BJPsych Bulletin最新文献

Cognitive analytic therapy in child and adolescent mental health services: systematic scoping review of evidence. 儿童和青少年心理健康服务中的认知分析疗法：证据的系统范围评价。

IF 2

BJPsych Bulletin Pub Date : 2026-05-05 DOI: 10.1192/bjb.2026.10218

Emma Salter, Matthew Carr, Frank Reakes, Scott Ankrett

{"title":"Cognitive analytic therapy in child and adolescent mental health services: systematic scoping review of evidence.","authors":"Emma Salter, Matthew Carr, Frank Reakes, Scott Ankrett","doi":"10.1192/bjb.2026.10218","DOIUrl":"https://doi.org/10.1192/bjb.2026.10218","url":null,"abstract":"Aims and method: Cognitive analytic therapy (CAT) is a relational, time-limited psychotherapy primarily evidenced to support adults with emotional and relational difficulties. The extent of evidence for CAT in younger populations is not known. This paper aimed to collate all published articles describing CAT with under-18-year-olds and establish feasibility and effectiveness of CAT in this population. An initial systematic search was conducted in MEDLINE, PsycINFO and CINAHL databases, with a second search using key terms and author names in the Association for Cognitive Analytic Therapy website bibliography.Results: Thirty-seven articles were found to meet the inclusion criteria, 11 of which contained quantitative studies. Articles described CAT as individual therapy for young people or their parents, group therapy and consultation frameworks for staff and parents.Clinical implications: The limited evidence published on CAT in under-18-year-olds suggests that it is feasible and accessible. Further randomised controlled studies and publication of practice-based outcomes are required.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-17"},"PeriodicalIF":2.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147833097","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}

引用次数: 0

Restrictive intake self-harm in NHS settings: understanding relational dynamics and iatrogenic risk. 在NHS设置限制性摄入自我伤害：了解关系动力学和医源性风险。

IF 2

BJPsych Bulletin Pub Date : 2026-05-05 DOI: 10.1192/bjb.2026.10242

Susan G Simpson, Kirsty Gillings

{"title":"Restrictive intake self-harm in NHS settings: understanding relational dynamics and iatrogenic risk.","authors":"Susan G Simpson, Kirsty Gillings","doi":"10.1192/bjb.2026.10242","DOIUrl":"https://doi.org/10.1192/bjb.2026.10242","url":null,"abstract":"Restrictive intake self-harm (RISH) describes a pattern of severe food and fluid restriction whose functions emerge primarily for reasons other than weight or shape psychopathology. RISH exhibits a distinct phenomenology from anorexia nervosa, rooted in conditional caregiving, attachment disruption and maladaptive internal working models that inhibit direct help-seeking. This paper draws on attachment theory and evidence on the functions of eating-disordered behaviour to argue that three relational configurations (boundary confusion, subjugation of needs and escalating distress signalling) create vulnerability to RISH and shape how individuals use restriction within relational contexts. It further proposes that risk-driven thresholds, hospital admissions and crisis-responsive models that characterise NHS care delivery may inadvertently reinforce these dynamics by validating the belief that suffering is required to access care. Highly restrictive and directive treatment plans for those with RISH can result in the escalation of dietary restriction, trauma and clinical deterioration. Medicalisation of care can also inadvertently reinforce care-seeking behaviour through restriction. A relational framework is therefore essential for understanding RISH, providing interventions that minimise iatrogenic harm and offering relational experiences in which needs can be expressed and met without bodily deterioration.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-4"},"PeriodicalIF":2.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147833068","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}

引用次数: 0

'Worthy doctors […] allow me to come forward and lecture on this matter': Thomas De Quincey and the experiential and sociocultural components of substance use. “值得尊敬的医生[…]允许我站出来就这个问题发表演讲”：托马斯·德·昆西以及物质使用的经验和社会文化成分。

IF 2

BJPsych Bulletin Pub Date : 2026-05-04 DOI: 10.1192/bjb.2026.10245

Nicholas Griffin, Alexander Smith, Michael Liebrenz

引用次数: 0

Forgotten, but not gone: how the 'Big, Black and Dangerous' stereotype still shapes psychiatry. 被遗忘，但没有消失：“大，黑和危险”的刻板印象如何仍然影响着精神病学。

IF 2

BJPsych Bulletin Pub Date : 2026-04-30 DOI: 10.1192/bjb.2026.10247

Maxine Meju

引用次数: 0

Caught in the middle: reflections on mental health in South Asian women navigating family expectations. 夹在中间：南亚女性面对家庭期望时的心理健康反思。

IF 2

BJPsych Bulletin Pub Date : 2026-04-29 DOI: 10.1192/bjb.2026.10246

Aein Wani

引用次数: 0

Shining the spotlight on lived experience: study exploring the value of forum theatre in medical education. 聚焦生活经验：探讨论坛戏剧在医学教育中的价值的研究。

IF 2

BJPsych Bulletin Pub Date : 2026-04-24 DOI: 10.1192/bjb.2026.10234

Sian Davies, Ahmad Kamaleldeen Abdou Mohamed, Roshni Bahri, Azjad Yasmin Elmubarak, Erin Turner, Polly Wright

{"title":"Shining the spotlight on lived experience: study exploring the value of forum theatre in medical education.","authors":"Sian Davies, Ahmad Kamaleldeen Abdou Mohamed, Roshni Bahri, Azjad Yasmin Elmubarak, Erin Turner, Polly Wright","doi":"10.1192/bjb.2026.10234","DOIUrl":"https://doi.org/10.1192/bjb.2026.10234","url":null,"abstract":"Aims and method: A forum theatre-based intervention was delivered to medical students undertaking their psychiatry rotation. A professionally written and acted play titled Revolving Door was adapted for undergraduate education to illuminate the lived experience of a young man with psychosis and his family. A mixed-methods evaluation, comprising a post-intervention survey and focus group, was undertaken to assess to what extent forum theatre can support medical student learning and to identify the aspects that contribute to its pedagogical value.Results: Quantitative and qualitative data revealed that forum theatre is an effective pedagogical method that helps medical students to improve their intellectual understanding of a condition or clinical skill and gain insight into the lived experience of patients, empowering them to make meaningful change as future clinicians.Clinical implications: The study highlights an innovative intervention that champions transformative learning, an aspect that is often overlooked in traditional medical education.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-7"},"PeriodicalIF":2.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147760967","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}

引用次数: 0

The Dutch debate on youth psychiatric euthanasia and suicide prevention. 荷兰关于青少年精神病安乐死和自杀预防的辩论。

IF 2

BJPsych Bulletin Pub Date : 2026-04-22 DOI: 10.1192/bjb.2026.10231

Jim van Os

引用次数: 0

Support for parents in in-patient psychiatric care in English NHS trusts: Freedom of Information survey. 英国国民保健服务信托对住院精神病护理中父母的支持：信息自由调查。

IF 2

BJPsych Bulletin Pub Date : 2026-04-22 DOI: 10.1192/bjb.2026.10235

Abby Dunn, Sam Cartwright-Hatton

{"title":"Support for parents in in-patient psychiatric care in English NHS trusts: Freedom of Information survey.","authors":"Abby Dunn, Sam Cartwright-Hatton","doi":"10.1192/bjb.2026.10235","DOIUrl":"https://doi.org/10.1192/bjb.2026.10235","url":null,"abstract":"Aims and method: Parental hospitalisation harms parent-child relationships and child outcomes. Thus, supporting parent-child connection is enshrined in the Mental Health Act (1983). However, there is no recent evaluation of provision or understanding of the prevalence of parents in in-patient settings.We sent a cross-sectional Freedom of Information request to all 50 English National Health Service (NHS) trusts that provide in-patient psychiatric services, aiming to capture the following: parental admissions; information on parental status; parenting-related policies/procedures/materials; and frequency of children's visits.Results: Only 5 trusts could report the prevalence of parenthood (M = 13.9% of patients); 11 could report the information they collect on parental status; 28 provided policies; 18 provided materials for parents, carers or children; and 1 held data on child visits.Clinical implications: Most English NHS trusts do not hold basic information about parents in in-patient psychiatric settings. This suggests widespread failure to meet the requirements of the Mental Health Act, and probably failure to support families and ensure the safeguarding of children.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-7"},"PeriodicalIF":2.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147761002","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}

引用次数: 0

Community forensic mental health services in England: mapping provision, structure and function. 英格兰社区法医心理健康服务：提供、结构和功能的制图。

IF 2

BJPsych Bulletin Pub Date : 2026-04-21 DOI: 10.1192/bjb.2026.10236

Marie Williams, Leah Wooster, Mark Taylor, John Tully, Daniel Whiting

{"title":"Community forensic mental health services in England: mapping provision, structure and function.","authors":"Marie Williams, Leah Wooster, Mark Taylor, John Tully, Daniel Whiting","doi":"10.1192/bjb.2026.10236","DOIUrl":"https://doi.org/10.1192/bjb.2026.10236","url":null,"abstract":"Aims and method: Community forensic mental health services (CFMHS) in England were developed to reduce reliance on hospital care for this population, but provision varies. It is unclear whether standard setting work has increased consistency. Freedom of information requests were therefore sent to 50 National Health Service Trusts in England, to examine the population, staffing, treatment provision and organisation of CFMHS.Results: Data were provided for 32 CFMHS, of which 59% were part of secure hospital-based services and 41% were standalone services working in parallel with general services. There was variation in aspects including professional composition, functions, the settings from where CFMHS accept referrals and long-term approach to patients subject to special restrictions under the Mental Health Act 1983.Clinical implications: CFMHS continue to vary, especially in their interface with services other than forensic hospitals. This may impede standard setting and empirical evaluation. Different approaches to centralising oversight may be needed for standardisation.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-7"},"PeriodicalIF":2.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147727955","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}

引用次数: 0

Six-year reconviction follow-up of a medium-secure cohort. 对一个中等安全的队列进行六年的再犯罪随访。

IF 2

BJPsych Bulletin Pub Date : 2026-04-21 DOI: 10.1192/bjb.2026.10233

Ava Maidment, Charlotte Hill, Joseph Lloyd Davies, Daniel Lawrence, Ruth Bagshaw, Andy Watt

引用次数: 0