Martin Furman - Academia.edu (original) (raw)
Papers by Martin Furman
Journal of Neuropsychiatry and Clinical Neurosciences, Aug 1, 2003
Radcliffe on Epilepsy, 4 c. 333 are confessedly among the most pleasant and cheerful of the insti... more Radcliffe on Epilepsy, 4 c. 333 are confessedly among the most pleasant and cheerful of the institution. Strange as it may seem, there still lingers in the public mind an impression that there is attached to this, as well as to all other lunatic hospita , a class of rooms for violent patients, akin to the old-fashioned dungeon in their construction and arrangements. We learn this from the extraordinary inquiries occasionally made of us. These apartments are a conclusive answer. The comfort and enjoyment afforded by them, the respect paid to the pictures, &c., by which they are ornamented, with the general effect that the whole arrangements produce in the minds of all the patients, especially of the convalescent, are a satisfactory comment upon the wisdom and liberality of their construction." M.
Journal of Cognitive Psychotherapy, 2020
The aim of this study was to adapt Acceptance and Commitment Therapy for Inpatients (ACT-IN) for ... more The aim of this study was to adapt Acceptance and Commitment Therapy for Inpatients (ACT-IN) for implementation in a typical hospital setting to prepare for a larger clinical trial. The sample consisted of 26 inpatients diagnosed with psychotic-spectrum disorders. Using an open trial design, patients received individual and group ACT-IN sessions during their stay. We assessed the feasibility/acceptability of ACT-IN and preliminary changes on patient outcomes at baseline, discharge, and 4 month follow-up. We successfully recruited and retained participants as planned. Patients reported satisfaction with treatment, and routine hospital staff showed adoption and fidelity to the intervention. Relative to baseline, patients demonstrated significant improvements in symptoms and functioning across the 4 month follow-up. The current study shows that ACT-IN may be feasible and acceptable for inpatients with psychotic disorders in a psychiatric intensive care setting and should be tested in a future effectiveness-implementation trial.
Journal of Cognitive Psychotherapy, 2020
The aim of this study was to adapt Acceptance and Commitment Therapy for Inpatients (ACT-IN) for ... more The aim of this study was to adapt Acceptance and Commitment Therapy for Inpatients (ACT-IN) for implementation in a typical hospital setting to prepare for a larger clinical trial. The sample consisted of 26 inpatients diagnosed with psychotic-spectrum disorders. Using an open trial design, patients received individual and group ACT-IN sessions during their stay. We assessed the feasibility/acceptability of ACT-IN and preliminary changes on patient outcomes at baseline, discharge, and 4-month follow-up. We successfully recruited and retained participants as planned. Patients reported satisfaction with treatment, and routine hospital staff showed adoption and fidelity to the intervention. Relative to baseline, patients demonstrated significant improvements in symptoms and functioning across the 4-month follow-up. The current study shows that ACT-IN may be feasible and acceptable for inpatients with psychotic disorders in a psychiatric intensive care setting and should be tested in a...
American Journal of Psychiatry, 2000
The purpose of this study was to evaluate the efficacy of continuation ECT in depression. Method:... more The purpose of this study was to evaluate the efficacy of continuation ECT in depression. Method: The authors used retrospective chart review to identify 29 patients who received continuation ECT plus long-term antidepressant treatment after a positive response to acute treatment with ECT for a depressive episode (continuation ECT group). A retrospective case-controlled approach was used to ascertain a matching group of 29 patients who received long-term antidepressant treatment alone after responding positively to acute ECT (antidepressant-alone group). All 58 patients (46 with unipolar depression, 12 with bipolar disorder) had been chronically depressed before receiving acute ECT. Data from medical records were analyzed by using survival analysis and proportional hazards regression to determine outcome and risk factors. Results: The mean duration of the follow-up period for all patients was 3.9 years (5.4 years for the continuation ECT patients and 2.4 years for the antidepressant-alone patients). Outcome was significantly better in the continuation ECT group. The cumulative probability of surviving without relapse or recurrence at 2 years was 93% for continuation ECT patients and 52% for antidepressant-alone patients. At 5 years, survival declined to 73% for continuation ECT patients, but fell to 18% for antidepressant-alone patients. Mean survival times were 6.9 years for the continuation ECT patients and 2.7 years for the antidepressant-alone patients. Conclusions: T h e f i n d i n g s p ro v i d e strong support for the efficacy of continuation ECT plus long-term antidepressant treatment in preventing relapse and recurrence in chronically depressed patients who have responded to acute treatment with ECT.
Journal of Neuropsychiatry, 2011
Figure 1. (Left): The cingulate cortex (colored areas) lies in the medial wall of each hemisphere... more Figure 1. (Left): The cingulate cortex (colored areas) lies in the medial wall of each hemisphere, adjacent to the corpus callosum (white). Brodmann divided this area into a precingulate (pink), now called the anterior cingulate cortex (ACC) and a postcingulate (blue) now called the posterior cingulate cortex (PCC). 1 (Right): The ACC is further subdivided into two major sections. The three most common approaches to naming are illustrated. 1-3 The dorsal posterior section (outlined in gold) has been called caudal or dorsal ACC. In Vogt's system it is considered a separate area, the middle cingulate cortex (MCC). The ventral anterior section (outlined in yellow) has been called rostral or ventral ACC. In Vogt's system, it is considered ACC. These major sections are commonly further divided, as illustrated.
Figure 1. (Left): The cingulate cortex (colored areas) lies in the medial wall of each hemisphere... more Figure 1. (Left): The cingulate cortex (colored areas) lies in the medial wall of each hemisphere, adjacent to the corpus callosum (white). Brodmann divided this area into a precingulate (pink), now called the anterior cingulate cortex (ACC) and a postcingulate (blue) now called the posterior cingulate cortex (PCC). 1 (Right): The ACC is further subdivided into two major sections. The three most common approaches to naming are illustrated. 1–3 The dorsal posterior section (outlined in gold) has been called caudal or dorsal ACC. In Vogt's system it is considered a separate area, the middle cingulate cortex (MCC). The ventral anterior section (outlined in yellow) has been called rostral or ventral ACC. In Vogt's system, it is considered ACC. These major sections are commonly further divided, as illustrated. Figure 2. (Left): Von Economo (spindle) neurons are found in humans and great apes, but not other nonhu-man primates, nor in most mammals. 4,5 In humans, they are found in the insula and cingulate cortex (yellow area on MRI). These are large projection neurons, with an average volume more than four times that of pyramidal neurons. The apical and basal dendrites are also quite different from pyramidal neurons, both longer and less branched. It has been suggested that the larger size may indicate faster conduction times and more extensive connections. (Right): A pyramidal neuron is illustrated for comparison. Cover and Figure 3. Parcellation of cingulate cortex based on patterns of structural connectivity (estimated from diffusion tensor imaging) support the presence of multiple functional regions. Approximations of the areas of cingulate cortex with the strongest connections to specific cortical and subcortical regions are color-coded onto midline sagittal MR images. 6 The resultant parcellation is illustrated on the cover.
Journal of Neuropsychiatry and Clinical Neurosciences, Aug 1, 2003
Radcliffe on Epilepsy, 4 c. 333 are confessedly among the most pleasant and cheerful of the insti... more Radcliffe on Epilepsy, 4 c. 333 are confessedly among the most pleasant and cheerful of the institution. Strange as it may seem, there still lingers in the public mind an impression that there is attached to this, as well as to all other lunatic hospita , a class of rooms for violent patients, akin to the old-fashioned dungeon in their construction and arrangements. We learn this from the extraordinary inquiries occasionally made of us. These apartments are a conclusive answer. The comfort and enjoyment afforded by them, the respect paid to the pictures, &c., by which they are ornamented, with the general effect that the whole arrangements produce in the minds of all the patients, especially of the convalescent, are a satisfactory comment upon the wisdom and liberality of their construction." M.
Journal of Cognitive Psychotherapy, 2020
The aim of this study was to adapt Acceptance and Commitment Therapy for Inpatients (ACT-IN) for ... more The aim of this study was to adapt Acceptance and Commitment Therapy for Inpatients (ACT-IN) for implementation in a typical hospital setting to prepare for a larger clinical trial. The sample consisted of 26 inpatients diagnosed with psychotic-spectrum disorders. Using an open trial design, patients received individual and group ACT-IN sessions during their stay. We assessed the feasibility/acceptability of ACT-IN and preliminary changes on patient outcomes at baseline, discharge, and 4 month follow-up. We successfully recruited and retained participants as planned. Patients reported satisfaction with treatment, and routine hospital staff showed adoption and fidelity to the intervention. Relative to baseline, patients demonstrated significant improvements in symptoms and functioning across the 4 month follow-up. The current study shows that ACT-IN may be feasible and acceptable for inpatients with psychotic disorders in a psychiatric intensive care setting and should be tested in a future effectiveness-implementation trial.
Journal of Cognitive Psychotherapy, 2020
The aim of this study was to adapt Acceptance and Commitment Therapy for Inpatients (ACT-IN) for ... more The aim of this study was to adapt Acceptance and Commitment Therapy for Inpatients (ACT-IN) for implementation in a typical hospital setting to prepare for a larger clinical trial. The sample consisted of 26 inpatients diagnosed with psychotic-spectrum disorders. Using an open trial design, patients received individual and group ACT-IN sessions during their stay. We assessed the feasibility/acceptability of ACT-IN and preliminary changes on patient outcomes at baseline, discharge, and 4-month follow-up. We successfully recruited and retained participants as planned. Patients reported satisfaction with treatment, and routine hospital staff showed adoption and fidelity to the intervention. Relative to baseline, patients demonstrated significant improvements in symptoms and functioning across the 4-month follow-up. The current study shows that ACT-IN may be feasible and acceptable for inpatients with psychotic disorders in a psychiatric intensive care setting and should be tested in a...
American Journal of Psychiatry, 2000
The purpose of this study was to evaluate the efficacy of continuation ECT in depression. Method:... more The purpose of this study was to evaluate the efficacy of continuation ECT in depression. Method: The authors used retrospective chart review to identify 29 patients who received continuation ECT plus long-term antidepressant treatment after a positive response to acute treatment with ECT for a depressive episode (continuation ECT group). A retrospective case-controlled approach was used to ascertain a matching group of 29 patients who received long-term antidepressant treatment alone after responding positively to acute ECT (antidepressant-alone group). All 58 patients (46 with unipolar depression, 12 with bipolar disorder) had been chronically depressed before receiving acute ECT. Data from medical records were analyzed by using survival analysis and proportional hazards regression to determine outcome and risk factors. Results: The mean duration of the follow-up period for all patients was 3.9 years (5.4 years for the continuation ECT patients and 2.4 years for the antidepressant-alone patients). Outcome was significantly better in the continuation ECT group. The cumulative probability of surviving without relapse or recurrence at 2 years was 93% for continuation ECT patients and 52% for antidepressant-alone patients. At 5 years, survival declined to 73% for continuation ECT patients, but fell to 18% for antidepressant-alone patients. Mean survival times were 6.9 years for the continuation ECT patients and 2.7 years for the antidepressant-alone patients. Conclusions: T h e f i n d i n g s p ro v i d e strong support for the efficacy of continuation ECT plus long-term antidepressant treatment in preventing relapse and recurrence in chronically depressed patients who have responded to acute treatment with ECT.
Journal of Neuropsychiatry, 2011
Figure 1. (Left): The cingulate cortex (colored areas) lies in the medial wall of each hemisphere... more Figure 1. (Left): The cingulate cortex (colored areas) lies in the medial wall of each hemisphere, adjacent to the corpus callosum (white). Brodmann divided this area into a precingulate (pink), now called the anterior cingulate cortex (ACC) and a postcingulate (blue) now called the posterior cingulate cortex (PCC). 1 (Right): The ACC is further subdivided into two major sections. The three most common approaches to naming are illustrated. 1-3 The dorsal posterior section (outlined in gold) has been called caudal or dorsal ACC. In Vogt's system it is considered a separate area, the middle cingulate cortex (MCC). The ventral anterior section (outlined in yellow) has been called rostral or ventral ACC. In Vogt's system, it is considered ACC. These major sections are commonly further divided, as illustrated.
Figure 1. (Left): The cingulate cortex (colored areas) lies in the medial wall of each hemisphere... more Figure 1. (Left): The cingulate cortex (colored areas) lies in the medial wall of each hemisphere, adjacent to the corpus callosum (white). Brodmann divided this area into a precingulate (pink), now called the anterior cingulate cortex (ACC) and a postcingulate (blue) now called the posterior cingulate cortex (PCC). 1 (Right): The ACC is further subdivided into two major sections. The three most common approaches to naming are illustrated. 1–3 The dorsal posterior section (outlined in gold) has been called caudal or dorsal ACC. In Vogt's system it is considered a separate area, the middle cingulate cortex (MCC). The ventral anterior section (outlined in yellow) has been called rostral or ventral ACC. In Vogt's system, it is considered ACC. These major sections are commonly further divided, as illustrated. Figure 2. (Left): Von Economo (spindle) neurons are found in humans and great apes, but not other nonhu-man primates, nor in most mammals. 4,5 In humans, they are found in the insula and cingulate cortex (yellow area on MRI). These are large projection neurons, with an average volume more than four times that of pyramidal neurons. The apical and basal dendrites are also quite different from pyramidal neurons, both longer and less branched. It has been suggested that the larger size may indicate faster conduction times and more extensive connections. (Right): A pyramidal neuron is illustrated for comparison. Cover and Figure 3. Parcellation of cingulate cortex based on patterns of structural connectivity (estimated from diffusion tensor imaging) support the presence of multiple functional regions. Approximations of the areas of cingulate cortex with the strongest connections to specific cortical and subcortical regions are color-coded onto midline sagittal MR images. 6 The resultant parcellation is illustrated on the cover.