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The aim of this article is to emphasize that starvation is an important potential consequence of psychosis and to provide recommendations for management of this condition. A review of the literature on food refusal and starvation in patients with psychotic illnesses was performed. Our search strategy returned 54 articles with one article meeting inclusion criteria. Additional independent research returned an additional four cases of patients with psychosis engaging in self-starvation. The cases of several patients from our institution who engaged in self-starvation behaviors as a result of psychosis are also presented. The management and outcomes of each of these 10 patients are discussed. Starvation secondary to psychosis is an important but underappreciated consequence of psychosis that can lead to serious adverse outcomes in these patients. Few cases have been reported in the literature. More study is warranted to develop evidence-based management guidelines. [ABSTRACT FROM AUTHOR]

There is little information on the secondary prevention of human trafficking and how medical professionals can screen for victims. There is a paucity of validated screening tools for use in clinical settings to identify adult trafficked patients, although one for use in pediatric populations exists. Many victims withhold information about their trafficked status. Because traffickers may mark victims, identification of tattoos provides a useful method for screening patients, which complements history taking, especially when victims are unable to disclose that information. We searched existing medical literature, PsycINFO, PubMed, Google, and JSTOR using keywords "human," "trafficking," and "tattoos." Because there is scant literature on this topic, we also searched the gray literature that enabled preliminary identification of several themes used in trafficking tattoos. We also discussed tattoo placement and quality. Tattoo recognition is a critical factor in identifying victims and setting them on a pathway to freedom and recovery. [ABSTRACT FROM AUTHOR]

The article examines whether placebo-controlled randomized clinical trials of antidepressant medications with pregnant participants are ethically justified. It asserts that well-conducted and ethically justified trials of antidepressants should improve the quality of care provided to depressed pregnant women and address a major public health problem.

Determines the prevalence of sexual contact between physicians and patients based on a national survey. Analysis of the prevalence of sexual contact across specialty fields and gender; Physician demographics.

Offers results of a self-report survey to determine the attitudes of physicians toward social and sexual contact with patients. Study methods; Demographic characteristics of respondents; Results; Discussion of how data should be viewed in light of several limitations; References.

Objective: The goals of this article are to present a framework, based on John Gregory's (1724-1773) concept of professionalism, for advising beginning medical students about what is important to training and to the practice of medicine., Method: The author presents Gregory's concept of professionalism with an emphasis on the related virtues. Members of the editorial board of Academic Psychiatry were also surveyed for their advice for beginning students., Results: There are four fundamental virtues that originated from Gregory's concept of professionalism: integrity, compassion, self-effacement, and self-sacrifice. Medical students should actively cultivate these virtues to promote excellence in every clinical encounter., Conclusion: These four fundamental virtues together obligate medical students to learn and practice in accordance with the principles of evidence-based medicine and to protect and promote the interests of patients.