Comment on: White matter, red flag (letter to the editor, Parkhurst Exchange, sent 2010-4-12)

The Q&A response to the question “What could multiple hyperdensities on brain MRI in the absence of migraine indicate?” (Parkhurst Exchange, April 2010, p28) did not include B12 deficiency as a possible cause. There are a number of case reports (1-4) reporting the finding of white matter hyperintensities on T2-weighted…

Read more


Comment on “Age-related macular degeneration” (letter to the editor, Parkhurst Exchange, submitted 2008-11-25)

The article “Age-related macular degeneration” Oct 2008, p52) lists the risk factors for AMD as age, genetics, history of smoking, Caucasian race, and diet low in antioxidants. Not mentioned was the association between a lower risk of AMD and higher fish and/or omega-3 fatty acid consumption. Augood C, Chakravarthy U,…

Read more




Traiter les patients difficiles

English version Principes généraux relatifs aux traitements des patients difficiles dont la fonction cognitive est intacte En tant que soignant professionnel, nous devons souvent nous dévouer “corps et âme” pour nos patients.  C’est très valorisant de savoir à quel point nos patients apprécient et qu’ils nous témoignent leur reconnaissance. Toutefois,…

Read more













The Paradoxical Approach

Two ideas central to treatment: 1. Focusing on observable behavioural interaction in the present 2. Deliberate intervention to alter the ongoing system All theories of psychotherapy have limitations of practice as well as conception, inherent in their own nature (although often attributed to human nature). Basic Premise: the kinds of…

Read more