Ya para terminar esta temporada radial en WKVM, nuestro programa de anoche en Con tu salud en mente abundo sobre el divorcio y el efecto en los niños.
La doctora Dalila Aguilú, pasada presidente de la Asociación de Psiquiatras de niños y adolescentes habló de la magnitud del problema. Hubo 25 mil matrimonios pero 14, 000 divorcios en Puerto Rico el año pasado. Una tercera parte de los casados terminan divorciados tradicionalmente.
Hay unos mitos sobre el divorcio:
1) no hay nada positivo del divorcio
2) los niños no se pueden adaptar a una nueva vida sin uno de los padres
Discutimos el concepto de enajenamiento de uno de los padres en que se utiliza al nino para ganar la partida al conyugue opuesto el el proceso de divorcio. Esto es algo que no se debe hacer en la batalla legal y emocional entre los padres.
Ha habido un cambio en las generaciones. Ahora la psicopatología de los niños es más severa que antes, hay mas agresividad, mas sexualidad, y mas deterioro a largo plazo. Y encima de eso hay una desface entre la frecuencia y la intensidad de los problemas de los niños y los recursos para enfrentarlos.
Los trastornos mentales mas comunes entre los niños son los disruptivos como el deficit de atención, el síndrome oposicional desafiante y el trastorno de conducta. Le siguen a estos los trastornos de ansiedad.
La Dra Aguilu espera que el retomar ASSMCA los servicios de salud mental en los dos programas pilotos sea beneficioso. Pero los servicios privados tienen un rol importante en la sociedad nuestra.
Con tu salud en mente es un programa de radio semanal del Capítulo en Puerto Rico de la Asociación Psiquiatrica Americana.
Tuesday, October 31, 2006
Nos unimos a la APAL
Como presidente del Capitulo de Puerto Rico de la Asociacion Psiquiatrica Americana exorto a nuestros colegas a representar a Puerto Rico en la Asociacion Psiquiatrica de America Latina (APAL) y en la Asociacion Mundial De Psiquiatria.
Un importante pasado presidente de nuestro capitulo de la APA, el Dr. Carlos Caban es fundador y preside ahora la Sociedad Puertorriquena de Psiquiatras. Esta organizacion nueva nos va a representar en APAL. Vean http://www.apal2006.com/
El sitio web donde pueden inscribirse es http://www.sppsiquiatria.com/
Aún estamos a tiempo para incrementar el número de psiquiatras que dicen presente!
Un importante pasado presidente de nuestro capitulo de la APA, el Dr. Carlos Caban es fundador y preside ahora la Sociedad Puertorriquena de Psiquiatras. Esta organizacion nueva nos va a representar en APAL. Vean http://www.apal2006.com/
El sitio web donde pueden inscribirse es http://www.sppsiquiatria.com/
Aún estamos a tiempo para incrementar el número de psiquiatras que dicen presente!
Friday, October 20, 2006
Death penalty in Puerto Rico?........
Dr. Abraham Halpern, reknown forensic expert and a would-be abolitionist of the death penalty was to present
"....a motion ...proposing that The Westchester Psychiatric Society call for the abolition of the death penalty in the United States. ...The only other D.B. that has called for the abolition of the death penalty is the Puerto Rico D.B. The APA LIFERS also voted in favor of such a resolution.
I are ready to support Dr. Halpern, the Lifers and the silent majority of APA psychiatrists.
The future (of lack of a future) for Mr. Ayala Lopez is being decided within days Federal Court in Puerto Rico. He has been found guilty of assassinating a federal security agent in 2003 at the San Juan VAMC where I have worked for the last 25 years. The killing of this officer was a big loss for me and his friends of so many years. But I am still personally against the State (or the Nation) using a Hammurabbi code-like stance to deliver justice.
Here are some of the principles for which death penalty should not be an alternative of justice:
It deprives the person of his right to life
It deprives the person the right to dignity
It deprives the person of the possibility to rehabilitation
It deprives society of the possibility of amending an erroneous guilty verdict
It is psychologically similar to a premeditated assassination
It adds psychopathology and suffering to the aggressor’s family
It adds psychopathology and suffering to the victim’s family
It is not self defense of society but premeditated vengeance
It leads to a prolonged sadistic legal process
Is is anti cultural in Puerto Rico
A 1969 resolution of the Board of Trustees of the APA called for the abolition of the death penalty and declared that the best available scientific and expert opinion holds it to be anachronistic, brutalizing, ineffective and contrary to progress in penology and forensic psychiatry'.
Before his retirement in 1994 Judge Harry A Blakcmun spoke in favor of the abolition of the death penalty in the United States. He said that in practice it is capricious, unjust and filled with errors of fact, legal and moral errors.
Many years ago Professor Louis Jolvon West, MD of the University of California, said that capital punishment is out of fashion, is immoral, cruel, brutalizing, unjust, ineffective, and dangerous and that it obstructs justice.
Observations by psychiatrists demonstrate that the death penalty generates illness on account of prisoner torture, perverts the identity of physician that is converted to torturers. It also promotes more assassinations than those that it prevents.
Nestor J Galarza, President
Puerto Rico Psychiatric society
"....a motion ...proposing that The Westchester Psychiatric Society call for the abolition of the death penalty in the United States. ...The only other D.B. that has called for the abolition of the death penalty is the Puerto Rico D.B. The APA LIFERS also voted in favor of such a resolution.
I are ready to support Dr. Halpern, the Lifers and the silent majority of APA psychiatrists.
The future (of lack of a future) for Mr. Ayala Lopez is being decided within days Federal Court in Puerto Rico. He has been found guilty of assassinating a federal security agent in 2003 at the San Juan VAMC where I have worked for the last 25 years. The killing of this officer was a big loss for me and his friends of so many years. But I am still personally against the State (or the Nation) using a Hammurabbi code-like stance to deliver justice.
Here are some of the principles for which death penalty should not be an alternative of justice:
It deprives the person of his right to life
It deprives the person the right to dignity
It deprives the person of the possibility to rehabilitation
It deprives society of the possibility of amending an erroneous guilty verdict
It is psychologically similar to a premeditated assassination
It adds psychopathology and suffering to the aggressor’s family
It adds psychopathology and suffering to the victim’s family
It is not self defense of society but premeditated vengeance
It leads to a prolonged sadistic legal process
Is is anti cultural in Puerto Rico
A 1969 resolution of the Board of Trustees of the APA called for the abolition of the death penalty and declared that the best available scientific and expert opinion holds it to be anachronistic, brutalizing, ineffective and contrary to progress in penology and forensic psychiatry'.
Before his retirement in 1994 Judge Harry A Blakcmun spoke in favor of the abolition of the death penalty in the United States. He said that in practice it is capricious, unjust and filled with errors of fact, legal and moral errors.
Many years ago Professor Louis Jolvon West, MD of the University of California, said that capital punishment is out of fashion, is immoral, cruel, brutalizing, unjust, ineffective, and dangerous and that it obstructs justice.
Observations by psychiatrists demonstrate that the death penalty generates illness on account of prisoner torture, perverts the identity of physician that is converted to torturers. It also promotes more assassinations than those that it prevents.
Nestor J Galarza, President
Puerto Rico Psychiatric society
Thursday, October 12, 2006
Decima Convención Anual de la Academia de Psiquiatría de Puerto Rico
APA, Seccion Psiquiatria Asociacion Medica, Asociacion Psiquiatras Ninos y Adolescentes
Puerto Rico Academy of Psychiatry
10th Annual Convention
Multiplicity of Psychiatric Tasks
Embassy Suites Hotel, Dorado, Puerto Rico
November 16-19, 2006
Thursday, November 16 1:00 PM Registration
2:00 PM-4:00 PM CPR, Protective Techniques Certifications
5:00 Cocktail
7: 00 Dinner
Friday, November 17
8:30 AM - 9:30 AM Update on Medicare Documentation
Maria M. Sánchez Bonilla, MD Psychiatrist
9:30 AM -11:00 AM Neuroleptics, Antipsychotics, and Psychotropics
Juan J. Fumero Pérez, MD Psychiatrist
Medical Director, Grupo Psiquiátrico CSP
11:00 AM -11:30 AM Coffee Break
11:30 AM - 12:30 AM Neuro-developmental Hypothesis of Schizophrenia
Ricardo M. Vela, MD Psychiatrist
Director of Pediatric Psychopharmacology
Boston Medical Center, Boston, MA
1:00 PM- 2:30 PM Lunch and Tribute to Dr Michael Woodbury
Premio Eugenio Maria de Hostos
2:30 PM - 3:30 PM Present Stage of Electroconvulsive Therapy
Ismael Carlo, MD Psychiatrist
Sugarland, Texas
3:30 PM - 4:30 PM Profile of Suicide Attempters Admitted to an Emergency Unit in Puerto Rico
Dinorah Quiles, MD Claudia López, MD Adalis Millán, MD
Psychiatry Residents
University of Puerto Rico, Medical Sciences Campus
4:30 PM - 6:00 PM PANEL: DELIVERY OF MENTAL HEALTH SERVICES IN P PUERTO RICO
José Galarza Arbona, MD, Administrator, ASSMCA
Ernesto A. Frontera Roura, MD Psychiatrist
Michel Iñesta, MD Psychiatrist
Saturday, November 18
9:00 AM - 10:00 AM Humor in Addictions Therapy
Néstor Galarza Díaz, MD Psychiatrist
VA Medical Center, San Juan, Puerto Rico
10:00 AM - 11:00 AM Medical Practitioners with Disabilities
Rafael Báez, MD Psychiatrist
Ponce, Puerto Rico
11:00 AM - 11:30 AM Coffee break
11:30 AM - 1:00 PM Drugs that Exacerbate or Mimic Psychiatric Disorders
Luís Mejías Rivera, MD Medical Pharmacologist
San Juan Bautista School of Medicine
1:00 PM - 2:30 PM Lunch and Tribute to Dr Rafael Baez DLFAPA
2:00 PM - 3:30 PM Psychiatric organizations; the need for them, and
what can be achieved through them.
Joseph E.V. Rubín, MD Psychiatrist
Medical Director, The Cedars Skills Nursing Care Center
Portland, ME
3:30 PM - 4:00 PM Coffee Break
4:00 PM - 6:00 PM Academy Assembly and election of new Board Members
6:00 PM Cocktail
7:00 PM Dinner/Show Cesar Concepcion Orchestra
Sunday, November 189:00 AM -11:00 AM Hypnosis in Modern Psychiatry; Current Applications
Rafael García-Barcena, MD Psychiatrist
11:00 AM Cocktail, Lunch
Puerto Rico Academy of Psychiatry
10th Annual Convention
Multiplicity of Psychiatric Tasks
Embassy Suites Hotel, Dorado, Puerto Rico
November 16-19, 2006
Thursday, November 16 1:00 PM Registration
2:00 PM-4:00 PM CPR, Protective Techniques Certifications
5:00 Cocktail
7: 00 Dinner
Friday, November 17
8:30 AM - 9:30 AM Update on Medicare Documentation
Maria M. Sánchez Bonilla, MD Psychiatrist
9:30 AM -11:00 AM Neuroleptics, Antipsychotics, and Psychotropics
Juan J. Fumero Pérez, MD Psychiatrist
Medical Director, Grupo Psiquiátrico CSP
11:00 AM -11:30 AM Coffee Break
11:30 AM - 12:30 AM Neuro-developmental Hypothesis of Schizophrenia
Ricardo M. Vela, MD Psychiatrist
Director of Pediatric Psychopharmacology
Boston Medical Center, Boston, MA
1:00 PM- 2:30 PM Lunch and Tribute to Dr Michael Woodbury
Premio Eugenio Maria de Hostos
2:30 PM - 3:30 PM Present Stage of Electroconvulsive Therapy
Ismael Carlo, MD Psychiatrist
Sugarland, Texas
3:30 PM - 4:30 PM Profile of Suicide Attempters Admitted to an Emergency Unit in Puerto Rico
Dinorah Quiles, MD Claudia López, MD Adalis Millán, MD
Psychiatry Residents
University of Puerto Rico, Medical Sciences Campus
4:30 PM - 6:00 PM PANEL: DELIVERY OF MENTAL HEALTH SERVICES IN P PUERTO RICO
José Galarza Arbona, MD, Administrator, ASSMCA
Ernesto A. Frontera Roura, MD Psychiatrist
Michel Iñesta, MD Psychiatrist
Saturday, November 18
9:00 AM - 10:00 AM Humor in Addictions Therapy
Néstor Galarza Díaz, MD Psychiatrist
VA Medical Center, San Juan, Puerto Rico
10:00 AM - 11:00 AM Medical Practitioners with Disabilities
Rafael Báez, MD Psychiatrist
Ponce, Puerto Rico
11:00 AM - 11:30 AM Coffee break
11:30 AM - 1:00 PM Drugs that Exacerbate or Mimic Psychiatric Disorders
Luís Mejías Rivera, MD Medical Pharmacologist
San Juan Bautista School of Medicine
1:00 PM - 2:30 PM Lunch and Tribute to Dr Rafael Baez DLFAPA
2:00 PM - 3:30 PM Psychiatric organizations; the need for them, and
what can be achieved through them.
Joseph E.V. Rubín, MD Psychiatrist
Medical Director, The Cedars Skills Nursing Care Center
Portland, ME
3:30 PM - 4:00 PM Coffee Break
4:00 PM - 6:00 PM Academy Assembly and election of new Board Members
6:00 PM Cocktail
7:00 PM Dinner/Show Cesar Concepcion Orchestra
Sunday, November 189:00 AM -11:00 AM Hypnosis in Modern Psychiatry; Current Applications
Rafael García-Barcena, MD Psychiatrist
11:00 AM Cocktail, Lunch
Wednesday, October 11, 2006
la APA de Puerto Rico y el mes de la salud mental
El Capitulo en Puerto Rico de la
ASOCIACION PSIQUIATRICA AMERICANA
http://www.puertoricopsychiatricsociety.org
esta
Celebrando octubre, el mes de la salud mental de varias maneras
aportando enmiendas a la Ley 408 de Salud Mental de Puerto Rico
manteniendo el programa Con tu salud en mente los lunes en WKVM a las 7 y 30 PM
colaborando con otras organizaciones de psiquiatras
colaborando con NAMI en actividades de educacion a los pacientes y publico general
manteniendo varias paginas web, incluyendo este blog, en la internet
Invitacion
Yo recomendé que la Academia de Psiquiatría. que consta de la APA de PR, la Sección de Psiquiatría de la Asociacion Medica de PR, y la Asociación de Psiquiatras de Niños y Adolescentes utilicen la fecha y el tiempo que le asigne el Senado de Puerto Rico a la APA para presentar nuestra posición respecto de las enmiendas a la ley 408 del 2000, Ley de Salud mental de PR durante las vistas publicas, las cuales deben comenzar pronto.
Esta recomendacion se discutió el martes 10 de octubre en la reunión de la Academia de Psiquiatría y se vio como un esfuerzo positivo por hablar con una sola voz.
El Capitulo de Psiquiatría del Colegio de Médicos y Cirujanos puede presentar su ponencia con nosotros o separadamente con el Colegio de Médicos Cirujanos. El Dr. Edgardo Prieto y el Dr. Héctor Rivera decidirán con sus directivas como hacerlo. Hemos colaborado todos en este empeño, especialmente Héctor que ha estado trabajando duro como Enrique. El Dr. Fernando Cabrera, senior ha sido tremendo consultor en el aspecto de confidencialidad.
Con esta invitacion por correo electronico enviè la versión cumulativa del borrador según el Dr. Enrique Rivera Mass la recogió en su esfuerzo dedicado y minucioso sobre el cúmulo de enmiendas propuestas. Al capitulo de Puerto Rico de la Asocicaion Psiquitrica American le ha interesado sobremanera dos aspectos:
1) que se incluyan a las personas con trastornos adictivos a la definición y a los derechos de personas con trastornos mentales y
2) aspectos de la confidencialidad del expediente medico.
Nestor J Galarza
Presidente APA en Puerto Rico
Esta recomendacion se discutió el martes 10 de octubre en la reunión de la Academia de Psiquiatría y se vio como un esfuerzo positivo por hablar con una sola voz.
El Capitulo de Psiquiatría del Colegio de Médicos y Cirujanos puede presentar su ponencia con nosotros o separadamente con el Colegio de Médicos Cirujanos. El Dr. Edgardo Prieto y el Dr. Héctor Rivera decidirán con sus directivas como hacerlo. Hemos colaborado todos en este empeño, especialmente Héctor que ha estado trabajando duro como Enrique. El Dr. Fernando Cabrera, senior ha sido tremendo consultor en el aspecto de confidencialidad.
Con esta invitacion por correo electronico enviè la versión cumulativa del borrador según el Dr. Enrique Rivera Mass la recogió en su esfuerzo dedicado y minucioso sobre el cúmulo de enmiendas propuestas. Al capitulo de Puerto Rico de la Asocicaion Psiquitrica American le ha interesado sobremanera dos aspectos:
1) que se incluyan a las personas con trastornos adictivos a la definición y a los derechos de personas con trastornos mentales y
2) aspectos de la confidencialidad del expediente medico.
Nestor J Galarza
Presidente APA en Puerto Rico
Tuesday, October 10, 2006
Codigo de etica de comunicadores
Hoy en la madrugada estuve repasando el codigo que deben seguir los comunicadores medicos y me parece que estamos muy cerca de seguirlos nosotros, cuando le hablamos al publico con compasion y con hechos reales del diario vivir en nuestra isla.
El siguiente es el codigo de etica de la Asociacion de Comunicadores medicos
(National Association of Medical Communicators)
NAMC Code of Ethics
Members of the National Association of Medical Communicators endorse a standard of professionalism exemplified by the best practices of Medicine and Journalism. As communicators, we acknowledge our responsibility in practicing our profession to its highest standards. Medical information is the foundation for public health, and through our efforts we endeavor to enhance the well-being of our audiences.
I. ACCURACY: We believe our highest responsibility is to provide clear, current, and accurate health information.
a.We will always provide complete, truthful, and well-substantiated information.
b.We will clearly define and communicate areas of doubt or controversy.
c.We will fairly represent conflicting points of view.
d.We will label editorial comments and personal opinion as such.
e.We will disclose, where appropriate, our sources of information.
II. CONTENT: We will responsibly gather and communicate information that best serves the needs of the public.
a.We will strive to select content based on its positive health benefit.
b.We will endeavor to avoid content based on its sensational appeal.
c.We will strive to include the cost and quality of care in order to ensure comprehensiveness.
III. INDEPENDENCE: In pursuit of accuracy and truth, we recognize the need to function in a independent and credible manner.
a.We believe in freedom of the press and the public's right to know.
b.We will avoid participating in organizations that would compromise our personal and professional integrity.
c.We will not accept gifts or special privileges that would compromise our independence or integrity.
d.We will disclose any and all financial arrangements that might be viewed as affecting our independence or integrity.
IV. PERSONAL RIGHTS: We support the inalienable rights of people in a free society.
a.We acknowledge the right of each individual to privacy, dignity, and confidentiality.
b.We acknowledge the rights of people to question and challenge actions and ideas of other individuals and organizations.
c.We acknowledge our special responsibility to protect individuals from any behavior or practice that might be viewed as exploitative.
d.We acknowledge the right of our audiences to have an interaction that is respectful, courteous, and consistent with the ideals of medicine and journalism.
V. PROFESSIONALISM: We believe in a sound public health policy for all people with full individual autonomy.
a.We believe that medical information based on sound knowledge and supporting healthful behaviors is helpful and appropriate.
b.We believe that health care providers have special relationships with their patients, and we will not substitute our medical information for proper diagnosis and treatment.
c.We believe it is essential to portray the risks and benefits of any behavior, regimen, or treatment.
d.We believe it is important to delineate the possible outcomes to different approaches to care, including the repercussions of the absence of care.
El siguiente es el codigo de etica de la Asociacion de Comunicadores medicos
(National Association of Medical Communicators)
NAMC Code of Ethics
Members of the National Association of Medical Communicators endorse a standard of professionalism exemplified by the best practices of Medicine and Journalism. As communicators, we acknowledge our responsibility in practicing our profession to its highest standards. Medical information is the foundation for public health, and through our efforts we endeavor to enhance the well-being of our audiences.
I. ACCURACY: We believe our highest responsibility is to provide clear, current, and accurate health information.
a.We will always provide complete, truthful, and well-substantiated information.
b.We will clearly define and communicate areas of doubt or controversy.
c.We will fairly represent conflicting points of view.
d.We will label editorial comments and personal opinion as such.
e.We will disclose, where appropriate, our sources of information.
II. CONTENT: We will responsibly gather and communicate information that best serves the needs of the public.
a.We will strive to select content based on its positive health benefit.
b.We will endeavor to avoid content based on its sensational appeal.
c.We will strive to include the cost and quality of care in order to ensure comprehensiveness.
III. INDEPENDENCE: In pursuit of accuracy and truth, we recognize the need to function in a independent and credible manner.
a.We believe in freedom of the press and the public's right to know.
b.We will avoid participating in organizations that would compromise our personal and professional integrity.
c.We will not accept gifts or special privileges that would compromise our independence or integrity.
d.We will disclose any and all financial arrangements that might be viewed as affecting our independence or integrity.
IV. PERSONAL RIGHTS: We support the inalienable rights of people in a free society.
a.We acknowledge the right of each individual to privacy, dignity, and confidentiality.
b.We acknowledge the rights of people to question and challenge actions and ideas of other individuals and organizations.
c.We acknowledge our special responsibility to protect individuals from any behavior or practice that might be viewed as exploitative.
d.We acknowledge the right of our audiences to have an interaction that is respectful, courteous, and consistent with the ideals of medicine and journalism.
V. PROFESSIONALISM: We believe in a sound public health policy for all people with full individual autonomy.
a.We believe that medical information based on sound knowledge and supporting healthful behaviors is helpful and appropriate.
b.We believe that health care providers have special relationships with their patients, and we will not substitute our medical information for proper diagnosis and treatment.
c.We believe it is essential to portray the risks and benefits of any behavior, regimen, or treatment.
d.We believe it is important to delineate the possible outcomes to different approaches to care, including the repercussions of the absence of care.
Monday, October 09, 2006
Enmiendas al Reglamento y nuevos miembros
Pronto los miembros de la APA en Puerto Rico recibiran una carta para que ejerzan su derecho a votar sobre varios enmiendas al Reglamento de nuestra organizacion. Recibiran una carta explicativa en donde pueden votar a favor o en contra de las enmiendas propuestas.
Esta es una oportunidad de ejercer influencia sobre la organizacion misma.
Les quiero decir que siquen llegando nuevos miembros.
Hemos perdido recientemente al Dr. Fali de Guzman y entiendo que al Dr. Juan Gonzalez tambien. Ambos estaban retirados de la practica de la psiquiatria hacia mucho tiempo.
Estamos esperando la decision de la APA nacional sobre detalles de nuestra cuota anual.
Que descansen en paz.
Por otro lado estamos interesados en saber sobre el Dr. Fabre y su estado de salud.
Recuerden que pueden escribir electronicamente a
psych@puertoricopsychiatricsociety.org
psych@Puerto Rico Psychiatric Society.org
Esta es una oportunidad de ejercer influencia sobre la organizacion misma.
Les quiero decir que siquen llegando nuevos miembros.
Hemos perdido recientemente al Dr. Fali de Guzman y entiendo que al Dr. Juan Gonzalez tambien. Ambos estaban retirados de la practica de la psiquiatria hacia mucho tiempo.
Estamos esperando la decision de la APA nacional sobre detalles de nuestra cuota anual.
Que descansen en paz.
Por otro lado estamos interesados en saber sobre el Dr. Fabre y su estado de salud.
Recuerden que pueden escribir electronicamente a
psych@puertoricopsychiatricsociety.org
psych@Puerto Rico Psychiatric Society.org
Subscribe to:
Posts (Atom)