Friday Factoids Catch-Up: The Cursed Dissertation Defense

 

 

I recently traveled back to California in order to complete my final dissertation defense. I decided that I would fly to California a day early so that I did not have to feel rushed. I was already nervous enough without having to worry about more travel logistics. I boarded my flight in Nashville on schedule and was on my way, or so I thought. One passenger started getting up and down using the bathroom. This isn’t necessarily unique, but after the fourth time myself and the passenger sitting next to me were curious. The flight attendants were opening and closing the lavatory door checking on the ill passenger. The Captain then announces that we will be making an emergency landing. The ill passenger apparently had some form of gastrointestinal illness and Norovirus was suspected. We landed in Kansas City to switch planes. I have never been in the Kansas City airport before but I can only describe it as a bunker. If there were a nuclear event while I was in Kansas City I knew I would survive.

 

Our new plane arrived, there were no nuclear events and we were underway again. As we were taking off another passenger started grabbing her chest and left arm. She was yelling at the flight attendant that she was “dying.” As a soon to be psychologist, I am usually very sympathetic to a person who is panicking but NOT today. Over the years in my previous work as a respiratory therapist I have seen many people actively having heart attacks. While you cannot necessarily tell if someone is actively having a heart attack without a proper evaluation, I was pretty convinced this lady was having a panic attack. The flight attendants were able to calm her for a bit and her distress decreased. As the flight proceeded she again started complaining of chest pain so we made emergency landing number two. Thankfully an ambulance was waiting on the runway and we were quickly up in the air again.

 

Several hours delayed, I arrived in Los Angeles at around 1 am and boarded my shuttle to the rental cars. Apparently circadian rhythm disorders are frequent in Los Angeles because the airport traffic was gridlocked. I doubled checked the time and wondered where all these people were going. A part of why I left Southern California was already quite evident. I did eventually make it to the rental car counter where I met the most dedicated rental car employee. Ever. She raised her voice when I declined the extra insurance, she told me (of course) about the “special” that would allow me to upgrade the car I was renting. I am normally quite patient but I stopped her and said, “I just want the car, nothing else.” She then proceeded to give me a lecture about how I had an out of state driver’s licence and needed the extra insurance and some other plan in case I got a flat tire. My response, “The car please.”

 

I traveled from Los Angeles to my room in Orange County near Disneyland. I was relieved to finally be at my destination and sorely in need of sleep. I checked in and the key to my room didn’t work. I returned to the desk, and the desk person tried to open the door and no luck. At this point I really would have slept in my hard won rental car. The front desk person informed me that there was only one room left, on the third floor, no elevator. I shrugged because after coming across the county three flights of stairs seemed a small obstacle. I quickly found out that there was a very good reason my first room was booked on the first floor. I managed to drag my suitcase up one flight of stairs and then proceeded to ask the front desk person to help me. I have some physical issues that limit my ability to gracefully carry a suitcase full of books up three flights of stairs. Finally, I was able to enter this room and collapse on the bed. It was around 4:30 am.

 

I spent the next day mostly sleeping. I was able to prepare a bit more that evening and I felt ready to make my final defense in the morning. I slept well and was going to leave an hour and a half early, again so that I didn’t have to feel pressured. I came out to the parking lot and did not see my rental car in the spot I was quite sure I parked it. I knew I had gotten in late and was generally disoriented after my flight so I proceeded to check the whole parking lot and no car. I started laughing like this situation was the most hilarious thing to ever happen. I’m not all together sure that it was a “good” laugh. One could argue that I had become out of touch with reality. I go into the hotel lobby and explain to the desk staff what is going on. I hear “Oh that was your car? The towing company accidentally towed it.” I took a deep breath in because we all need to breathe and count to ten sometimes. I explained that I was going to defend my dissertation and I needed to go now. The desk staff seemed to be able to read the angry, nervous state I was in. They called a cab for me and even had him wait for me. Good thing I started out early.

 

I made it to the classroom I was assigned to and began to attempt to set up my PowerPoint presentation. I had expected technical difficulties and that was why I allowed myself extra time but that time was cut in half by my missing car. I.T. was called because apparently I am putting off some form of energy into the universe that is not compatible with planes, cars, or computers. It is never good when I.T. says “wow, I’ve never seen this before,” when you are attempting to load your defense presentation. Thankfully my chair came into the room and was able to fix what was going wrong with the technology. I then successfully defended my dissertation. Now nothing else mattered, and my attitude about the travel glitches was cured by the statement: “My dissertation is defended.”

 

Little did I know that in my absence there was a plumbing problem that basically destroyed the kitchen and downstairs area of my house. My husband had wisely waited until after my dissertation was defended to tell me that we had no kitchen, laundry, downstairs bathroom. Nothing. He sent pictures and all I could say was, “My dissertation is defended.” I almost didn’t care that my house was in a state of demolition. I felt great! My car was returned and I was ready to go home (or whatever was left of home) victorious. I boarded my flight and we had a scheduled lay over in Kansas City, a.k.a the bunker port. All seemed to be going well, which at this point in the trip was a bit strange. It very well could have been that pandemonium was breaking out and I was just repeating, “My dissertation is done.”

 

I arrived at Nashville airport to be greeted by my family with flowers and balloons. I went to get my luggage while struggling to keep my very active 10 year old son from creating a public disturbance by riding on the luggage carousel. I was informed that the suitcases are “just like a horse,” meaning there is no good reason why one cannot ride on a suitcase spinning on the baggage carousel. I almost joined in until a security officer walked our way. I didn’t think he would buy my answer of “my dissertations done” as explanation for riding the baggage carousel. Well, as fun as the baggage claims area of the airport had become there was something crucial missing: my suitcases. Yep. Nothing like ending a trip with lost baggage, but you guessed it, I answered with, “My dissertation’s done!”

 

I was receiving supportive texts from my colleagues at WKPIC. Many times supporting one another involves continuing to point out the humor in almost any situation. I am now infamous among my colleagues for plane crashes (yep- see my interview story), emergency landings and other travel mishaps.

 

Rain Smith, MS
WKPIC Doctoral Intern

 

(Director’s Note: We offer these stories so interns will know they are not alone. Cursed times appear to include internship interviews, Match Day, Dissertation Defense, and Licensing Exams/Orals. YOU ARE NOT ALONE.)

 

Friday Factoids Catch-Up: You Aren’t “One of Them”: Stories and Themes of People Who Felt Treatment Wasn’t Effective

Mental health treatment “failure” is a subject, which is overlooked by many. I have been approached by acquaintances who have asked some interesting, and at times difficult questions about mental health treatment. I listened to some of their stories, views, and opinions regarding their treatment experiences. They consider me a friend or family member more than a psychologist, so I feel that some of this more candid insight could be helpful.

 

The statement “you aren’t one of them,” meaning that I am not like the mental health providers with whom the person had interacted, has been said to me frequently at the beginning of one of these discussions.  My first thought was that I am not a treating psychologist during these conversations, so I am glad I am not “one of them” to my family and friends. However, there were other considerations when I thought about the “not one of them” statement. I began asking more questions about what “one of them” meant. Mental health treatment providers were then described to me in an adversarial manner. The individuals sharing their stories were essentially impoverished and residing in rural and critically underserved areas of the U.S. In the view of these service-seekers, clinicians were seen as “rich people” who could never understand what life was like for people who had fewer resources. Treatment providers were identified as holding such a high position that they had the ability to “remove all the rights a person has.”

 

Most of these folks, understandably, did not seek treatment until they were in a state of utter despair. They discussed feeling judged by the clinicians they saw. While my own experience is that treatment providers are non-judgmental, it was concerning that the perception of many of the people in most need, those seeking treatment in crisis in areas where services are marginally available, was the opposite. Many disclosed that they were not truthful with clinicians because they feared what the clinicians’ responses might be. Often times, people seeking psychotropic medications indicated that waiting lists were unbearably long, which in turn contributed to their perceptions that providers did not understand the suffering they experienced. Much of their perception of the mental health service system as adversarial seemed to be rooted in misunderstandings and miscommunication. Mental health treatment for those I spoke with was relegated for those who “hear and see things.”

 

As a clinician I feel there is sometimes a lack of time to develop a deep understanding of the patient for whom you want to provide care. It may be that in the precious time we have with a patient, our mannerisms, clothing, or signs of status like jewelry communicate the divide–immediately, at first sight. The person presenting for treatment in some areas of the country has been suffering for a long time, possibly left on a waiting list, and then they must face a person they think cannot relate to their suffering (or any suffering). While this may or may not be true, it is an important variable in how supported some rural, low-income service-seekers feel.  Those sharing their stories had a lack of education about many facets of mental health treatment, and more importantly, they were afraid to ask questions.

 

In my opinion, treatment providers could do more to be attuned to the challenges their patients face, and we could listen more closely to those who are telling us we failed to help them.

 

Rain Smith, MS
WKPIC Doctoral Intern

Friday Factoids: Mental Health Benefits to Pokémon GO

The new social craze is the phone app Pokémon GO. This game lets players travel between the real world and the virtual world by using real locations to search for Pokémon to catch. Players step outside their homes to find interesting places such as historical landmarks, monuments, and public art installations. Users have been flocking to social media to share how playing this game has improved their mental health. This game has the added benefit to help a person not even think of it as helping their mood because it’s not targeted towards improving mental health. It’s simply a game.

 

When you get an egg in the game, usually at a Pokéstop, you can place it in an incubator to wait for it to hatch. But the time it takes to hatch is up to you. The first eggs you get require you to walk 2 km or 5 km for incubation to complete. For many players, partaking in this game involves a lot of walking, running, and cycling. This helps to elevate mood, boost coordination and balance, maintain a healthy body weight and even strengthen bones. What’s more, walking through scenic natural areas can provide further mental health benefits. Research from a Stanford University graduate found that walking through green areas actually had a significant effect on positivity.

 

There are stories on social media about Pokémon GO’s impact on players’ anxiety and depression. People have praised the game for getting them outside of the house and making it easier to interact with friends and strangers. The challenge with depression is having low motivation or energy to get up and stay active. Similarly, if a person is anxious they may be less likely to interact with other people in social situations. If a person struggling with mental illness is not accessing outpatient treatment then this game can have positive effects by adding exercise to their daily routine. Be careful not to mistake this information and believe that substituting Pokémon GO as an opportunity to treat a mood disorder solely with a game. If some day the game does not load, that can be a devastating setback for someone who does not have additional coping skills established to help them. Similarly, someone who already feels isolated won’t receive help because the game does not extend to some remote regions across the country. Pokémon GO could be used as an adjunct to psychotherapy and medications, but it should not be the sole treatment.

 

The game can be educational as well. Many videogame players tend to stay indoors and may be relatively unaware of significant locations in their local communities. Additionally, conventional online multiplayer games are still limited to purely digital interactions. Many of the Pokéstops that players visit are landmarks and historical markers. While players are out catching Pokémon there could be at least twenty other people in the same location. Many players report that while hunting for Pokémon they regularly notice, interact and make friends with others out playing the game. Pokémon GO gives gamers a great incentive to socialize and meet others who would usually recluse while playing video games. Again, most individuals believed that technology is driving people apart and making our society more anti-social. Pokémon GO brings people together and provides a break in the day from work or studying. It’s preventing some people from becoming bored and improving social connections.

 

This app demonstrated the unintentional benefits of gaming and produced a game that encourages healthy exercise. There are hundreds of app developers that have tried to develop mood-altering apps by encouraging people to track their mood or providing them with encouraging affirmations. Unfortunately, these apps rarely catch on, and few people continue using them past the first week, Research has long shown the benefits of simple exercise and socializing on improving mood. The developers behind Pokémon GO didn’t mean to create a mental health gaming app. The effects seem to be largely positive.

 

References:
Grohol, J. (2016, July 11). Pokémon GO Reportedly Helping People’s Mental Health, Depression. Psych Central. Retrieved from: http://psychcentral.com/blog/archives/2016/07/11/pokemon-go-reportedly-helping-peoples-mental-health-depression/

 

Saifi, R. (2016, July 26). Pokémon GO’s Mental Health Benefits Are Real. The Huffington Post. Retreived from: http://www.huffingtonpost.com/rahis-saifi/pokemon-gos-mental-health_b_11204184.html

 

Jonathan Torres, M.S.
WKPIC Doctoral Intern

 

 

Friday Factoids: Are Schizophrenia and Dementia Related?

Individuals who have schizophrenia are known to be at a higher risk of developing diabetes, cardiovascular disease, obesity and hyperlipidemias, all of which are concomitant with an increased risk for dementia. Therefore, the question of whether or not schizophrenia and dementia are related has long been hypothesized.  Throughout the years, numerous studies have been conducted hoping to finally provide an answer. Alas, they have all been inconclusive; that is, until now.

 

In a recent study, Dr. Anette Ribe and a host of others collected data from over 2.8 million Danes obtained thru national health registries in Denmark. The study spanned the years 1995-2013 (18 years). The data collected was for individuals who were age 50 or who turned 50 during the eighteen years being reviewed. More than 136,000 of those people acquired a progressive form of dementia during that time. Additionally, more than 20,600 of the individuals being followed were already diagnosed with schizophrenia or developed it during the 18 years being studied.

 

When the group began to compile the data, they found that before age 65 the risk of developing dementia was .6% for people without schizophrenia but 1.8% for those with it. Out of the 2.8 million studied, 944 individuals were diagnosed with schizophrenia. Of those 944 individuals, 211 of them were diagnosed with dementia before age 65. That’s a whopping 22.4%! However, once reaching age 80, the correlation is less impressive. It is still pertinent, though, with 5.8% chance for those without schizophrenia developing dementia and 7.4% for those with it.

 

Comparing the above data with currently known statistics better helped support the hypothesis that dementia and schizophrenia are related. The study found that 22.4% of those with schizophrenia would also be diagnosed with dementia before age 65 versus the current national average for those without schizophrenia developing dementia, which is 6.3%. That’s an increase of 16.1%. Currently, scientists have not been able to identify the reason for this increase but have begun research in hopes of finding an answer.

 

Work Cited
Ribe, A. R., Laursen, T. M., Charles, M., Katon, W., Fenger-Gron, M., Davydow, D.,       Vestergaard, M. (2015). JAMA Psychiatry. JAMA Psychiatry, 72(11), 1095-1101.     Retrieved March 7, 2016, from http://archpsyc.jamanetwork.com

 

Rubin, E. (2016, March 7). The Relationship between Schizophrenia and Dementia. Retrieved March 07, 2016, from https://www.psychologytoday.com/blog/demystifying-psychiatry/201603/the-relationship-between-schizophrenia-and-dementia

 

Crystal Bray,
WKPIC Doctoral Intern

 

Friday Factoids: Alien Hand Syndrome

 

Though it may sound like the title to a straight-to-DVD sci-fi movie, Alien Hand Syndrome (AHS), sometimes referred to as Alien Limb Syndrome, is a true disorder that it quite horrific and troublesome to those who suffer with it. This rare disorder is neurological in origin. The “alien” hand functions involuntarily without the owner’s awareness of its actions. Some of the lesser symptoms associated with AHS are involuntary grasping, pulling at clothing, and reaching or touching ones face.  Some of the more serious symptoms are self-inflicted choking or pinching, inhibiting the “normal” hand from implementing tasks, and involuntarily forcing food into the owner’s mouth.

 

AHS was first documented in 1908 by Neuropsychiatrist, Kurt Goldstein. It is theorized by some that the cause of AHS is traumatic brain injury or lesions to the thalamus, supplementary motor cortex, posterior parietal cortex, anterior cingulate, anterior prefrontal cortex, or the corpus callosum. Several more believe they have linked AHS to a disconnect between differing sections of the brain that are responsible for conscious body movements. Others, however, hypothesize that the release of the primary motor cortex from conscious control is behind the unwanted or unplanned movements. Nonetheless, the exact cause of the neural contrivances has not been definitively identified.

 

MP900385807There are “subtypes” of AHS which are linked to injuries/lesions in specific regions of the brain. The subtypes are callosal variant, frontal variant, and posterior variant. The callosal variant is usually associated with agonistic dyspraxia and diagnostic dyspraxia.  Agnostic dyspraxia is the involuntary movements of the alien hand (AH) when commands of movement are given and made by the unafflicted hand (UH).  An example would be a patient being told to touch their nose with their UH and their AH would involuntarily follow the action as well. Diagnostic dyspraxia is the interference by the AH in the actions of the UH. Good example of this action would be a patient trying to stir a pot and the AH trying to put a lid on the pot at the same time.

 

The frontal variant subtype is almost always associated with injury/damage to the frontal lobe. The actions of the AH with this subtype are involuntary grasping, reaching, and other purposeful movements. Often times, these movements can also be exploratory as the AH seeks an external object to grasp.  Once an object has been grasped, it is extremely difficult for the patient to voluntarily release the item. They may have to resort to prying or peeling their fingers away from the item. These grasping actions can and do take place without the patient even noticing that it is occurring. Many who suffer from this subtype choose to bind or restrict the movements of the AH.

 

The posterior variant subtype is most usually associated with injury/damage to the occipital lobe and/or the posterolateral parietal lobe. The actions of the AH of this type are quite different from the frontal variant form. These movements tend to be more like pulling away or withdrawing the palm of the hand from contact to any surface. Any contact to that palm is undesirable. The AH will generate movements and actions to prevent or eliminate the contact all together.

 

Presently, the exact cause(s) of AHS is unknown. Thus, a cure for the syndrome has not been developed. Continued research to identify the correct theory/theories or exact cause as well as a functional treatment are needed.

 

Work Cited

Alien hand syndrome. (n.d.). Retrieved June 13, 2016, from            http://www.medicinenet.com/script/main/art.asp?articlekey=12655

 

Harris, S. V. (n.d.). Alien Hand Syndrome sees woman attacked by her own hand. Retrieved       June 13, 2016, from http://www.bbc.com/news/uk-12225163

 

Mark, V. W. (n.d.). Alien Hand Syndrome. 5th Annual International Conference on Education    & E-Learning (EeL 2015). doi:10.5176/2251-1814_eel15.8

 

Crystal Bray
WKPIC Doctoral Intern