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BJP volume 222 issue 3 Cover and Back matter 人民党第222卷第3期封面和封底
Pub Date : 2023-02-14 DOI: 10.1192/bjp.2023.18
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引用次数: 0
Depersonalization and Creative Writing By Matthew Francis. Routledge. 2022. £120 (hb). 188 pp. ISBN: 9780367530686 《人格解体与创意写作》作者:马修·弗朗西斯劳特利奇》2022。£120 (hb)。188页。ISBN: 9780367530686
Pub Date : 2023-02-14 DOI: 10.1192/bjp.2022.142
Stephen Wilson
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引用次数: 0
Koro: Clinical and Historical Developments of the Culturally Defined Genital Retraction Disorder By Arabinda Narayan Chowdhury. Palgrave Macmillan. 2021. £99.99 (hb). 518 pp. ISBN: 9783030879617 Koro:文化定义的生殖器收缩障碍的临床和历史发展,作者:Arabinda Narayan Chowdhury帕尔格雷夫·麦克米伦,2021。£99.99 (hb)。518页。ISBN: 9783030879617
Pub Date : 2023-02-14 DOI: 10.1192/bjp.2022.156
F. Oyebode
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引用次数: 0
BJP volume 222 issue 3 Cover and Front matter 人民党第222卷第3期封面和正面问题
Pub Date : 2023-02-14 DOI: 10.1192/bjp.2023.17
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引用次数: 0
The Matter with Things: Our Brains, Our Delusions, and the Unmaking of the World By Iain McGilchrist. Perspectiva. 2021. £89.95 (hb). 1500 pp. ISBN: 9781914568060 《事物的本质:我们的大脑、我们的错觉和世界的毁灭》作者:伊恩·麦吉尔克里斯特Perspectiva》2021。£89.95 (hb)。1500页。ISBN: 9781914568060
Pub Date : 2023-02-14 DOI: 10.1192/bjp.2022.147
Annie Swanepoel
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引用次数: 4
: The Neurobehavioral Consequences of Multiple Sclerosis 多发性硬化症的神经行为后果
Pub Date : 2023-02-01 DOI: 10.1192/bjp.2022.125
W. Busuttil
Jenna has multiple sclerosis, and her life journey is one of the stories that are worth narrating. During one of her visits to her consultant’s office, she paused and looked wistfully out the ground-floor office window. ‘It was now late September, and on this cloudless, chilly day, the maple was in full fall foliage. “How lovely”, she murmured to herself, her gaze arrested by the blaze of color. She fell silent, a shaft of late afternoon sunlight falling across her finely chiseled features, the subtle interplay of light and shadow accentuating her melancholy with Caravaggio-like effect’. Finding references to Caravaggio’s style and even poetic alliterations (‘full fall foliage’) does not often happen within medical writings. However, this is arguably a representative sample from Anthony Feinstein’s new book on the neuropsychiatry of multiple sclerosis. Feinstein is equally talented as a clinician and as a writer. As a clinical scientist, he is a world-renown neuropsychiatrist who needs no introduction. His clinical activity at the multiple sclerosis clinic spans three decades: during that time he has assessed and treated thousands of people. He has painstakingly collected their unique life stories, which share the challenge presented by living with multiple sclerosis. By his own admission, he has created the fictional people who populate his new book ‘by reworking, modifying, altering, combining, trimming, expanding, and reinventing the gist of these real-life stories’. Feinstein’s eloquent case histories focus on the psychiatric disorders that often accompany the neurological manifestations of multiple sclerosis: from the peculiar affective symptoms (pseudobulbar affect) to the kaleidoscopic changes in personality and behaviour. The most commonly reported cognitive difficulties – slowed information processing speed, impaired memory, and deficits in executive function – are presented in real-life scenarios, illustrating the impact on people’s everyday activities. Endorsed by the Consortium of Multiple Sclerosis Centers, this book also provides tailored recommendations for evidence-based therapeutic interventions. The comprehensive and up-to-date reference list at the end of the volume reflects its alignment with the latest science. Mind, Mood, and Memory: The Neurobehavioral Consequences of Multiple Sclerosis ideally complements Feinstein’s previous volume, titled The Clinical Neuropsychiatry of Multiple Sclerosis (1999). Any health professional involved in the care of people with multiple sclerosis would benefit from reading these books, regardless of their specialty. Thanks to Feinstein’s engaging and accessible style, his latest effort is equally appealing to people with multiple sclerosis and their families. Andrea E. Cavanna , Michael Trimble Neuropsychiatry Research Group, Birmingham and Solihull Mental Health NHS Foundation Trust and University of Birmingham, UK; School of Life and Health Sciences, Aston University, UK; and Sobell Departme
珍娜患有多发性硬化症,她的人生旅程是值得讲述的故事之一。有一次去咨询师的办公室,她停下来,若有所思地从一楼办公室的窗户往外看。现在是九月下旬,在这个万里无云、寒冷的日子里,枫叶开满了秋叶。“多可爱啊!”她喃喃自语,她的目光被绚丽的色彩吸引住了。她陷入了沉默,一缕傍晚的阳光洒在她轮廓分明的脸上,光影的微妙相互作用以卡拉瓦乔式的效果加重了她的忧郁。在医学著作中,发现卡拉瓦乔的风格甚至诗歌的头韵(“满地落叶”)并不常见。然而,这可以说是安东尼·范斯坦(Anthony Feinstein)关于多发性硬化症神经精神病学的新书中的一个代表性样本。范斯坦是一位才华横溢的临床医生,也是一位作家。作为一名临床科学家,他是世界知名的神经精神病学家,无需介绍。他在多发性硬化症诊所的临床活动长达三十年:在此期间,他评估和治疗了数千人。他煞费苦心地收集了他们独特的生活故事,这些故事分享了患有多发性硬化症所带来的挑战。据他自己承认,他“通过对这些真实故事的要点进行再加工、修改、改变、组合、修剪、扩展和重新创造”,创造出了在他的新书中出现的虚构人物。范斯坦雄辩的病历集中在经常伴随多发性硬化症的神经系统表现的精神疾病上:从特殊的情感症状(假性球影响)到性格和行为的千变万化的变化。最常见的认知困难——信息处理速度减慢、记忆受损和执行功能缺陷——在现实生活中出现,说明了对人们日常活动的影响。由多发性硬化症中心联盟的认可,这本书还提供了量身定制的建议,以证据为基础的治疗干预。在卷的末尾,全面和最新的参考书目反映了它与最新科学的一致性。《精神、情绪和记忆:多发性硬化症的神经行为后果》一书完美地补充了范斯坦之前的著作《多发性硬化症的临床神经精神病学》(1999)。任何参与治疗多发性硬化症患者的健康专业人士,无论他们的专业是什么,都能从这些书中受益。由于范斯坦引人入胜、平易近人的风格,他的最新作品同样吸引了多发性硬化症患者及其家人。Andrea E. Cavanna, Michael Trimble神经精神病学研究小组,伯明翰和索利赫尔精神健康NHS基金会信托基金和伯明翰大学,英国;英国阿斯顿大学生命与健康科学学院;伦敦大学学院运动神经科学和运动障碍索贝尔系和英国神经病学研究所。电子邮件:a.cavanna@nhs.net
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引用次数: 0
BJP volume 222 issue 2 Cover and Back matter 人民党222卷第2期封面和封底
Pub Date : 2023-01-30 DOI: 10.1192/bjp.2022.208
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引用次数: 0
Seminars in the Psychotherapies (2nd edn) Edited by Rachel Gibbons and Jo O'Reilly. Cambridge University Press. 2021. £39.99 (pb). 414 pp. ISBN: 9781108711838 心理治疗研讨会(第二版)由Rachel Gibbons和Jo O'Reilly编辑。剑桥大学出版社,2021。£39.99 (pb)。414页。ISBN: 9781108711838
Pub Date : 2023-01-30 DOI: 10.1192/bjp.2022.136
A. Baban
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引用次数: 0
BJP volume 222 issue 2 Cover and Front matter 人民党第222卷第2期封面和正面问题
Pub Date : 2023-01-30 DOI: 10.1192/bjp.2022.207
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引用次数: 0
Highlights of this issue 本期重点报道
Pub Date : 2023-01-30 DOI: 10.1192/bjp.2022.186
S. Suetani
In this issue of BJPsych, the editorial by Goodday et al (pp. 51–53) argues that digital health technologies could potentially redesign the psychiatry field. We base our assessment and treatment on self-reported symptoms in intermittent clinical encounters. What if we could bring more objectivity to our practice? Like Holter monitoring for blood pressure, can we monitor dynamic behaviour, emotion and physiological responses in real time? In the related Analysis, Rocheteau elegantly outlines the issues associated with artificial intelligence in psychiatry. Of note, Rocheteau touches on the idea of online psychotherapy. What if we replace human therapists with ‘robo-therapists’who can recall your story, deep learn and stick to manualised therapy perfectly? We already have the technology to produce speech that is indistinguishable from that of humans. The future may be closer than we think it is. The multicentre randomised control trial by Gnanapragasam et al (pp. 58–66) brings us back to reality. The study examines the effectiveness of the ‘Foundations’ app among UK healthcare workers. The app reduced general psychiatric morbidity and insomnia while improving the mental well-being of the intervention group. The app did not, however, have any significant impact on symptoms of depression or anxiety, or on resilience, presenteeism and functioning. Another paper on COVID in this issue Fancourt et al (pp. 74–81) further examines depressive and anxiety symptoms. Using data from the UCL COVID-19 Social Study, the authors found that compared with the short-COVID group, those with long COVID experienced significantly higher levels of depressive symptoms but comparable levels of anxiety symptoms at the onset of COVID infection. Over the subsequent 22 months, both the depressive and anxiety symptoms for the long-COVID group remained elevated whereas the symptoms were reduced back to the baseline for the short-COVID group. Even in a developed nation like Australia where I practice, pharmacological intervention is vastly more available and affordable (and thus accessible) than psychological intervention. I can only imagine how limited access might be in lowand middle-income countries with a distinct lack of trained professionals. The Healthy Activity Program trial demonstrated that you don’t need fancy degrees to help people. Through the programme, behavioural activation delivered by lay counsellors in Goa, India, significantly improved the remission rate from depression. In this issue, Seward et al (pp. 67–73) further explore the data from the trial to see if they could find specific aspects that improved outcomes. The authors found that the reduction in depressive symptoms was mediated through improved levels of behavioural activation. Surprisingly, they found no mediating effects through factors such as the number of sessions, homework completed, response to therapy or number of additional sessions. Given the findings, the authors suggested that if people ar
在这一期的《BJPsych》杂志上,Goodday等人的社论(第51-53页)认为,数字健康技术可能会重新设计精神病学领域。我们的评估和治疗基于间歇性临床接触中自我报告的症状。如果我们能让我们的实践更客观呢?就像动态心电图监测血压一样,我们能实时监测动态行为、情绪和生理反应吗?在相关的分析中,罗彻托优雅地概述了与精神病学中的人工智能相关的问题。值得注意的是,罗彻托提到了在线心理治疗的概念。如果我们用“机器人治疗师”取代人类治疗师,他们可以回忆你的故事,深度学习,并完美地坚持手动治疗,那会怎么样?我们已经拥有了制造与人类无法区分的语音的技术。未来可能比我们想象的更近。Gnanapragasam等人的多中心随机对照试验(第58-66页)将我们带回现实。这项研究调查了“基础”应用程序在英国医护人员中的有效性。该应用程序降低了一般精神疾病发病率和失眠,同时改善了干预组的心理健康。然而,这款应用对抑郁或焦虑症状,以及对适应力、出勤和功能没有任何显著影响。本期关于COVID的另一篇论文Fancourt等人(第74-81页)进一步研究了抑郁和焦虑症状。作者利用伦敦大学学院COVID-19社会研究的数据发现,与短COVID组相比,长COVID组在感染COVID时抑郁症状水平明显较高,但焦虑症状水平相当。在随后的22个月里,长covid组的抑郁和焦虑症状仍然升高,而短covid组的症状则降至基线。即使在像澳大利亚这样的发达国家,药物干预也比心理干预更容易获得和负担得起(因此更容易获得)。我只能想象,在明显缺乏训练有素的专业人员的低收入和中等收入国家,获得医疗服务的机会可能会多么有限。健康活动计划的试验表明,你不需要高学历来帮助别人。通过该项目,印度果阿的非专业咨询师提供的行为激活显著提高了抑郁症的缓解率。在这一期中,苏厄德等人(第67-73页)进一步探讨了试验的数据,看看他们是否能找到改善结果的具体方面。作者发现,抑郁症状的减轻是通过行为激活水平的提高来调节的。令人惊讶的是,他们没有发现诸如治疗次数、完成的作业、对治疗的反应或额外治疗次数等因素的中介作用。鉴于这些发现,作者建议,如果人们对行为激活没有反应,应该提供替代治疗,而不是坚持进行额外的治疗。也许我们很快就能提供“机器人疗法”。最后,Goto等人(第82-87页)在战争开始几个月后的2022年4月评估了乌克兰住院精神卫生服务的状况。根据对乌克兰32家住院精神卫生机构负责人的采访,提交人发现,与战前相比,住院率下降了近四分之一,其中大部分下降来自俄罗斯占领的东部地区。尽管住院人数有所减少,但作者认为,乌克兰仍有大量精神卫生需求未得到满足。一个可能的解决方案是寻求非心理健康专家的帮助(如健康活动计划所述)。另一个解决方案是加强远程心理健康支持(或许可以对“Foundations”这样的应用程序进行修改,以适应乌克兰的环境)。自从高中毕业后,我最近第一次重读了阿道斯·赫胥黎的《美丽新世界》。本期BJPsych包含人工智能、机器人治疗、“基础”、流行病、行为激活和欧洲战争。我们的社区感觉更小了,也更分裂了。当我们在这个混乱和混乱的时代寻求我们的身份认同时,稳定离我们还有几步之遥。读完这个月的BJPsych,我想知道赫胥黎会如何看待我们现在生活的美丽新世界。英国精神病学杂志(2023)222,A7。doi: 10.1192 / bjp.2022.186
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The British Journal of Psychiatry
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