSM","perKeywordMapping":["Psychiatry","Neurology"],"_id":"pst_taxonomy_58_dsm","_rev":"IakUcQKwj7kr3xQjaaWRSw","_updatedAt":"2024-02-21T20:43:43Z","cmeType":"per","identifier":"topics/dsm","parent":null}],"_updatedAt":"2024-11-23T04:20:31Z","factCheckAuthors":null,"updatedOn":null,"authorMapping":[{"_ref":"pst_author_323120","_type":"reference","_key":"1b7744aba074935715e74a343a4c404e"},{"_ref":"pst_author_323170","_type":"reference","_key":"a4f1e13e083fee228e7cbb71fd3e50cb"}],"internalTag":["DSM-5","Quizzes"],"nodeId":"385186","authors":[{"displayName":"Ihsan Salloum, MD, MPH","url":"ihsan-salloum-md-mph"},{"displayName":"Ingrid Vasiliu-Feltes, MD, MBA","url":"ingrid-vasiliu-feltes-md-mba"}]},{"title":"Mini Quiz: Characterizing Sexual Deviation","url":"mini-quiz-characterizing-sexual-deviation","contentCategory":{"_ref":"9e4880fc-85b8-4ffb-a066-79af8dfaa4e1","_type":"reference"},"_id":"pst_poll_386387","_type":"article","_updatedAt":"2024-11-22T15:28:29Z","seoTag":["Sexual Disorders"],"taxonomyMapping":[{"_id":"pst_taxonomy_369_sexualdisorders","perKeywordMapping":["Psychiatry","Neurology"],"identifier":"topics/sex-sexuality","cmeType":"per","_type":"taxonomy","_rev":"O1wC9GkHdIg9ab2yABu5pL","parent":null,"_createdAt":"2020-03-26T06:11:21Z","name":"Sexual \u0026 Sexuality","_updatedAt":"2024-02-28T20:46:27Z"}],"published":"2017-01-23T21:30:00Z","timeAgo":247082309,"authors":[{"displayName":"Renee Sorrentino, MD","url":"renee-sorrentino-md"}],"updatedOn":null,"internalTag":["Sexual Disorders"],"gptTakeaways":"?","_rev":"CD9JqQ0bQG227zfp2cyfyF","gptSummary":"I'm sorry, but it seems there is no article text provided for me to summarize and extract key takeaways from. 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