Pub Date : 2013-10-01DOI: 10.1192/PB.BP.113.044305
N. Poole
First published in Neuropsychiatry News , Winter 2012, issue 6. Reprinted with permission. ![Figure][1] In March 2012, I had the great pleasure of talking with Professor Alwyn Lishman for the Neuropsychiatry Newsletter in the first of what I hope to become a regular series of interviews of
{"title":"Interview with Professor William Alwyn Lishman","authors":"N. Poole","doi":"10.1192/PB.BP.113.044305","DOIUrl":"https://doi.org/10.1192/PB.BP.113.044305","url":null,"abstract":"First published in Neuropsychiatry News , Winter 2012, issue 6. Reprinted with permission.\u0000\u0000![Figure][1] \u0000\u0000In March 2012, I had the great pleasure of talking with Professor Alwyn Lishman for the Neuropsychiatry Newsletter in the first of what I hope to become a regular series of interviews of","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"25 1","pages":"343-344"},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73776005","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 : 2013-10-01DOI: 10.1192/PB.BP.113.042937
P. Tyrer
The aim for seamless care that has long been the ultimate goal of good community psychiatry in the UK has disappeared, and there is now much needless argument over models of delivering care that ignore its main philosophy. It is argued that this ossification of care has not only made it ineffective, but has also promoted demoralisation and burn-out in the workforce, as the locus of control has shifted from clinician to managerial imperative. An initiative that can break up the opaque structures that hinder continuity of care is now available and a suggestion is made for a flexible, invigorated community care team system based on smaller catchment areas that allows a single team to combine the elements of assertive outreach, crisis resolution and early intervention with in-patient care.
{"title":"A solution to the ossification of community psychiatry","authors":"P. Tyrer","doi":"10.1192/PB.BP.113.042937","DOIUrl":"https://doi.org/10.1192/PB.BP.113.042937","url":null,"abstract":"The aim for seamless care that has long been the ultimate goal of good community psychiatry in the UK has disappeared, and there is now much needless argument over models of delivering care that ignore its main philosophy. It is argued that this ossification of care has not only made it ineffective, but has also promoted demoralisation and burn-out in the workforce, as the locus of control has shifted from clinician to managerial imperative. An initiative that can break up the opaque structures that hinder continuity of care is now available and a suggestion is made for a flexible, invigorated community care team system based on smaller catchment areas that allows a single team to combine the elements of assertive outreach, crisis resolution and early intervention with in-patient care.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"48 1","pages":"336-339"},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72515498","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 : 2013-10-01DOI: 10.1192/PB.BP.112.039735
S. Spencer, Paul L. Gilluley, B. Hillier
Over recent years UK immigration legislation and procedures have changed significantly. Although these developments affect many foreign national mentally disordered offenders, the professionals caring for them are often unaware of the implications of these changes and the possible alternative care pathways. In this article we explore the amendments and the options available for this patient group, and highlight the ethical difficulties that professionals can face.
{"title":"Foreign national mentally disordered offenders’ care pathways through UK secure services","authors":"S. Spencer, Paul L. Gilluley, B. Hillier","doi":"10.1192/PB.BP.112.039735","DOIUrl":"https://doi.org/10.1192/PB.BP.112.039735","url":null,"abstract":"Over recent years UK immigration legislation and procedures have changed significantly. Although these developments affect many foreign national mentally disordered offenders, the professionals caring for them are often unaware of the implications of these changes and the possible alternative care pathways. In this article we explore the amendments and the options available for this patient group, and highlight the ethical difficulties that professionals can face.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"48 1","pages":"331-335"},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73822334","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 : 2013-10-01DOI: 10.1192/PB.BP.113.042994
Lauren Wilson
Storr’s The Art of Psychotherapy (3rd edn) By Jeremy Holmes Hodder Arnold, 2012, £24.99, pb, 256 pp. ISBN 9781444144109 In the third edition of Storr’s The Art of Psychotherapy , Jeremy Holmes seeks to bring this 1979 classic up to date for the modern practitioner. Included in several
{"title":"Storr's The Art of Psychotherapy (3rd edn) . By Jeremy Holmes, Hodder Arnold, 2012, £24.99, pb, 256 pp. ISBN 9781444144109","authors":"Lauren Wilson","doi":"10.1192/PB.BP.113.042994","DOIUrl":"https://doi.org/10.1192/PB.BP.113.042994","url":null,"abstract":"Storr’s The Art of Psychotherapy (3rd edn) By Jeremy Holmes Hodder Arnold, 2012, £24.99, pb, 256 pp. ISBN 9781444144109 \u0000\u0000In the third edition of Storr’s The Art of Psychotherapy , Jeremy Holmes seeks to bring this 1979 classic up to date for the modern practitioner. Included in several","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86327424","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 : 2013-10-01DOI: 10.1192/PB.BP.112.040857
A. Thompson, Amulya Nadkarni, Saeed A. Nazir, Walid Sorour, V. Owen, Surendra Kumar Buggineni
Aims and method In 2006, staff in child and adolescent mental health services (CAMHS) in Lincolnshire, UK, felt that cases were becoming increasingly complex. The Pearce Case Complexity Scale (PCCS) and a staff opinions questionnaire were used to measure subjective and objective changes in case complexity in a relatively stable CAMHS service over a 10-year period from 1996 to 2006, with data examined between 2008 and 2010. Results Clinicians reported an increase in case complexity over time. However, the PCCS did not show a significant change in the decade studied. Clinical implications Staff anxiety could be a determinant of judgements they make about case complexity in CAMHS.
{"title":"Professional life in child and adolescent mental health services may be getting more complicated, but cases are not","authors":"A. Thompson, Amulya Nadkarni, Saeed A. Nazir, Walid Sorour, V. Owen, Surendra Kumar Buggineni","doi":"10.1192/PB.BP.112.040857","DOIUrl":"https://doi.org/10.1192/PB.BP.112.040857","url":null,"abstract":"Aims and method In 2006, staff in child and adolescent mental health services (CAMHS) in Lincolnshire, UK, felt that cases were becoming increasingly complex. The Pearce Case Complexity Scale (PCCS) and a staff opinions questionnaire were used to measure subjective and objective changes in case complexity in a relatively stable CAMHS service over a 10-year period from 1996 to 2006, with data examined between 2008 and 2010.\u0000\u0000Results Clinicians reported an increase in case complexity over time. However, the PCCS did not show a significant change in the decade studied.\u0000\u0000Clinical implications Staff anxiety could be a determinant of judgements they make about case complexity in CAMHS.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"33 1","pages":"326-330"},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83912654","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 : 2013-10-01DOI: 10.1192/PB.BP.113.044784
J. Pimm
The experience of rejection of an article submitted for publication to a scientific journal can be particularly anxiety provoking, especially when the furtherance of an academic career or the gaining of a permanent post might be riding on getting it published. Many papers fail to get past the first hurdle and are not sent out for peer review, often as a result of the most basic of errors: the results are not generalisable, the paper adds nothing new to the subject, there are flaws in the study design or inappropriate statistics were used. Attention paid to formulating a clear research question and the adoption at the outset of a doable, interesting project will often help to avoid disappointment.
{"title":"Dear Editor, why have you rejected my article?","authors":"J. Pimm","doi":"10.1192/PB.BP.113.044784","DOIUrl":"https://doi.org/10.1192/PB.BP.113.044784","url":null,"abstract":"The experience of rejection of an article submitted for publication to a scientific journal can be particularly anxiety provoking, especially when the furtherance of an academic career or the gaining of a permanent post might be riding on getting it published. Many papers fail to get past the first hurdle and are not sent out for peer review, often as a result of the most basic of errors: the results are not generalisable, the paper adds nothing new to the subject, there are flaws in the study design or inappropriate statistics were used. Attention paid to formulating a clear research question and the adoption at the outset of a doable, interesting project will often help to avoid disappointment.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"37 1","pages":"313-314"},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81053259","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 : 2013-10-01DOI: 10.1192/PB.BP.112.040352
Sam Wilson, Ross J Hamilton, J. Callender, A. MacManus, Sheila Howitt, Blessing Okpo
Aims and method We audited prescribing within our area to ascertain how widespread the practice of antipsychotic polypharmacy using clozapine was, and whether it was being carried out within existing standards, including those of high-dose monitoring when required. Results Data on 169 patients were reviewed in year one, rising to 193 in year three. Around 30% of patients on clozapine received additional antipsychotic medication. A disturbingly low proportion of patients on clozapine whose antipsychotic polypharmacy brought them into the high-dose range were being monitored appropriately after three audit cycles (the proportion rose from 10% in cycle 1 to 28% in cycle 3). A wide range of additional antipsychotic medications was used. Clinical implications Clozapine antipsychotic polypharmacy was prevalent at just below a third of all patients in this review. Prescribers should be alert to the fact that clozapine antipsychotic polypharmacy can push patients into the high-dose range and ensure appropriate monitoring.
{"title":"Clozapine antipsychotic polypharmacy: audit of use and patient monitoring","authors":"Sam Wilson, Ross J Hamilton, J. Callender, A. MacManus, Sheila Howitt, Blessing Okpo","doi":"10.1192/PB.BP.112.040352","DOIUrl":"https://doi.org/10.1192/PB.BP.112.040352","url":null,"abstract":"Aims and method We audited prescribing within our area to ascertain how widespread the practice of antipsychotic polypharmacy using clozapine was, and whether it was being carried out within existing standards, including those of high-dose monitoring when required.\u0000\u0000Results Data on 169 patients were reviewed in year one, rising to 193 in year three. Around 30% of patients on clozapine received additional antipsychotic medication. A disturbingly low proportion of patients on clozapine whose antipsychotic polypharmacy brought them into the high-dose range were being monitored appropriately after three audit cycles (the proportion rose from 10% in cycle 1 to 28% in cycle 3). A wide range of additional antipsychotic medications was used.\u0000\u0000Clinical implications Clozapine antipsychotic polypharmacy was prevalent at just below a third of all patients in this review. Prescribers should be alert to the fact that clozapine antipsychotic polypharmacy can push patients into the high-dose range and ensure appropriate monitoring.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"3 1","pages":"322-325"},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89939817","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}
There has been considerable discussion in this and other journals about the negative perception of psychiatry among medical students.[1][1],[2][2] I am approximately 1 month into my foundation year 1 placement in liaison psychiatry, and would like to share my experiences. Undergraduate psychiatry
{"title":"Experience of psychiatry in foundation years","authors":"O. Gale-Grant","doi":"10.1192/PB.37.10.340A","DOIUrl":"https://doi.org/10.1192/PB.37.10.340A","url":null,"abstract":"There has been considerable discussion in this and other journals about the negative perception of psychiatry among medical students.[1][1],[2][2] I am approximately 1 month into my foundation year 1 placement in liaison psychiatry, and would like to share my experiences.\u0000\u0000Undergraduate psychiatry","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"10 1","pages":"340-340"},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90476485","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 : 2013-10-01DOI: 10.1192/PB.BP.113.044479
J. Wong
‘How Many More Questions?’: Techniques for Clinical Interviews of Young Medically Ill Children By Rochelle Caplan, Brenda Bursch, illustrated by Amara Leipzig Oxford University Press USA, 2013, £32.50, pb, 304 pp. ISBN: 9780199843824 Child psychiatry trainees starting out in their training in
“还有多少问题?”《年幼患病儿童的临床访谈技巧》作者:Rochelle Caplan, Brenda Bursch, Amara Leipzig牛津大学出版社美国版，2013年，32.50英镑，页，304页。ISBN: 9780199843824儿童精神病学受训人员开始在莱比锡接受培训
{"title":"‘How Many More Questions?’: Techniques for Clinical Interviews of Young Medically Ill Children","authors":"J. Wong","doi":"10.1192/PB.BP.113.044479","DOIUrl":"https://doi.org/10.1192/PB.BP.113.044479","url":null,"abstract":"‘How Many More Questions?’: Techniques for Clinical Interviews of Young Medically Ill Children By Rochelle Caplan, Brenda Bursch, illustrated by Amara Leipzig Oxford University Press USA, 2013, £32.50, pb, 304 pp. ISBN: 9780199843824 \u0000\u0000Child psychiatry trainees starting out in their training in","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73720180","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}
Conn & Cavanna[1][1] discuss a meeting point for neurology and psychiatry. This is very important. My own view is that all future psychiatrists should be neuropsychiatrists. Psychological therapies should be provided by non-psychiatrists. The role of the neuropsychiatrist would be largely diagnostic
{"title":"All future psychiatrists should be neuropsychiatrists","authors":"M. Fitzgerald","doi":"10.1192/PB.37.9.309","DOIUrl":"https://doi.org/10.1192/PB.37.9.309","url":null,"abstract":"Conn & Cavanna[1][1] discuss a meeting point for neurology and psychiatry. This is very important. My own view is that all future psychiatrists should be neuropsychiatrists. Psychological therapies should be provided by non-psychiatrists. The role of the neuropsychiatrist would be largely diagnostic","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"6 1","pages":"309-309"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74454649","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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