This webinar, presented on 4/25/2012, features Dr. J. David Kinzie of the Torture Treatment Center of Oregon. It is part of the National Capacity Building (NCB) webinar series. NCB is a project of the Center for Victims of Torture.
Description:
The brain is very sensitive to the environment. It responds to both internal and external environment, including trauma. The brain is capable of rapid physiological and affective changes, depending upon the heredity and stress (genes & environment). All of us who treat patients need to know how the brain interacts with our work. This information helps us in understanding how therapy affects the outcome and why medications act differently on various symptoms of PTSD and depression and need to be tailored to each individual. Current information is based on newer study methods including MRI and fMRI, animal studies including “knockout mice”, DNA, micro assays, viral-medicated gene transfer, among others. The presentation provides information to help us understand why some individuals, as compared to others, suffer more severe reactions to trauma. The presentation also helps us understand varying reactions to treatment and the interactive effects of psychiatric medications and psychotherapy. In the future, we should have a better idea of what medicines will work for a particular individual prior to treatment.
Presenter:
Dr. David Kinzie is Professor of Psychiatry, clinician, and researcher at the Oregon Health & Science University, where he founded the Intercultural Psychiatric Program (IPP) in 1977. He currently treats survivors of torture from Bosnia, Somalia, Ethiopia, Vietnam, and Cambodia in the Torture Treatment Center of Oregon, a part of the IPP. Dr. Kinzie is a distinguished fellow in the American College of Psychiatrists and has published widely on the effects of trauma and torture on refugees and immigrants, effective treatment and outcomes.
References/Bibliography for further research:
- J. David Kinzie, M.D., F.A.C. Psych
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- Kolassa IT et al. Association study of trauma load and SLC6A4 promoter polymorphism in posttraumatic stress disorder: evidence from survivors of the Rwandan genocide. J Clin Psychiatry 2010; 71: 543-7. Available for Purchase
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- Lin KM. Cultural and Ethnic Issues in Psychopharmacology. Psychiatric Times 2012; March, 30 – 33. Available for Free
- Norberg MM et al. A meta-analysis of D-cycloserine and the facilitation of fear extinction and exposure therapy. Bio Psychiatry 2008; 63: 1118-26. Available for Free
- Quide Y et al. Differences between effects of psychological versus pharmacological treatments on functional and morphological brain alterations in anxiety disorders and major depressive disorder: a systematic review. Neurosci Biobehav rev 2012; 36: 626-44. Available for Purchase
- Sherin JE, Nemeroff CB. Post-traumatic stress disorder: the neurobiological impact of psychological trauma. Dialogues Clin Neurosci 2011; 13: 263-278. Available for Free
- Xie P et al. Interactive effect of stressful life events and the serotonin transporter 5-HTTLPR genotype on posttraumatic stress disorder diagnosis in 2 independent populations. Arch Gen Psychiatry 2009; 66: 1201-9. Available for Free
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