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I am pleased to introduce this Symposium Edition of The Journal of Law, Medicine & Ethics, which covers a wide variety of issues central to transgender health equity, including Dr. Jamison Green’s recent history of the impact of health policy on transgender communities, Dr. M. Killian Kinney, Ms. Taylor Pearson, and Prof. Julie Ralston Aoki’s transgender equity tool for legal policy analysis, and Prof. Elizabeth Kukura’s analysis of issues facing transgender, non-binary, and gender expansive people during pregnancy and childbirth.

Living on the Edge: An American Generation’s Journey through the Twentieth Century (University of Chicago Press, 2021) tells the story of the rarely studied 1900 generation, from their social origins to their old age, as they coped with and adapted to the revolutionary changes of the last century. Using longitudinal data from the Berkeley Guidance Study, the authors followed 420 parents (210 couples) born between 1885 and 1908, all of whom had children born in Berkeley between 1928–29. The analyses, which often challenge conventional wisdom, reveal their status as a “hinge generation,” or bridge, between past and present in their educational, work, and family experiences. Following highlights from the authors, four scholars offer critical commentary on the book. Matt Nelson addresses challenges related to analyzing kinship networks and patterns of economic assistance across the Great Depression era, pointing to measurement limitations that obscure important forms of aid. Kelly Condit-Shrestha raises concerns related to race and ethnicity, especially the absence of Black, American Indian, Chinese, Japanese, and Hispanic persons in the original study, as well as to westward migration, American Empire, and white-settler colonialism. Silvia Pedraza addresses crucial social class differences (middle class versus working class) in the expectations and experiences of women, calling for greater clarity in the relationship between women’s roles and notions of “respectability.” Finally, Evan Roberts takes up some of the complex methodological issues involved in leveraging historical data to understand the life course and identifying the uniquely disruptive nature of social change across generations and countries.

\"This book offers a new interpretation of sympotic scenes in sixth- and fifth-century BC Athenian vase painting. Through these images, the book explores what it meant to be a Greek community and how Athenians thought about past and present\"-- Provided by publisher.

Background In a situation of COVID 19 pandemic subjects suffering from osteoarthritis pain will be suffering from mental and physical symptoms due to lockdown and there will be difficulty to assess the healthcare facility. According to the World Mental Health Atlas (2014), the number of psychiatrist per lakh of population in India was 0.75, with even lesser number of psychologists and psychiatric social workers. Even the median number of psychiatrists is only 0.2/100,000 in India as opposed to a global median of 3/100,000 population. Telepsychiatry can bring about a revolution as in capacity building by leveraging digital technology in the present situation. This study helps to find those KOA subjects who are suffering depression and to improve their quality of life by providing them aids of treatment. Aims and Objectives Aim To study the health-related quality of life and depression in subjects with knee osteoarthritis pain. Objectives PRIMARY 1. To study the health-related quality of life in older adult subjects with knee osteoarthritis pain. 2.To study the severity of depression in older adult subjects with knee osteoarthritis pain. SECONDARY 1.To study the relation between health-related quality of life and knee osteoarthritis pain in older adult subjects. 2.To study the relation between knee osteoarthritis pain and depression. 3.To study the relation between health-related quality of life and depression among studied older adult subjects. Methods Subjects aged more than 50 full filling selection criteria are recruited from the Department of Orthopaedic Surgery, KGMU, Lucknow. 1.Mobile numbers of subjects from the records available in the department of Orthopaedics were collected from JANUARY 2018 to JANUARY 2020 2.Subjects those who were on treatment for knee osteoarthritis from the department of Orthopaedic Surgery were contacted over telephone and recruited according to the selection criteria for the study. Call was recorded after taking consent. 3.Subjects were contacted during the daytime 10 am -2pm. If patients subjects and attenders were not comfortable with the time, they were asked for the suitable time to contact them. 4.Subjects were approached for three times. If not answering for three times they were considered as out of reach 5.Survey was completed in maximum 2 sessions,15 minutes each if the subject was not comfortable in answering in a single session. 6.Proper introduction of doctor calling them was given to the subjects and attenders and the purpose of telephone call was informed to the subjects and attenders. 7.After the informed consent which has been recorded on the telephone subjects were interviewed on the basis of sociodemographic questionnaire. 8.Following basic interview subjects were evaluated using scales which includes PHQ-9, SF-12 and WOMAC. 9.HR QOL was measured by SF-12 which includes general health, limitation of activities, physical health, emotional health and social activities. 10.PHQ-9 to assess the diagnosis and severity of depression was applied. 11.WOMAC scale was applied which gives the status of pain, stiffness and physical disabilities. 12.Each assessment took 20-30 minutes. All the answers given over phone were recorded by the principal investigator. 13.If subjects and attenders, ask for advice regarding the treatment were addressed properly following guidance from consultants. 14.For the subjects with depression, advice was given to consult the geriatric mental health helpline number of KGMU. 15.Subjects were divided into 2 main groups depressed and non-depressed and also divided into three groups based on KL grading into KL grade 2, KL grade 3 and KL grade 4 and further analysis was done accordingly. Ethics UNIVERSITY ETHICS COMMITTEE-103rd ECM II B-Thesis/P24, N0;1391/Ethics/2020 Results Results showed that there is significant difference in pain and general health related quality of life based on the KL grading of Knee osteoarthritis.(P=0.02,P=0.04)There is significant difference in pain between males and females and females have more severity of pain,(p=0.001) Among the depressed and non-depressed group, depressed group have more pain ,(P=0.026) There is significant difference in pain based on duration of Knee osteoarthritis, (p=0.05).There is significant difference in physical function between depressed and non- depressed group, depressed group having more physical dysfunction. There is significant association between stiffness and health related quality of life, P=0.001. Pain is positively correlated with depression,(P=0.001). Study concluded that pain and general health related quality of life worsens with higher grading of Knee osteoarthritis. Pain is more in females and depressed group. Physical function is lesser in depressed group. As stiffness increases health related quality of life decreases. Pain increases as the duration of Knee osteoarthritis increases and pain is correlated with pain. Discussion Depression in the elderly may emerge because of general medical illnesses, especially those, such as OA, that cause prolonged suffering, leading the patient to physical disability and loss of autonomy. The impact of depression is important, since depressed individuals are more likely to report chronic pain, or pain of greater intensity. This fact can be a complicating factor in the process of treatment adherence and may still increase the perception of pain. The depressive disorder, when associated with physical illness, can cause the emergence of anxiety symptoms. Women have higher rates of depression, anxiety and need family support and it is more common in age above 60. Conclusion The studies previously done ordinarily incorporate pain and function scores however have not regularly included psychosocial factors evaluating QoL, which likewise impacts how patients feel, work, and endurance. Study concluded that there is significant difference in pain and general health related quality of life based on the KL grading of KOA. Pain and general health related quality of life worsens with higher grading of KOA. There is significant difference in pain between males and females and depressed and non-depressed group. Pain is more in females and depressed group. There is significant difference in physical function between depressed and non-depressed group. Physical function is lesser in depressed group. There is significant difference in pain based on duration of Knee osteoarthritis. Pain increases as the duration of KOA increases. As stiffness increases health related quality of life decreases. Pain is positively correlated with depression. 73rd Annual National Conference of Indian Psychiatric Society 2022 January 20 - 23, Vizag Conventions, PM Palem, Visakhapatnam Theme : Bridging Minds... Connecting Generations

The COVID-19 pandemic has seen a significant rise in the demand for mental health services. Technology advancement and pandemic restrictions have revolutionised the mental health field with mental health professionals adapting and shifting towards online platforms. Recent research suggests that online therapy can be as effective as in-person therapy for various mental health conditions. Online psychotherapy isn't a new practice, rather it has been used during pre-covid times with caution. Several studies have proven the effectiveness of telemental health indicating that both clients and providers who use telehealth generally view it favourably. Online psychotherapy and telemedicine could be more approachable, convenient while increasing access to out-of-state professionals. Online therapy and tele-consultation have its strengths as well as challenges including flexibility in scheduling, convenience, saving time from commuting to and from appointments, enhancing vulnerability and disclosure. However, it has its own set of challenges and ethical concerns, particularly revolving around privacy and confidentiality in the digital space. This symposium will highlight the strengths and challenges of telemental health based on empirical researches and personal experiences of psychotherapists and psychiatrists. With increasing onus over the providers, it becomes important to discuss and address the new demands. It will enable the mental health practitioners to be more equipped and competent to continue offering telehealth as demand for mental health services grows, particularly services offered virtually. Finally, the symposium glances at the future of tele mental healthcare in the light of the recent guidelines and what it possibly holds for service providers.

Background: First written about in 1970, Harvard University psychiatrist and science researcher, Dr. Chester Pierce coined the term microaggression to describe the experiences of African Americans post Jim Crowe era. Today, the term has evolved to include minorities, under-represented groups and vulnerable populations everywhere. In addition, understanding microaggressions is critical in health care settings, particularly given the burgeoning literature on the mental health impact of certain groups of people. Objectives: Assess the various forms of microaggressions-microinsults, microassaults, and microinvalidations-experienced by minority and vulnerable populations in India and the USA. Demonstrate health and mental health consequences of microaggressions. Discuss effective strategies overcome microaggressions in health care settings. Methods: The presenters will review the literature on microaggressions in everyday life and in health care settings. Evidence based literature describes the health consequences for recipients of microaggressions and the mental health effects of a cumulative lifetime of microaggression on certain groups. The audience is engaged in an exercise to demonstrate the subtle yet powerful aspects of microaggressions. Findings: Evidence from studies in psychiatry and mental health literature as well as diversity and bias trainings in medicine show the prevalence and impact of microaggressions particularly on minority and under-represented individuals. Moreover, these effects can have implications for health care delivery systems. Conclusions: Microaggressions are ubiquitous and their health consequences for minority groups makes this topic increasing relevant for mental health providers. Diversity, equity and inclusion are core competencies in medicine; moreover, awareness of microaggressions and effective mitigation strategies is critical for mental health providers and health care systems. References 1. Parekh R, Padilla A, et al., \"Microaggressions: Effects in Early Life and Strategies to Overcome,\" Cultural Psychiatry with Children, Adolescents, and Families. Edited by Parekh R, Al-Mateen C, Lisotto M, Carter, R. APA Publishing, 2021 2. Sue DW: Microaggressions in Everyday Life, Second Edition. Hoboken, NJ, Wiley, 2020 3. Parekh R, Bell C and Weintraub K. Overcome Prejudice at Work, Harvard Health Publishers, Dec 2012 4. Ong AD, Burrow AL: \"Microaggressions and Daily Experience\". Perspect Psychol Sci 12(1):173-175, 2017 5. Pierce CM: \"Stress Analogs of Racism and Sexism: Terrorism, Torture, and Disaster\", Mental Health, Racism and Sexism. Edited by Willie C, Rieker P, Kramer B, et al., Pittsburg, PA, University of Pittsburg Press, 1995, PP 277-293. 6. Omaiha Walajahi, \"Explaining Microaggressions in India\", http://hyderabadpsychologist.com

IPS PERINATAL PSYCHIATRY TASK FORCE SYMPOSIUM ANCIPS 2022: Prescribing Psychotropics In Pregnancy And Lactation The management of mental health problems during pregnancy and the postnatal period differs from disorders occurring at other times.The impact of the mental illness and treatment thereof is on the mother, the child and the family. 1 in 5 women experience some form of perinatal mental illness Only 50% are diagnosed 15% have depression ,anxiety disorders. Severe mental illness can be 2 to 3 per 1000 Postpartum psychosis can be 1 to 2 in 1000 COVID times has seen an increase in depression and anxiety in the perinatal period(Wang 2020,Wu 2020) Psychosis can re-emerge or be exacerbated during pregnancy and the postnatal period. Although response to treatment is good, these problems frequently go unrecognized and untreated in pregnancy and the postnatal period. Psychiatric relapse in the setting of medication discontinuation for pregnancy is extremely common. Hence an appropriate treatment plan for psychiatric disorders during pregnancy and lactaction needs to be individualized and protocolised. Domestic violence during the perinatal period is recognised as major public health issues (Buist et al. 2005) and are associated with poor outcomes for women and their children and partners(Murray et al. 2003).It also contributes to increased risk of mental illness in pregnancy and lactation Intervention studies indicate that mental health problems during the perinatal period can be minimised if women and families engage in appropriate service (Armstrong et al. 2002; Kemp et al. 2011; Shaw et al. 2006). However concerns with regards to knowledge gaps and safety issues in prescribing psychotropic medication exist. This symposium by the Perinatal Psychiatry Task Force will address the important area of perinatal psychiatry ie prescribing of psychotropics in pregnancy and lactaction.The format will be discussion of the same with illustrative cases.