PJ - the psychiatric weblog of John T. Tennison, M.D.

“All truth passes through three stages.  First, it is ridiculed.  Second, it is violently opposed.  Third, it is accepted as being self-evident.??Arthur Schopenhauer

The Psychiatric Journal focuses on all topics related to quality of life, including mental health.

Avoiding Misdiagnosis of DSM Disorders -- by John Tennison, MD, February 12, 2015

The Only Viable Way to Operationalize "Serious Difficulty In Controlling Behavior" (SDCB) -- by John Tennison, MD, July 7, 2014

The Meaning of “Likely?According to David Self, M.D. (A Letter to the Editor of the Journal of the American Academy of Psychiatry and the Law from John T. Tennison, MD) -- by John Tennison, MD, July 4, 2014

Did Doodie Do It? -- by John Tennison, MD, Copyright 2013-2014

Valuable Sources Describing Peer-Reviewed and Accepted Methodology for Evaluations Under “Sexually Violent Predator?Statutes -- by John Tennison, MD, July 7, 2012

The "Predatory" Qualifier in Evaluations Under "Sexually Violent Predator" Laws -- by John Tennison, MD, June 26, 2012

IN RE COMMITMENT OF JOHN BERNARD -- an Opinion Delivered on June 14, 2012 by The Court of Appeals, Ninth District of Texas at Beaumont

"Multifaceted Inquiry": Methodology for Evaluation of Individuals for the Statutorily-Described “Behavioral Abnormality?Required by the Texas Statute to be Adjudicated as a “Sexually Violent Predator -- by John Tennison, MD, June 12, 2012

Texas 435th District Court (AKA the "Sexually Violent Predator" Court) Overturned for the Fourth Time for Erroneous Exclusions of Expert Testimony - article by Nancy Flake of the Montgomery County Courier, March 9, 2012

IN RE COMMITMENT OF LESTER WINKLE -- an Opinion Delivered on March 8, 2012 by The Court of Appeals, Ninth District of Texas at Beaumont

Problems with Considering Sexual “Deviance?To Be A "Risk Factor" for Committing Sexually Violent Acts -- by John Tennison, MD, October 12, 2011

Erroneous Exclusion of Admissible Expert Testimony in “Sexually Violent Predator?Trials in Texas -- by John Tennison, MD, October 1, 2011

(Note:  Since the above article was written, the Court of Appeals, 9th District of Texas, overturned a 4th ruling from the 435th Court on March 8, 2012, due to erroneous exclusion of expert testimony by the 435th Court.  See article above by Nancy Flake and the opinion, IN RE COMMITMENT OF LESTER WINKLE.)

Use and Abuse of Risk Factors in Sexually Violent Predator Trials -- by John Tennison, MD, September 18, 2011

Recommended Considerations for Experts Who Conduct Assessments Under the Texas Sexually Violent Predator Law -- by John Tennison, MD, September, 2011

IN RE COMMITMENT OF RAYMOND SCOTT HINKLE -- an Opinion Delivered on June 16, 2011 by the The Court of Appeals, Ninth District of Texas at Beaumont

The Texas Sexually Violent Predator Statute -- by John Tennison, MD, 2009

Why Go Into Psychiatry? -- For anyone considering a career in psychiatry

GAP and the Future of Psychiatry ?by John Tennison, MD, FGAP

CRITICAL ACCLAIM for “GAP and the Future of Psychiatry?  ”I have just read your paper on GAP and I must tell you that in the same way that you say ‘GAP fulfills my dream of what psychiatry should be,?your paper fulfills my dream of how a resident and a newly minted psychiatrist should perform.  Thank you so much for the comprehensive and beautifully written paper which clearly depicts many of the reasons we hang on to GAP and remain committed to it.  After reading it I felt the need to write to you to tell you how appreciative I am.?-- Paul Jay Fink, MD

Newspeak:  Manipulation of Language, Thought, and Behavior by Those in Power -- April 4, 2004

Why NOT Commit Suicide? - "Absurdolytic" Medications and the Wisdom of Albert Camus -- March, 2004

Anticipating Challenges to Prescription Rights - Thoughts on prescribing by psychologists

A Chief Resident's Mission Statement -- Timeless Principles supportive of residents' rights and quality of life -- issued December 4, 2001

A Chief Resident's Election Speech -- More Principles supportive of residents' rights and quality of life -- delivered December 18, 2001

The Development and Resolution of Existential Anxiety ?Published February 22, 2003

Fellowships Available to Psychiatrists and Psychiatry Residents

Good Grief:  Hope and Despair in Effective Psychotherapy -- By David S. Fuller, M.D., UTHSCSA

The Three DSM Feature-Specifiers for Mood Episodes and Disorders

What is "Splitting" and How Does It Occur?

Psychodynamic Theories of the Mind

When Nomenclature is Harmful: Evidence Supporting the Use of the Word, "Addiction" Instead of "Dependence" in the Nomenclature of Substance Use Disorders

Value of Life (VOL):  The Fundamental Construct of Ultimatology

Spirituality and the Brain

A Recommended Backup Call System for Psychiatric Emergency Rooms

Dr. Tennison’s “The Five Ds of Psychiatry:?Danger, Distress, Dysfunction, Deterioration, and Decision-Making

Human Brain Imaging During Musical Activity

Localizing Neurological Lesions

Websites Related to Psychiatry

U.S. Schools that Offer a Masters in Psychology Degree - Compiled by Michelle Parson

Doc Talk Radio Interview on Recreational Drugs with James Ferrell, MD, PhD and John Tennison, MD

The Past, Present, and Future of PDAs

Recommended Articles and Books From Other Sources

    "The DSM's categorical nomenclature is stigmatizing and harmful to patients.  A better approach would be a nomenclature system that explicitly incorporates the continuous and quantifiable nature of all the signs and symptoms that form the basis for the categories (the so-called "disorders") of the Diagnostic and Statistical Manual (DSM)." -- John Tennison, M.D.

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The Perspectives of Psychiatry, 2nd Edition -- by Paul R. McHugh, MD (Chairman of the Department of Psychiatry at Johns Hopkins School of Medicine) and Phillip R. Slavney, MD.  "'The Perspectives of Psychiatry' is among the most important books ever written about psychiatry." -- John Tennison, MD, 1998

The Cult of Personality: How Personality Tests Are Leading Us to Miseducate Our Children, Mismanage Our Companies, and Misunderstand Ourselves by Annie Murphy Paul  "This book shows how psychological testing, like the DSM, over-simplifies the complexity of human beings, and causes people to make assumptions and expedient decisions that sometimes do more damage than good." --John Tennison, M.D.

Rethinking the DSM:  A Psychological Perspective -- edited by Larry E. Beutler & Mary L. Malik  (This is a book that considers possible alternatives to the way the DSM classifies mental illness.  The book jacket notes that this book "reflects the dissatisfaction of a growing number of mental health care professionals who question the lack of strong empirical foundations in the Diagnostic and Statistical Manual of Mental Disorders (DSM) and who are confounded by its patchwork of vaguely defined disorders, each defined by seemingly arbitrary time limits or poorly related symptoms.  Expressing concern about whether the DSM truly provides a method for differentiating normal from pathological, clinicians and therapists alike wonder if the DSM should remain the diagnostic tool of choice")

"Dump the DSM!" -- by Paul Genova, M.D., Psychiatric Times, April 2003, Vol. XX, Issue 4

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