Santosh Chaturvedi - Academia.edu (original) (raw)

Papers by Santosh Chaturvedi

Research paper thumbnail of The Search for a New Psychiatry—on Becoming a Psychiatrist, Clinical Neuroscientist and Other Fragments of Memory by A. George Awad

Journal of Psychosocial Rehabilitation and Mental Health

Research paper thumbnail of On Publishing Research: A Paper is as Good as the Findings

Journal of Psychosocial Rehabilitation and Mental Health

Research paper thumbnail of Internal migration

Oxford Textbook of Migrant Psychiatry

This chapter reviews existing literature on the statistics of internal migration spanning across ... more This chapter reviews existing literature on the statistics of internal migration spanning across all the continents of the world to better understand the gigantic nature of this constantly occurring phenomenon especially in low- and middle-income countries. The chapter also focuses on the impact of internal migration on health by reviewing literature on phenomenon such as the ‘healthy migrant’. The possible implications of internal migration on mental health are detailed, including possible hypotheses underpinning the development of mental health issues in migrants and the chapter briefly reviews the possible resilient protective factors in migrants. Various studies on the impact of internal migration on the prevalence of common and severe mental illnesses from across the world are discussed in the text. The chapter ends with a section reviewing the existing literature on the problems faced by internal migrants in terms of availability and accessibility to quality health care and th...

Research paper thumbnail of Indian Journal of Social Psychiatry

The search for the neural correlates of consciousness has gained momentum recently. Several of th... more The search for the neural correlates of consciousness has gained momentum recently. Several of them have been hypothesized and subsequently strengthened by evidences from functional imaging and electrophysiological studies, although none is able to explain on its own the complex phenomenon of consciousness. Nevertheless, thalamocortical connections may be implicated in part in the generation of consciousness. Future studies need to be designed in such ways that they explain the dynamic nature of consciousness.

Research paper thumbnail of Editorial: A fresh look at mood and anxiety disorders: recent developments and emerging concepts

Current Opinion in Psychiatry

Research paper thumbnail of Parasocial Interactions, Intolerance to Uncertainty and Mental Health Rehabilitation During Pandemics

The COVID-19 pandemic has raised prolonged threats to the self, family, and friends in the health... more The COVID-19 pandemic has raised prolonged threats to the self, family, and friends in the health, financial, and social domains. Uncertainty about health, illness, vaccines, jobs, and life, in general, has become the new norm, with exposure to pandemic-related information (and misinformation). This constant threat and uncertainty seems to decrease mental well-being [8]. Uncertainty is difficult to tolerate for persons in the general population and those with mental illness [10]. Intolerance to uncertainty (IU) is a dimension of mental well-being which has been associated with psychological distress, lower resilience, and quality of life [10]. It is quite clear that this pandemic is certain to increase uncertainty and intolerance to it, especially in the vulnerable population. IU has been demonstrated as a trait in paranoid schizophrenia [13]. It can perpetuate paranoid thinking and is associated with poorer outcomes in persons with mental illness [7]. Seeking emotional and informat...

Research paper thumbnail of Constructing the understanding of emerging clinical entity of flirtatious personality

Taiwanese Journal of Psychiatry

Research paper thumbnail of Gender insensitive salutations in letters and correspondence sections of journals

Archives of Women's Mental Health

Research paper thumbnail of Supported Relationships to Support the Rocking Ship

Journal of Psychosocial Rehabilitation and Mental Health

Research paper thumbnail of Health anxiety, health-related life events, and somatization during COVID-19 pandemic can increase chronic pain

Pain

Letter to Editor: Clauwet al. have cautioned aboutmany characteristics ofCOVID19 pandemic that co... more Letter to Editor: Clauwet al. have cautioned aboutmany characteristics ofCOVID19 pandemic that could potentially increase the prevalence of chronic pain. They have further elaborated different biopsychosocial factors that are likely to influence presentation of chronic pain related to COVID-19 pandemic and associated factors such as the lockdown-related restriction of activities. I wonder if the authors would like to consider other contributory factors that could be significant namely, somatization, COVID-19-related health anxiety, and COVID-19 as a health-related life event. Somatization causing and aggravating pain has been reported among medical diseases, such as cancer. There are certain similarities between the experiences of a person with COVID-19 and malignancy, such as fear of death, suffering, recurrence, and stigma attached to the diseases. Somatic preoccupation and somatic concernswere reported tobesignificantlymore frequent in those with persistent pain and somatic symptoms in a medical condition without active features of the disease. Currently, in clinical practice, COVID-19-related somatic concerns are noted. The recognition of somatization process in medical diseases including viral infections is challenging and extremely difficult to differentiate and assess. However, several dimensions of somatization, and the interconnected concept of abnormal illness behaviour are likely to aggravate chronic pain in COVID-19, by the same mechanisms as it does in patients with cancer pain and somatization. Health-related anxiety and abnormal illness behaviours have been described in the context of the pandemic.

Research paper thumbnail of Covid-19 Related Psychiatric Disorders and the New Psychosocial Rehabilitation

Journal of Psychosocial Rehabilitation and Mental Health

Research paper thumbnail of Neurasthenia: tracing the journey of a protean malady

International Review of Psychiatry

Abstract Neuresthenia has had its popularity waxing and waning over the years. This review articl... more Abstract Neuresthenia has had its popularity waxing and waning over the years. This review article traces the path and trajectory of the concept of this disorder, how it changed and varied over time, to the current times, when it has been almost forgotten and the concept is heading towards oblivion. Although its place in the diagnostic systems is currently in question, neurasthenia is still part of professional conversations and practice. The concept of neurasthenia emerged at the intersections of clinical, cultural and sociological dimensions of society. A deeper examination of how neurasthenia was situated at the intersections of race, class and gender exemplifies how psychiatric diagnoses may reflect and shape societal biases. The neurasthenia label has all but disappeared from contemporary nosological frameworks, however, there is a proliferation of other disorders, e.g. chronic fatigue syndrome, fibromyalgia, that try to capture the experience of fatigue, pain, weakness, and distress even in the absence of clear-cut medical aetiologies. Only time will tell, if this concept has indeed been buried, or will rise as a phoenix in the years to come. Newer nervous fatigue syndromes are expected to emerge from the use of technology, screen time and the virtual world.

Research paper thumbnail of Lithium induced myeloradiculopathy - A rare case report of serious SILENT phenomenon

Journal of Psychology and Cognition

Lithium is well recognized mood stabilizer and state of the art treatment for bipolar affective d... more Lithium is well recognized mood stabilizer and state of the art treatment for bipolar affective disorder. Monitoring serum levels of lithium is recommended for long-term lithium prophylaxis. There are reports of lithium induced neurotoxicity at therapeutic doses. We describe a case report of a lady with bipolar affective disorder who was maintaining well for 4 years on lithium and sub-acutely developed myeloradiculopathy for which extensive work up revealed normal serum lithium with reduced vitamin B12 and Folate.

Research paper thumbnail of Foresight in Sight

Journal of Psychosocial Rehabilitation and Mental Health

Research paper thumbnail of Idioms of Distress

Journal of neurosciences in rural practice, 2017

The presentations of psychosocial distress and cultural conflicts are often bodily symptoms, espe... more The presentations of psychosocial distress and cultural conflicts are often bodily symptoms, especially in traditional societies and village backgrounds. These might not meet the criteria of the current psychiatric diagnostic systems. Sociocultural milieu contributes to the unique presentations of the stress in the form of idioms of distress. The latter are alternative modes of expressing distress and indicate manifestations of distress in relation to personal and cultural meaning. Health professionals often consider these as hysterical, functional or having functional overlays, and abnormal illness behaviors. Management of idioms of distress would need cultural competence and sensitivity. This article highlights the common idioms of distress in India with specific focus on bodily symptoms.

Research paper thumbnail of Is it easy to be an Ethics Committee member? (Experiences as an Ethics Committee member)

Perspectives in clinical research

Research paper thumbnail of Baclofen Overdose Presenting as Psychosis with Catatonia

Indian journal of psychological medicine

Baclofen is a centrally acting gamma-aminobutyric acid receptor agonist with many therapeutic use... more Baclofen is a centrally acting gamma-aminobutyric acid receptor agonist with many therapeutic uses in neurology and psychiatry. An overdose of baclofen is known to cause serious side effects such as encephalopathy, seizures, respiratory depression, and delirium. Association of baclofen with psychosis has also been reported. In this case report, we are highlighting the manifestation of catatonic features in addition to psychosis following baclofen overdose.

Research paper thumbnail of Supplementing research ethics training in psychiatry residents: A five-tier approach

Asian journal of psychiatry, 2018

Ethics training is a key step in the research supervision of psychiatry trainees and there is nee... more Ethics training is a key step in the research supervision of psychiatry trainees and there is need for a structured educational module. We developed a new research ethics training module for psychiatry residents - The Five-Tier Approach. Twenty-five first year psychiatry residents of an academic psychiatric training centre in India participated in this multi-session workshop. Module 1 included the completion of NIH online certification course for research ethics training. Module 2 was a one-hour interactive group discussion on ethical principles in research. Module 3 was a two-hour session consisting of case-based group discussion of nine selected research vignettes. Module 4 involved preparation of an informed consent form. Module 5 was a mock ethics committee role-played by seven students while the larger group observed using a Fish Bowl technique and provided feedback. Assessments were done during the third and final modules. During the third module, understanding regarding certa...

Research paper thumbnail of Postgraduate training in psychiatry in Asia

Current opinion in psychiatry, Sep 1, 2018

To understand the current situation, needs and challenges in the area of postgraduate training in... more To understand the current situation, needs and challenges in the area of postgraduate training in psychiatry in Asia and identify implementable solutions.Leaders in psychiatric education from nine Asia Pacific countries prepared country reports, based on a suggested list of items and met for a day to discuss and identify implementable solutions to improve the current unsatisfactory status of postgraduate training in psychiatry. Except Japan, all the other countries have a very low number of psychiatrists per 100 000 population - far lower than the global target of 10 psychiatrist per 100 000 population. The undergraduate teaching in psychiatry in majority of the countries is restricted to 20 h of lectures given during the 4-6 semester and 2-3 weeks of clinical ward placements. The duration as well as the overall quality of postgraduate training and methods of assessment and accreditation varies widely across and within countries. Numerous gaps that need to be addressed to enhance th...

Research paper thumbnail of Mental Health Towards Social and Economic Inclusion: Nothing Else Matters!

Journal of Psychosocial Rehabilitation and Mental Health

Research paper thumbnail of The Search for a New Psychiatry—on Becoming a Psychiatrist, Clinical Neuroscientist and Other Fragments of Memory by A. George Awad

Journal of Psychosocial Rehabilitation and Mental Health

Research paper thumbnail of On Publishing Research: A Paper is as Good as the Findings

Journal of Psychosocial Rehabilitation and Mental Health

Research paper thumbnail of Internal migration

Oxford Textbook of Migrant Psychiatry

This chapter reviews existing literature on the statistics of internal migration spanning across ... more This chapter reviews existing literature on the statistics of internal migration spanning across all the continents of the world to better understand the gigantic nature of this constantly occurring phenomenon especially in low- and middle-income countries. The chapter also focuses on the impact of internal migration on health by reviewing literature on phenomenon such as the ‘healthy migrant’. The possible implications of internal migration on mental health are detailed, including possible hypotheses underpinning the development of mental health issues in migrants and the chapter briefly reviews the possible resilient protective factors in migrants. Various studies on the impact of internal migration on the prevalence of common and severe mental illnesses from across the world are discussed in the text. The chapter ends with a section reviewing the existing literature on the problems faced by internal migrants in terms of availability and accessibility to quality health care and th...

Research paper thumbnail of Indian Journal of Social Psychiatry

The search for the neural correlates of consciousness has gained momentum recently. Several of th... more The search for the neural correlates of consciousness has gained momentum recently. Several of them have been hypothesized and subsequently strengthened by evidences from functional imaging and electrophysiological studies, although none is able to explain on its own the complex phenomenon of consciousness. Nevertheless, thalamocortical connections may be implicated in part in the generation of consciousness. Future studies need to be designed in such ways that they explain the dynamic nature of consciousness.

Research paper thumbnail of Editorial: A fresh look at mood and anxiety disorders: recent developments and emerging concepts

Current Opinion in Psychiatry

Research paper thumbnail of Parasocial Interactions, Intolerance to Uncertainty and Mental Health Rehabilitation During Pandemics

The COVID-19 pandemic has raised prolonged threats to the self, family, and friends in the health... more The COVID-19 pandemic has raised prolonged threats to the self, family, and friends in the health, financial, and social domains. Uncertainty about health, illness, vaccines, jobs, and life, in general, has become the new norm, with exposure to pandemic-related information (and misinformation). This constant threat and uncertainty seems to decrease mental well-being [8]. Uncertainty is difficult to tolerate for persons in the general population and those with mental illness [10]. Intolerance to uncertainty (IU) is a dimension of mental well-being which has been associated with psychological distress, lower resilience, and quality of life [10]. It is quite clear that this pandemic is certain to increase uncertainty and intolerance to it, especially in the vulnerable population. IU has been demonstrated as a trait in paranoid schizophrenia [13]. It can perpetuate paranoid thinking and is associated with poorer outcomes in persons with mental illness [7]. Seeking emotional and informat...

Research paper thumbnail of Constructing the understanding of emerging clinical entity of flirtatious personality

Taiwanese Journal of Psychiatry

Research paper thumbnail of Gender insensitive salutations in letters and correspondence sections of journals

Archives of Women's Mental Health

Research paper thumbnail of Supported Relationships to Support the Rocking Ship

Journal of Psychosocial Rehabilitation and Mental Health

Research paper thumbnail of Health anxiety, health-related life events, and somatization during COVID-19 pandemic can increase chronic pain

Pain

Letter to Editor: Clauwet al. have cautioned aboutmany characteristics ofCOVID19 pandemic that co... more Letter to Editor: Clauwet al. have cautioned aboutmany characteristics ofCOVID19 pandemic that could potentially increase the prevalence of chronic pain. They have further elaborated different biopsychosocial factors that are likely to influence presentation of chronic pain related to COVID-19 pandemic and associated factors such as the lockdown-related restriction of activities. I wonder if the authors would like to consider other contributory factors that could be significant namely, somatization, COVID-19-related health anxiety, and COVID-19 as a health-related life event. Somatization causing and aggravating pain has been reported among medical diseases, such as cancer. There are certain similarities between the experiences of a person with COVID-19 and malignancy, such as fear of death, suffering, recurrence, and stigma attached to the diseases. Somatic preoccupation and somatic concernswere reported tobesignificantlymore frequent in those with persistent pain and somatic symptoms in a medical condition without active features of the disease. Currently, in clinical practice, COVID-19-related somatic concerns are noted. The recognition of somatization process in medical diseases including viral infections is challenging and extremely difficult to differentiate and assess. However, several dimensions of somatization, and the interconnected concept of abnormal illness behaviour are likely to aggravate chronic pain in COVID-19, by the same mechanisms as it does in patients with cancer pain and somatization. Health-related anxiety and abnormal illness behaviours have been described in the context of the pandemic.

Research paper thumbnail of Covid-19 Related Psychiatric Disorders and the New Psychosocial Rehabilitation

Journal of Psychosocial Rehabilitation and Mental Health

Research paper thumbnail of Neurasthenia: tracing the journey of a protean malady

International Review of Psychiatry

Abstract Neuresthenia has had its popularity waxing and waning over the years. This review articl... more Abstract Neuresthenia has had its popularity waxing and waning over the years. This review article traces the path and trajectory of the concept of this disorder, how it changed and varied over time, to the current times, when it has been almost forgotten and the concept is heading towards oblivion. Although its place in the diagnostic systems is currently in question, neurasthenia is still part of professional conversations and practice. The concept of neurasthenia emerged at the intersections of clinical, cultural and sociological dimensions of society. A deeper examination of how neurasthenia was situated at the intersections of race, class and gender exemplifies how psychiatric diagnoses may reflect and shape societal biases. The neurasthenia label has all but disappeared from contemporary nosological frameworks, however, there is a proliferation of other disorders, e.g. chronic fatigue syndrome, fibromyalgia, that try to capture the experience of fatigue, pain, weakness, and distress even in the absence of clear-cut medical aetiologies. Only time will tell, if this concept has indeed been buried, or will rise as a phoenix in the years to come. Newer nervous fatigue syndromes are expected to emerge from the use of technology, screen time and the virtual world.

Research paper thumbnail of Lithium induced myeloradiculopathy - A rare case report of serious SILENT phenomenon

Journal of Psychology and Cognition

Lithium is well recognized mood stabilizer and state of the art treatment for bipolar affective d... more Lithium is well recognized mood stabilizer and state of the art treatment for bipolar affective disorder. Monitoring serum levels of lithium is recommended for long-term lithium prophylaxis. There are reports of lithium induced neurotoxicity at therapeutic doses. We describe a case report of a lady with bipolar affective disorder who was maintaining well for 4 years on lithium and sub-acutely developed myeloradiculopathy for which extensive work up revealed normal serum lithium with reduced vitamin B12 and Folate.

Research paper thumbnail of Foresight in Sight

Journal of Psychosocial Rehabilitation and Mental Health

Research paper thumbnail of Idioms of Distress

Journal of neurosciences in rural practice, 2017

The presentations of psychosocial distress and cultural conflicts are often bodily symptoms, espe... more The presentations of psychosocial distress and cultural conflicts are often bodily symptoms, especially in traditional societies and village backgrounds. These might not meet the criteria of the current psychiatric diagnostic systems. Sociocultural milieu contributes to the unique presentations of the stress in the form of idioms of distress. The latter are alternative modes of expressing distress and indicate manifestations of distress in relation to personal and cultural meaning. Health professionals often consider these as hysterical, functional or having functional overlays, and abnormal illness behaviors. Management of idioms of distress would need cultural competence and sensitivity. This article highlights the common idioms of distress in India with specific focus on bodily symptoms.

Research paper thumbnail of Is it easy to be an Ethics Committee member? (Experiences as an Ethics Committee member)

Perspectives in clinical research

Research paper thumbnail of Baclofen Overdose Presenting as Psychosis with Catatonia

Indian journal of psychological medicine

Baclofen is a centrally acting gamma-aminobutyric acid receptor agonist with many therapeutic use... more Baclofen is a centrally acting gamma-aminobutyric acid receptor agonist with many therapeutic uses in neurology and psychiatry. An overdose of baclofen is known to cause serious side effects such as encephalopathy, seizures, respiratory depression, and delirium. Association of baclofen with psychosis has also been reported. In this case report, we are highlighting the manifestation of catatonic features in addition to psychosis following baclofen overdose.

Research paper thumbnail of Supplementing research ethics training in psychiatry residents: A five-tier approach

Asian journal of psychiatry, 2018

Ethics training is a key step in the research supervision of psychiatry trainees and there is nee... more Ethics training is a key step in the research supervision of psychiatry trainees and there is need for a structured educational module. We developed a new research ethics training module for psychiatry residents - The Five-Tier Approach. Twenty-five first year psychiatry residents of an academic psychiatric training centre in India participated in this multi-session workshop. Module 1 included the completion of NIH online certification course for research ethics training. Module 2 was a one-hour interactive group discussion on ethical principles in research. Module 3 was a two-hour session consisting of case-based group discussion of nine selected research vignettes. Module 4 involved preparation of an informed consent form. Module 5 was a mock ethics committee role-played by seven students while the larger group observed using a Fish Bowl technique and provided feedback. Assessments were done during the third and final modules. During the third module, understanding regarding certa...

Research paper thumbnail of Postgraduate training in psychiatry in Asia

Current opinion in psychiatry, Sep 1, 2018

To understand the current situation, needs and challenges in the area of postgraduate training in... more To understand the current situation, needs and challenges in the area of postgraduate training in psychiatry in Asia and identify implementable solutions.Leaders in psychiatric education from nine Asia Pacific countries prepared country reports, based on a suggested list of items and met for a day to discuss and identify implementable solutions to improve the current unsatisfactory status of postgraduate training in psychiatry. Except Japan, all the other countries have a very low number of psychiatrists per 100 000 population - far lower than the global target of 10 psychiatrist per 100 000 population. The undergraduate teaching in psychiatry in majority of the countries is restricted to 20 h of lectures given during the 4-6 semester and 2-3 weeks of clinical ward placements. The duration as well as the overall quality of postgraduate training and methods of assessment and accreditation varies widely across and within countries. Numerous gaps that need to be addressed to enhance th...

Research paper thumbnail of Mental Health Towards Social and Economic Inclusion: Nothing Else Matters!

Journal of Psychosocial Rehabilitation and Mental Health