When the wounds heal but the soul bleeds-A lived experience narrative.

WHAT IS KNOWN ON THE SUBJECT?: This paper acknowledges the profound and lasting impact of childhood abuse on substance use and homelessness. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: It underscores the inherent value and humanity of every individual, regardless of their struggles. That a comprehensive approach to mental health care, encompassing medication, therapy and a secure environment, is imperative. WHAT ARE THE IMPLICATIONS FOR MENTAL HEALTH NURSING?: Early intervention and recognising individuals who suffer in silence are paramount. Mental health nurses must have the courage to ask uncomfortable questions and truly hear the unspoken words. Mental health nurses should never underestimate the power of simply being present with someone during their darkest moments. This simple act can wield significant influence.

12. Invitation for the journey to the world of togetherness / 医学教育

This article is an account of a trans individual to share with the audience that transgender people are not a myth but ordinary humans living in Japan. I illustrated the real emotions and challenges a transgender person faces in a society that lacks sufficient understanding and support, including adequate legal and healthcare systems. I also want to tell readers what "coming out" and "transitions" mean to those who have had to hide their sexuality from a very young age, even from their parents.　Our society has been changing. However, there is still a number of enormous barriers in healthcare for someone who underwent gender-affirming therapy and finally started to live as their true self. I sincerely hope medical educators training future health professionals will recognize the hardships to improve the situations.

A psychologist's experience of the "clinician's illusion" in the face of familial mental illness.

This first-person account focuses on the experiences of a prosumer living through the challenges of familial mental illness and addiction. The "clinician's illusion" is used to help explain feelings of shame, frustration, anger and hopelessness, particularly within the context of a broken mental health care system. Lessons learned and recommendations for other prosumers facing mental illness and addiction within their families are described. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Melioidosis.

The Centers for Disease Control and Prevention warned that two people are dead and two have recovered after being infected with the bacterial disease melioidosis - a disease that had never before been detected on contiguous US soil. The cases occurred between March and July 2021 in Georgia, Kansas, Texas, and Minnesota. Melioidosis, also called Whitmore's disease, is an infectious disease that can infect humans or animals. The disease is caused by the bacterium Burkholderia pseudomallei. It is predominately a disease of tropical climates, especially in Southeast Asia and northern Australia where it is widespread.

Consensus on validation of forensic voice comparison.

Since the 1960s, there have been calls for forensic voice comparison to be empirically validated under casework conditions. Since around 2000, there have been an increasing number of researchers and practitioners who conduct forensic-voice-comparison research and casework within the likelihood-ratio framework. In recent years, this community of researchers and practitioners has made substantial progress toward validation under casework conditions becoming a standard part of practice: Procedures for conducting validation have been developed, along with graphics and metrics for representing the results, and an increasing number of papers are being published that include empirical validation of forensic-voice-comparison systems under conditions reflecting casework conditions. An outstanding question, however, is: In the context of a case, given the results of an empirical validation of a forensic-voice-comparison system, how can one decide whether the system is good enough for its output to be used in court? This paper provides a statement of consensus developed in response to this question. Contributors included individuals who had knowledge and experience of validating forensic-voice-comparison systems in research and/or casework contexts, and individuals who had actually presented validation results to courts. They also included individuals who could bring a legal perspective on these matters, and individuals with knowledge and experience of validation in forensic science more broadly. We provide recommendations on what practitioners should do when conducting evaluations and validations, and what they should present to the court. Although our focus is explicitly on forensic voice comparison, we hope that this contribution will be of interest to an audience concerned with validation in forensic science more broadly. Although not written specifically for a legal audience, we hope that this contribution will still be of interest to lawyers.

It's the way you treat me that makes me angry, it's not a question of madness: Good and bad practice in dealing with violence in the mental health services.

WHAT IS KNOWN ON THE SUBJECT: The first access to a mental health service is sometimes marked by aggressive behaviours and anger. Forced hospitalization is frequently an occasion for resistance and hostility to the service, which should not be mistaken for psychotic symptoms. If this situation is not dealt with effectively, it can jeopardize the quality of the relationship with staff and compliance with the treatment programme. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE: The narrator presents his experience in undergoing voluntary psychiatric treatment, casting light on nurses' good and bad practices: those that increased resistance, and those that helped de-escalate the uncontrolled reaction at the time of access, as well as during the recovery period. WHAT ARE THE IMPLICATIONS FOR MENTAL HEALTH NURSING: Practitioners should be able to put in place listening techniques and ways of personalizing the relationship with the patient. When such measures become part of the patient's meaning system, the vicious circle of misunderstood anger that creates more anger may be interrupted and the patient can invest in relationships of trust. ABSTRACT: Aggression is often a reason for psychiatric hospitalization and may lead to prolonged hospital stays, and at worst to compulsory treatments. The relationship between mental illness and aggressive behaviour is a source for debate in the literature, while research data suggest that violent behaviour is impacted not only by the mental state of the patient, but also by environmental and relational conditions, hence the importance of an increased awareness of operating methods on the part of psychiatric staff. Alex's story is an effective mirror for rethinking staff conduct and offers many practical suggestions for understanding a patient's point of view in critical episodes and for deescalating relational tension.