In Masoudzadeh et al ’s[1][1] evaluation of the use of liothyronine as an adjunct to electroconvulsive therapy (ECT), the finding of improved outcome on both the Hamilton Rating Scale for Depression and the revised Wechsler Memory Scale is encouraging, especially in view of the relatively small
{"title":"How does liothyronine prevent ECT-induced memory impairment?","authors":"T. Oakley","doi":"10.1192/PB.37.5.179A","DOIUrl":"https://doi.org/10.1192/PB.37.5.179A","url":null,"abstract":"In Masoudzadeh et al ’s[1][1] evaluation of the use of liothyronine as an adjunct to electroconvulsive therapy (ECT), the finding of improved outcome on both the Hamilton Rating Scale for Depression and the revised Wechsler Memory Scale is encouraging, especially in view of the relatively small","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"21 1","pages":"179-180"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77553013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-05-01DOI: 10.1192/PB.BP.112.038604
B. Sessa, Hilary Sutherland
Rates of developmental delay, autism and mental illness in deaf children are higher than in hearing children. Early language acquisition (signed or spoken) is a protective factor against mental disorder. Deaf children and their families are often given conflicting messages and advice about their upbringing and many are unable to access generic child and adolescent mental health services (CAMHS). We describe the National Deaf CAMHS, a service that has been set up to answer the needs of this group of patients. It uses specialist intervention which incorporates some aspects of Deaf awareness to empower deaf children and reduce the burden of mental health problems that are likely to accompany them into and throughout their adulthood.
{"title":"Addressing mental health needs of deaf children and their families: the National Deaf Child and Adolescent Mental Health Service","authors":"B. Sessa, Hilary Sutherland","doi":"10.1192/PB.BP.112.038604","DOIUrl":"https://doi.org/10.1192/PB.BP.112.038604","url":null,"abstract":"Rates of developmental delay, autism and mental illness in deaf children are higher than in hearing children. Early language acquisition (signed or spoken) is a protective factor against mental disorder. Deaf children and their families are often given conflicting messages and advice about their upbringing and many are unable to access generic child and adolescent mental health services (CAMHS). We describe the National Deaf CAMHS, a service that has been set up to answer the needs of this group of patients. It uses specialist intervention which incorporates some aspects of Deaf awareness to empower deaf children and reduce the burden of mental health problems that are likely to accompany them into and throughout their adulthood.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"27 1","pages":"175-178"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80314585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-05-01DOI: 10.1192/PB.BP.113.043406
L. Fagin, P. Shoenberg
![Figure][1] John Pippard was a consultant psychiatrist at Claybury Hospital, Essex. Born on 20 May 1919, he died from pneumonia after a fall at home on 21 December 2012. John was the elder son of Olive and A.J.S. (Sutton) Pippard FRS who was Professor of Civil Engineering at Imperial
{"title":"John Sutton Pippard","authors":"L. Fagin, P. Shoenberg","doi":"10.1192/PB.BP.113.043406","DOIUrl":"https://doi.org/10.1192/PB.BP.113.043406","url":null,"abstract":"![Figure][1] \u0000\u0000John Pippard was a consultant psychiatrist at Claybury Hospital, Essex. Born on 20 May 1919, he died from pneumonia after a fall at home on 21 December 2012.\u0000\u0000John was the elder son of Olive and A.J.S. (Sutton) Pippard FRS who was Professor of Civil Engineering at Imperial","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"94 1","pages":"182-182"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83568222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-05-01DOI: 10.1192/PB.BP.112.040659
J. Mandiberg, R. Warner
The community placement of people with serious mental illness has focused on assimilation. The broad community, however, seems largely unwilling to support and include them. The result is programmes to help people maintain their community lives mainly through the support of formal mental health services. The social and economic development of ‘identity communities’ of people with serious mental illness is an alternative model to assimilation. An identity community consists of people with shared interests, beliefs, experiences or needs which affect the identity of the participants and the cohesiveness of the group. Such communities can be economically sustainable and offer members more ways of having meaningful lives. Examples of this recovery-friendly approach are provided as a viable way of enhancing community support without additional expense.
{"title":"Is mainstreaming always the answer? The social and economic development of service user communities","authors":"J. Mandiberg, R. Warner","doi":"10.1192/PB.BP.112.040659","DOIUrl":"https://doi.org/10.1192/PB.BP.112.040659","url":null,"abstract":"The community placement of people with serious mental illness has focused on assimilation. The broad community, however, seems largely unwilling to support and include them. The result is programmes to help people maintain their community lives mainly through the support of formal mental health services. The social and economic development of ‘identity communities’ of people with serious mental illness is an alternative model to assimilation. An identity community consists of people with shared interests, beliefs, experiences or needs which affect the identity of the participants and the cohesiveness of the group. Such communities can be economically sustainable and offer members more ways of having meaningful lives. Examples of this recovery-friendly approach are provided as a viable way of enhancing community support without additional expense.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"234 1 1","pages":"153-155"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72938828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-04-01DOI: 10.1192/PB.BP.112.040329
S. Iliffe
The current emphasis on improving the quality of dementia services is welcome, but it treats dementia as if it were separable from complex comorbidities, disability and frailty. As a consequence, dementia can overshadow other problems, from heart failure to multisystem failure at the end of life, which may be poorly managed. Three ways in which old age psychiatrists can reconnect dementia with the diseases and disorders of later life are described in this editorial. The first is to improve skills in general practice so that general practitioners (GPs) can take on the bulk of the clinical work of both diagnosis and management of dementia and its comorbidities, while specialists retain complex decision-making and management tasks. The second is for old age psychiatrists to function as consultants to social enterprises run by GPs for the purpose of managing almost all patients with dementia in general practice. The third is for community geriatricians and old age psychiatrists to work together in integrated organisations that take full clinical responsibility for older people with dementia.
{"title":"Commissioning services for people with dementia: how to get it right","authors":"S. Iliffe","doi":"10.1192/PB.BP.112.040329","DOIUrl":"https://doi.org/10.1192/PB.BP.112.040329","url":null,"abstract":"The current emphasis on improving the quality of dementia services is welcome, but it treats dementia as if it were separable from complex comorbidities, disability and frailty. As a consequence, dementia can overshadow other problems, from heart failure to multisystem failure at the end of life, which may be poorly managed. Three ways in which old age psychiatrists can reconnect dementia with the diseases and disorders of later life are described in this editorial. The first is to improve skills in general practice so that general practitioners (GPs) can take on the bulk of the clinical work of both diagnosis and management of dementia and its comorbidities, while specialists retain complex decision-making and management tasks. The second is for old age psychiatrists to function as consultants to social enterprises run by GPs for the purpose of managing almost all patients with dementia in general practice. The third is for community geriatricians and old age psychiatrists to work together in integrated organisations that take full clinical responsibility for older people with dementia.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"78 1","pages":"121-123"},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83746776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Paddock, Kitty Farooq, S. Sarkar, Tulha Aga, G. Lydall
As trainees, we thought that examining the views of trainees who have already chosen psychiatry might add to our understanding of the factors involved in career choice. In November 2009, the London Deanery School of Psychiatry hosted its annual trainee conference themed ‘Recruitment - Everybody
{"title":"Why choose psychiatry? Report on a qualitative workshop","authors":"M. Paddock, Kitty Farooq, S. Sarkar, Tulha Aga, G. Lydall","doi":"10.1192/PB.37.4.146","DOIUrl":"https://doi.org/10.1192/PB.37.4.146","url":null,"abstract":"As trainees, we thought that examining the views of trainees who have already chosen psychiatry might add to our understanding of the factors involved in career choice.\u0000\u0000In November 2009, the London Deanery School of Psychiatry hosted its annual trainee conference themed ‘Recruitment - Everybody","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"34 1","pages":"146-146"},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85957188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Typically, medical students do not learn about psychiatry in forensic settings. Depending on their interests and their medical school, they might have access to special study modules or elective placements in their final year. We introduced undergraduate psychiatry placements at our regional
{"title":"Teaching undergraduate psychiatry in a forensic setting","authors":"J. Jacques","doi":"10.1192/PB.37.4.145","DOIUrl":"https://doi.org/10.1192/PB.37.4.145","url":null,"abstract":"Typically, medical students do not learn about psychiatry in forensic settings. Depending on their interests and their medical school, they might have access to special study modules or elective placements in their final year. We introduced undergraduate psychiatry placements at our regional","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"20 1","pages":"145-145"},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83174612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oakley et al [1][1] highlight an important training gap in the current curricula of both psychiatrists and neurologists. Among other interesting considerations, the article proposes that ‘in the first year of training, a 4-month placement in neurology becomes an integral part of core training
{"title":"A meeting point for neurology and psychiatry","authors":"R. Conn, A. Cavanna","doi":"10.1192/PB.37.4.147A","DOIUrl":"https://doi.org/10.1192/PB.37.4.147A","url":null,"abstract":"Oakley et al [1][1] highlight an important training gap in the current curricula of both psychiatrists and neurologists. Among other interesting considerations, the article proposes that ‘in the first year of training, a 4-month placement in neurology becomes an integral part of core training","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"29 1","pages":"147-148"},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86807521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-04-01DOI: 10.1192/PB.BP.112.038463
D. Ho, Nikki Collins, Morris Vinestock, Mrigendra Das
Aims and method To illustrate the clinical benefit of polygraph testing for mentally disordered sex offenders at a high secure psychiatric hospital. It is a retrospective review of two patients’ case notes and of interviews with clinicians. Post Conviction Sex Offender Testing (PSCOT) was used to assist these patients in making disclosures regarding their sexual history and to aid their treatment. Results Post Conviction Sex Offender Testing was responsible for bringing about new disclosures relating to the patients’ sexual histories and aiding their treatment progression to lower secure settings. New information was incorporated into the patients’ treatment programmes and risk management plans. Post Conviction Sex Offender Testing also encouraged a more honest and effective participation in sex offender treatment programmes and allowed the evaluation of antilibidinal medication. Clinical implications Post Conviction Sex Offender Testing should be more widely considered among mentally disordered sex offenders who have been challenging to treat, as it has the potential to aid their management and progression to lower-security settings.
{"title":"Polygraph testing of sex offenders in a high secure hospital","authors":"D. Ho, Nikki Collins, Morris Vinestock, Mrigendra Das","doi":"10.1192/PB.BP.112.038463","DOIUrl":"https://doi.org/10.1192/PB.BP.112.038463","url":null,"abstract":"Aims and method To illustrate the clinical benefit of polygraph testing for mentally disordered sex offenders at a high secure psychiatric hospital. It is a retrospective review of two patients’ case notes and of interviews with clinicians. Post Conviction Sex Offender Testing (PSCOT) was used to assist these patients in making disclosures regarding their sexual history and to aid their treatment. Results Post Conviction Sex Offender Testing was responsible for bringing about new disclosures relating to the patients’ sexual histories and aiding their treatment progression to lower secure settings. New information was incorporated into the patients’ treatment programmes and risk management plans. Post Conviction Sex Offender Testing also encouraged a more honest and effective participation in sex offender treatment programmes and allowed the evaluation of antilibidinal medication. Clinical implications Post Conviction Sex Offender Testing should be more widely considered among mentally disordered sex offenders who have been challenging to treat, as it has the potential to aid their management and progression to lower-security settings.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"48 1","pages":"141-143"},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83266658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-04-01DOI: 10.1192/pb.bp.112.039990
A. Gray
Understanding Religion and Spirituality in Clinical Practice By Margaret Clark Karnac Books, 2012, £15.99, pb, 118 pp. ISBN: 9781855758704 This slim volume aimed at trainee psychotherapists gives an introduction to religion and spirituality and advises how to approach the subject in
{"title":"Understanding Religion and Spirituality in Clinical Practice","authors":"A. Gray","doi":"10.1192/pb.bp.112.039990","DOIUrl":"https://doi.org/10.1192/pb.bp.112.039990","url":null,"abstract":"Understanding Religion and Spirituality in Clinical Practice By Margaret Clark Karnac Books, 2012, £15.99, pb, 118 pp. ISBN: 9781855758704 \u0000\u0000This slim volume aimed at trainee psychotherapists gives an introduction to religion and spirituality and advises how to approach the subject in","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"1 1","pages":"152-152"},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89211578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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