The Futures We Want: How Goal-Directed Imagination Relates to Mental Health

Goal directed therapy: how long can we wait?

Intensive monitoring and aggressive management of perioperative haemodynamics (goal directed therapy) have repeatedly been reported to reduce the significant morbidity and mortality associated with high risk surgery. It may not matter what particular monitor is used to assess cardiac output but it is essential to ensure adequate oxygen delivery. If this management cannot begin preoperatively, i...

Goal-directed or goal-misdirected - how should we interpret the literature?

Goal-directed therapy (GDT) can be a vague term, meaning different things to different people and, depending on the clinical environment, sometimes even different things to the same person. It can refer to perioperative fluid management, clinicians driving oxygen delivery to supramaximal values, early treatment of sepsis in the emergency department, and even to restriction of perioperative crys...

The health care proxy for mental illness: can it work and should we want it to?

The living will was first proposed more than 20 years ago,' and for almost that long commentators have suggested that it and other types of advance directives* could be used in the treatment of individuals with mental i l l n e ~ s . ~ The uses offered for advance directives vary considerably depending on the philosophy and goals of the commentator. Psychiatrists and families of mentally ill in...

Why we want to remain a nonprofit health care organization.

Global Mental Health: how do we make it ‘global’?

• World Economic Forum Report, which made a stronger case for the economic burden of noncommunicable disorders (NCDs), including mental health. It is estimated that over the next 20 years, NCDs will costs more than 30 trillion dollars, with mental disorders contributing an additional 16 trillion dollars (Bloom et al. 2011). • In 2011, the NIMH made the first RFA for the Collaborative Hubs for I...