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Journal of Affective Disorders 107 (2008) S19 – S20

www.elsevier.com/locate/jad

Plenary speaker abstracts

K1 Mental health and the economy K2 Advances in brain stimulation techniques for
treatment-resistant affective disorders
N. Sartorius
H. Sackeim
Association for the Improvement of Mental Health
Programmes, Switzerland Columbia University, USA

The presentation will first briefly discuss the defini- Background: Besides ECT, which remains a mainstay
tion of terms such as mental health, mental disorder, in the treatment of resistant depression, there are several
promotion of mental health and control of mental new brain stimulation techniques that are gradually
disorders. It will then refer to differences between the making their way into clinical practice. This is an area
economic, human and social capital in relation to the of exceptional growth in psychiatry and it is highly
provision of mental health services and to the measure- appropriate that attendees of the ISAD Conference should
ment of outcome of treatment of mental illness. have the latest developments presented to them by one of
The advantages and disadvantages of basing the the leaders in the field.
proposals for mental health programmes on economic
considerations will be reviewed in the context of current doi:10.1016/j.jad.2007.12.148
socio-economic developments in industrialized and low-
and-middle income countries. The consequences of the
changes of the size of the middle class in many countries
will be examined in this connection as well as issues K3 Anxiety disorders: Neuronal circuitry, molecular
concerning the provision of health care to the increasing underpinnings and psychosocial trajectories
numbers of people stricken by poverty.
The increasing role of the private medical care in D.J. Stein
general and in mental health care in particular will be
addressed as well as the reasons for the neglect of the University of Cape Town, South Africa
private sector in government plans and policies in many
countries. There are important clinical reasons for focusing on
Finally the presentation will suggest action concern- the anxiety disorders - they are the most prevalent of the
ing the improvement of health policies and of the psychiatric disorders, and amongst the most disabling.
education of health professionals and propose areas in Generalized anxiety disorder, obsessive-compulsive
which research on economic aspects of mental health disorder, panic disorder, posttraumatic stress disorder,
care might be particularly useful. and social anxiety disorder are increasingly viewed as
independent disorders that chronic and costly, as well as
doi:10.1016/j.jad.2007.12.147 underdiagnosed and undertreated, but that can be
managed effectively and cost-efficiently.