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Anecdotal and biographical reports suggest that bipolar disorder may be
associated with high IQ or creativity, but evidence for any such
connection is weak.
Aims
To investigate possible associations between scholastic achievement and
later bipolar disorder, using prospective data, in a whole-population
cohort study.
Method
Using individual school grades from all individuals finishing compulsory
schooling in Sweden between 1988 and 1997, we tested associations between
scholastic achievement at age 15–16 and hospital admission for psychosis
between ages 17 and 31, adjusting for potential confounders.
Results
Individuals with excellent school performance had a nearly fourfold
increased risk of later bipolar disorder compared with those with average
grades (hazard ratio HR = 3.79, 95% CI 2.11–6.82). This association
appeared to be confined to males. Students with the poorest grades were
also at moderately increased risk of bipolar disorder (HR = 1.86, 95% CI
1.06–3.28).
Conclusions
These findings provide support for the hypothesis that exceptional
intellectual ability is associated with bipolar disorder.
A Galactic model of stellar population synthesis is used along with a genetic algorithm to reconstruct the three dimensional dust distribution in the Milky Way. We have applied this technique towards over 1500 IRDC cloud candidates, for which we recovered distances and masses for 1259 of them. Aside from giving us the distance to the dust, the three dimensional extinction map also provides us with a temperature independent measure of its density. This new method is independent of any kinematical information, thus providing a new way to obtain information on the Galactic distribution of the ISM. It is a good complement to existing measures which are solely based on molecular gas kinematics as both methods are completely independent and both are affected by different systematics. It will be able to provide valuable distance information for use in the analysis and interpretation of far-infrared and sub-millimetre observations by Herschel and Planck. In the future it could be used with deeper stellar observations or observations at longer wavelengths in order to probe even higher density clouds and to even larger distances.
The recent drive within the UK National Health Service to improve psychosocial care for people with mental illness is both understandable and welcome: evidence-based psychological and social interventions are extremely important in managing psychiatric illness. Nevertheless, the accompanying downgrading of medical aspects of care has resulted in services that often are better suited to offering non-specific psychosocial support, rather than thorough, broad-based diagnostic assessment leading to specific treatments to optimise well-being and functioning. In part, these changes have been politically driven, but they could not have occurred without the collusion, or at least the acquiescence, of psychiatrists. This creeping devaluation of medicine disadvantages patients and is very damaging to both the standing and the understanding of psychiatry in the minds of the public, fellow professionals and the medical students who will be responsible for the specialty's future. On the 200th birthday of psychiatry, it is fitting to reconsider the specialty's core values and renew efforts to use psychiatric skills for the maximum benefit of patients