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Psychiatric poetics: mental healthcare and Giovanni Stanghellini's 'Logics of Discovery'. 精神病学诗学：精神保健和乔瓦尼·斯坦赫利尼的“发现的逻辑”。
IF 2.2
BJPsych Bulletin Pub Date : 2025-01-10 DOI: 10.1192/bjb.2024.115
George Ikkos, Alastair Morgan
{"title":"Psychiatric poetics: mental healthcare and Giovanni Stanghellini's 'Logics of Discovery'.","authors":"George Ikkos, Alastair Morgan","doi":"10.1192/bjb.2024.115","DOIUrl":"https://doi.org/10.1192/bjb.2024.115","url":null,"abstract":"<p><p>The importance of art and humanities in mental health is widely recognised, and consumption and creation of poetry, prose, drama and the plastic arts are now considered to be relevant knowledge-generating and therapeutic activities. However, literary and art criticism remain at the margins. By contrast, in his two 'Logics of Discovery' papers, psychiatrist, psychopathologist and psychotherapist Giovanni Stanghellini brings to bear on clinical discovery and the healing alliance cultural historian Aby Warburg's approach to images (specifically, his <i>Atlas of Mnemosyne</i>) and philosopher Giorgio Agamben's analysis of the linguistic phenomenon of parataxis in Friedrich Hölderlin's poetry. Both Warburg and Hölderlin experienced severe mental disorders, and Stanghellini's analysis is notable for its potential to contribute to co-creation in a wide range of clinical settings. We suggest that this work may help to address some key sources of dissatisfaction among mental health patients and thus improve patient experience and clinical outcomes. We also comment on issues regarding implementation of Stanghellini's proposals and conclude with discussion of an example of the severe loosening of associations originally reported by Eugen Bleuler.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-6"},"PeriodicalIF":2.2,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142943740","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
Use of the Mental Health Gap Action Programme (mhGAP) by mental health volunteers in the UK: examples from South Asian diaspora charities. 英国心理健康志愿者对心理健康差距行动方案（mhGAP）的使用：来自南亚侨民慈善机构的例子。
IF 2.2
BJPsych Bulletin Pub Date : 2025-01-07 DOI: 10.1192/bjb.2024.116
Leya Luhar, Aditi Arya, Raeesah Rafiq, Nandini Chakraborty
{"title":"Use of the Mental Health Gap Action Programme (mhGAP) by mental health volunteers in the UK: examples from South Asian diaspora charities.","authors":"Leya Luhar, Aditi Arya, Raeesah Rafiq, Nandini Chakraborty","doi":"10.1192/bjb.2024.116","DOIUrl":"https://doi.org/10.1192/bjb.2024.116","url":null,"abstract":"<p><p>The Mental Health Gap Action Programme (mhGAP) was launched by the World Health Organization (WHO) in 2008 to scale up services for mental, neurological and substance use disorders for low- and lower-middle-income countries. Subsequently, an updated mhGAP intervention Guide (mhGAP-IG 2.0) was released in 2016. This study explores the use and effectiveness of mhGAP-IG 2.0 by mental health volunteers of two South Asian charities in the UK. Semi-structured interviews were carried out with eight volunteers. The core themes identified were mental health awareness, mental health education, empathy and care, social perception and bias within the South Asian community, and personal development. The study identified mhGAP as a tool with transformative potential. Although the WHO originally planned the mgGAP-IG as a tool for low- and middle-income countries with limited mental health resources, this study demonstrates its usefulness even in high-income countries, as a foundation to educate volunteers working in mental health.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-6"},"PeriodicalIF":2.2,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142943742","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
Promethazine is not a good option to aid sleep quality, especially for people using psychiatric services. 异丙嗪不是提高睡眠质量的好选择，尤其是对那些接受精神治疗的人来说。
IF 2.2
BJPsych Bulletin Pub Date : 2025-01-06 DOI: 10.1192/bjb.2024.108
Jacob D King
{"title":"Promethazine is not a good option to aid sleep quality, especially for people using psychiatric services.","authors":"Jacob D King","doi":"10.1192/bjb.2024.108","DOIUrl":"https://doi.org/10.1192/bjb.2024.108","url":null,"abstract":"<p><p>Promethazine, a sedating antihistamine, is widely and increasingly prescribed for patients reporting problems sleeping. In this Against the Stream article, the case is made that promethazine is not suitable as a sleep aid for people using mental health services, because it has no good evidence base, impedes with psychological and behavioural techniques that do improve sleep in the medium-long term, has underappreciated addictive and recreational-use potential, and an unacceptable side-effect profile. Alternatives to promethazine are described, notably the NICE first-line recommendation, cognitive-behavioural therapy for insomnia.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-3"},"PeriodicalIF":2.2,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930522","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
Professor Sunetra Gupta. Sunetra Gupta教授。
IF 2.2
BJPsych Bulletin Pub Date : 2024-12-26 DOI: 10.1192/bjb.2024.95
Abdi Sanati
{"title":"Professor Sunetra Gupta.","authors":"Abdi Sanati","doi":"10.1192/bjb.2024.95","DOIUrl":"10.1192/bjb.2024.95","url":null,"abstract":"","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-3"},"PeriodicalIF":2.2,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142891848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social contagion, the psychiatric symptom pool and non-suicidal self-injury. 社会传染，精神症状池和非自杀性自伤。
IF 2.2
BJPsych Bulletin Pub Date : 2024-12-04 DOI: 10.1192/bjb.2024.101
Joel Paris
{"title":"Social contagion, the psychiatric symptom pool and non-suicidal self-injury.","authors":"Joel Paris","doi":"10.1192/bjb.2024.101","DOIUrl":"https://doi.org/10.1192/bjb.2024.101","url":null,"abstract":"<p><p>There is evidence that social contagion plays a role in shaping the clinical presentation of some psychiatric symptoms, particularly affecting features that vary over time and culture. Some symptoms can increase so rapidly in prevalence that they become 'epidemic'. The mechanism involves a spread through peers and/or the media. Within broader domains of psychopathology, this process draws from a 'symptom pool' that can determine which specific symptoms will appear. This article illustrates these mechanisms by focusing on non-suicidal self-injury (NSSI), a syndrome that has been subject to social contagion and whose prevalence may have increased among adolescents.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-3"},"PeriodicalIF":2.2,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765899","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
Remote consultations in mental health: collaborative evaluation applying learning health systems thinking. 心理健康远程会诊：应用学习卫生系统思维的协作评估。
IF 2.2
BJPsych Bulletin Pub Date : 2024-12-02 DOI: 10.1192/bjb.2024.102
Lucy Goulding, Julie Williams, Alison White, Aileen Jackson, Zoë Lelliott, Stuart Adams, Kia-Chong Chua, Noushig Nahabedian, Juliana Onwumere, James Woollard, Nick Sevdalis, Fiona Gaughran
{"title":"Remote consultations in mental health: collaborative evaluation applying learning health systems thinking.","authors":"Lucy Goulding, Julie Williams, Alison White, Aileen Jackson, Zoë Lelliott, Stuart Adams, Kia-Chong Chua, Noushig Nahabedian, Juliana Onwumere, James Woollard, Nick Sevdalis, Fiona Gaughran","doi":"10.1192/bjb.2024.102","DOIUrl":"https://doi.org/10.1192/bjb.2024.102","url":null,"abstract":"<p><strong>Aims and method: </strong>A collaborative evaluation of remote consultations in mental health services was undertaken by mental health service providers, experts by experience, academic institutions and a Health Innovation Network in south London, UK. 'Learning healthcare systems' thinking was applied. Workstream 1 reviewed international published evidence; workstream 2 synthesised findings from three health provider surveys of the perceptions and experiences of staff, patients and carers; and workstream 3 comprised an electronic survey on local projects.</p><p><strong>Results: </strong>Remote consultations can be acceptable to patients and staff. They improve access for some while restricting access for others, with digital exclusion being a key concern. Providing tailored choice is key.</p><p><strong>Clinical implications: </strong>The collaboration generated learning to inform choices by healthcare providers to embed or adapt remote delivery. A key output was freely downloadable survey questions for assessing the quantity and quality of appointments undertaken by phone or video or face to face.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-10"},"PeriodicalIF":2.2,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765898","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
Whose trauma is it anyway? Creating more equitable mental healthcare in a system that harms. 到底是谁的创伤？在伤害人的系统中创造更公平的心理医疗保健。
IF 2.2
BJPsych Bulletin Pub Date : 2024-11-28 DOI: 10.1192/bjb.2024.103
James Downs
{"title":"Whose trauma is it anyway? Creating more equitable mental healthcare in a system that harms.","authors":"James Downs","doi":"10.1192/bjb.2024.103","DOIUrl":"https://doi.org/10.1192/bjb.2024.103","url":null,"abstract":"<p><p>Past experiences of mental healthcare which have been perceived as harmful can present significant barriers to accessing treatment again. This article draws upon research and lived experience to consider the ways in which conceptualisations of 'trauma-informed care' may better incorporate the role of iatrogenic harm, thus providing more acceptable and equitable treatment for those who have previously found treatment to be harmful. A more restorative approach is offered, founded in shared responsibility and compassionate relationships, to help minimise harms and create a more healing system for patients and clinicians alike.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-4"},"PeriodicalIF":2.2,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738287","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 Royal College of Psychiatrists should become British, not Royal. 英国皇家精神病学院应该变成英国的，而不是皇家的。
IF 2.2
BJPsych Bulletin Pub Date : 2024-11-11 DOI: 10.1192/bjb.2024.97
David Curtis
{"title":"The Royal College of Psychiatrists should become British, not Royal.","authors":"David Curtis","doi":"10.1192/bjb.2024.97","DOIUrl":"https://doi.org/10.1192/bjb.2024.97","url":null,"abstract":"<p><p>The royal charter of the Royal College of Psychiatrists is generally taken to enhance its status. However, the concept of a hereditary monarchy is intellectually indefensible and the realities of the British monarchy exacerbate inequalities in the UK. The connection is particularly problematic for psychiatrists because of their role in the compulsory detention and treatment of patients. The Royal affiliation can only serve to emphasise the power inequalities in society associated with these activities. College members should feel free to discuss whether this situation should continue or whether we should be British rather than Royal.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-3"},"PeriodicalIF":2.2,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142614154","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
Introducing medical students to cultural psychiatry: perspectives and reflections on developing and delivering an elective module. 向医科学生介绍文化精神病学：关于开发和提供选修模块的观点和思考。
IF 2.2
BJPsych Bulletin Pub Date : 2024-11-08 DOI: 10.1192/bjb.2024.100
Tahir Jokinen, Nawal Benachar, Arian Rahim
{"title":"Introducing medical students to cultural psychiatry: perspectives and reflections on developing and delivering an elective module.","authors":"Tahir Jokinen, Nawal Benachar, Arian Rahim","doi":"10.1192/bjb.2024.100","DOIUrl":"https://doi.org/10.1192/bjb.2024.100","url":null,"abstract":"<p><p>Cultural sensitivity, competence and curiosity are essential for clinicians. To promote these, we developed an elective module in cultural psychiatry for medical students, consisting of eight seminars. In seminar eight, we used film clips to teach mental state examination. We comment on the development and delivery of the module, and offer a selection of student feedback. Cultural psychiatry could be better integrated into core medical school curricula, and we call for research to explore this.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-5"},"PeriodicalIF":2.2,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142602798","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
Professor Thaddeus Ulzen. 萨德斯-乌尔善教授
IF 2.2
BJPsych Bulletin Pub Date : 2024-11-08 DOI: 10.1192/bjb.2024.87
Abdi Sanati
{"title":"Professor Thaddeus Ulzen.","authors":"Abdi Sanati","doi":"10.1192/bjb.2024.87","DOIUrl":"10.1192/bjb.2024.87","url":null,"abstract":"","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-3"},"PeriodicalIF":2.2,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142602800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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