The Royal Australian & New Zealand College of Psychiatrists, Part I

I just got back from Hobart, Tasmania in Australia for the annual Royal Australian & New Zealand College of Psychiatrist conference. It was a very interesting conference, I learned a lot and met many people who are doing good work.

Hobart, Tasmania, Australia

Hobart, Tasmania, Australia

Here is the abstract for the first presentation I did:

What Does It Man to Be Human?

The Role of Psychiatrists in Philip K. Dick’s Life & Writing

Author: David R. Kopacz, M.D.

Philip K. Dick was a prolific author of over 50 novels. Many films have been based on his work, including Blade Runner, Minority Report, Adjustment Bureau, and the upcoming Radiofree Albemuth. His continued relevance seems due to the timelessness of his two main themes:   “what is human and what is real?” In the course of living these questions he was prescribed most classes of psychiatric medication, took street drugs, routinely consulted psychotherapists and psychiatrists, and was psychiatrically hospitalized several times.

Not surprisingly, psychiatrists often appear in his writing, sometimes as humanizing forces but also as forces for dehumanization. Dick called dehumanization, “androidization,” where a human being becomes a machine:  obedient, predictable, and lacking independent thought. When psychiatric interventions are applied without thought and wat ithout appreciation of the humanity of the recipient, the psychiatrist can be seen as an “android” who is trying to turn the patient into an “android” as well. In Dick’s life and work, psychiatrists also act as human beings, with concern and empathy to empower the humanity of the client.  Although Dick developed extensive, elaborate theories about the question of ultimate reality, his litmus test for humanity is much simpler – is one kind to other beings? Kindness is the hallmark of whether one is acting as a human or a machine. This presentation will examine Dick’s concepts of the android and the human in the context of contemporary debates regarding the recovery movement and the role of the psychiatrist as an evidence-based technician and/or as a humanitarian.

The Royal Australian & New Zealand College of Psychiatrists, part IThe Royal Australian & New Zealand College of Psychiatrists, part I

The presentation went well and I had some interesting discussions after it. One thing I came away thinking about was PKD’s subversive humanism (the little guy trying to stay human in the face of overwhelming technological or political attempts at androidization) and how that is similar, in some ways, to the true work of psychiatrists – fostering human growth and development in the face of mental illness, traumatic past experiences, and restrictive belief systems of family and society.

Bruny Island

Bruny Island
Bruny Island was an interesting place, but I think we both felt a little disappointed after the rest of Tasmania.  It is very, very quiet on Bruny.  It is a beautiful place, but by the time we got there, we had seen so much beauty.  Personally, I think we would have both spent a little more time around Freycinet and at Kabuki by the Sea.  We also were both getting sick with a cold in Bruny, so that probably colored our views, too.  I had wanted to take the wildlife cruise, but one day it was raining and the next day I just didn’t feel up for it.  Above is a sculpture that some locals made after a whale was beached at Adventure Bay.  If you look closely, you can see two whales inside the globe.

Bruny Island

I went out two nights trying to spot the Fairy Penguins, the smallest penguins.  These have holes that they dig in the ground.  The first night, I didn’t see anything, but I didn’t know how long to stay out in the night.  The second night I was better prepared and had red cellophane to put over a flashlight.  Right off the bat I saw a wallaby and could hear it munching away as I watched the surf.  Eventually, I could see some penguins!  They clustered around by the water’s edge (the left side of the photo below was where the blind for watching them was located).  Then a small group of them decided it was time to make the trip and the shuffled along, right alongside of the blind I was behind, so I could see them quite close up.  I had experimented trying to take red light photos of the wallaby, without much luck, so I knew there was no point in trying to photograph the penguins, so I just enjoyed watching them shuffle along and listened to all their calls from their burrows.

Bruny Island
Of course, there were more birds to photograph, here are some that were flying around where we were staying at Alonnah.  I think the bird bottom left is a Sea Eagle and of course the ubiquitous Green Rosella, foraging in the backyard and a flock in flight.

Bruny Island

Bruny Island

Bruny Island

Launceston and the North of Tasmania

Launceston and the North
Launceston and the North
There were a lot of great birds, I never got tired of trying to photograph different varieties of wild parrots. Also, the kookaburra were very common and made a lot of funny noises, their “laughing.”
Launceston and the North
We spent some time at the Cataract Gorge, a beautiful park with walking tracks right in Launceston, the second largest city in Tasmania.
Launceston and the North

The quality of the light was very yellow in a lot of places, maybe it is partly because there are more autumn colours in Tasmania than New Zealand and we aren’t used to seeing the browns, tans, and yellow pallete of colours. We spent a lot of time driving through the countryside and were surprised to see large flocks of cockatoos fosicking in the fields!

Launceston and the North

Freycinet National Park & Swansea

We spent part of a day at Freycinet National Park on the East coast and saw some beautiful scenery and watched birds on the beach for a while. We walked around Sleepy Bay and could have just stayed there for a really long time, but we also wanted to drive up to Launceston that day and the recommendation is to stay off the roads as much as possible after dark because the wildlife is so plentiful.

Freycinet National Park & Swansea

Freycinet National Park & Swansea

Freycinet National Park & Swansea

Freycinet National Park & Swansea
Freycinet National Park & Swansea
 We stayed at Kabuki by the Sea, near Swansea – a beautiful set of cottages looking out over the cliffs and surf. There was also a Japanese restaurant there.  The food, company, and views were so fabulous that we came back and spent another night there on the way back South.

Freycinet National Park & Swansea

Freycinet National Park & Swansea

East Coast Nature World, Tasmania

East Coast Nature World, Tasmania

We spent a week touring before the conference and one of the highlights was East Coast Nature World in Bicheno. They had many different animals, many of which they rescued as orphans or injured animals. They would try to return some of these animals back out into the wild, like the baby wombat we met.

East Coast Nature World, Tasmania

There were kangaroos hopping around everywhere and we could feed them pellet food, which they were really keen on. We were surprised to see something strange sticking out of a mama kanagaroo’s pouch, a foot, and later a head and a foot!

East Coast Nature World, Tasmania

East Coast Nature World, Tasmania

East Coast Nature World, Tasmania

East Coast Nature World, Tasmania

There was a walk through aviary where we saw many interesting birds. I also went to the Platypus House at Beauty Point, but the pictures there didn’t turn out so well.

East Coast Nature World, Tasmania

East Coast Nature World, Tasmania

We were at Nature World at feeding time for the Tasmanian Devils. They were a mixture of cute, ugly, and hungry! They eat bones and all of their food. There is a serious facial cancer, though, that these guys are susceptible to. There are different attempts to treat it or stop its spread. No treatment has been effective. Nature World does some breeding programs to increase genetic diversity. I also saw a news piece on a project to block off a pennisula and monitor a healthy population of Devils there.

East Coast Nature World, Tasmania

East Coast Nature World, Tasmania

The Royal Australian & New Zealand College of Psychiatrist, Part II

The Royal Australian & New Zealand College of Psychiatrists, part I

Here is the second presentation:

A Chart Review Comparison of Rates of Abnormal Vitamin D Results in a New Zealand and US Mental Health Population

Author: David R. KOPACZ, M.D., Mary Pat Traxler, Ph.D.

Affiliation

Kopacz: Buchanan Rehabilitation Centre, Auckland District Health Board, New Zealand
Traxler: Private Practice, Auckland

RANZCP guidelines for maintaining certification in Psychiatry recommend yearly clinical practice audits. This is to assure that individual practice is consistent with evidence-based guidelines. A dilemma arises when there are no clear guidelines for specific practices. In these cases, the findings of the audits of individual clinicians can identify areas that require future research. These audit results raise the question of whether there should be routine testing of Vitamin D levels, given that the majority of clients tested had abnormal Vitamin D levels.

The current study compares retrospective clinical audits of two different mental health populations: a community mental health sample in New Zealand and a private practice sample in the United States. In the New Zealand sample of 88 clients, 32 were tested for Vitamin D, with 66% having abnormalities in Vitamin D. In the US sample of 114 clients, 32 were tested for Vitamin D, and 53% of clients had abnormal levels. These high levels of Vitamin D abnormalities could have clinical implications.

The findings of these audits raise a number of questions that require future research: do these findings differ from general population data; should Vitamin D be tested on a routine basis in mental health populations; are there subgroups who are at greater risk of Vitamin D abnormalities; what is the implication of abnormal Vitamin D levels for the physical and mental health in these populations; does correcting Vitamin D abnormalities have a positive effect on the acute and long-term physical and mental health of clients?

This presentation was really challenging to put together. There is a lot of controversy surrounding testing for Vitamin D as well as treating insufficiency/deficiency. There was another presentation in our same section by another American psychiatrist who has been in New Zealand for a number of years and has also been studying Vitamin D!

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

We took a quick trip (a little over 24 hours) a couple of weeks ago. We went out to stay at some friends’ Bach (pronounced “batch” like a Bachelor Pad), which is what Kiwi’s call their holiday homes. It was out on Coromandel penninsula. We had a great time and here are a few photos.

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

I just finished a draft of my book, Creating a Holistic Medical Practice, and sent it off to a literary agent. This is the furthest stage I have gotten to in working to get the book published. I have sent off to maybe about 6-8 publishers and agents so far. With this agent, I sent off a proposal, then they requested a few sample chapters, and then they requested the whole book. Great news, only that led to about a month of non-stop writing to try to get the second half of the book in presentable shape. I feel good about it and now it is out of my hands.

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

The next projects are two presentations in Tasmania this month at a conference. The first is on writer, Philip K. Dick’s views of psychiatry and humanity, and the second is on Vitamin D in US and NZ mental health populations. I’m sure that will be exciting and I’ll definitely post some photos from Tasmania.

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

Work as Clinical Director has been very challenging since I started the job. I am looking forward to getting a break and come back refreshed and ready to go!

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove