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RE: Positive models of suffering and psychiatry. RE：痛苦与精神病学的积极模式。
IF 2.6
BJPsych Bulletin Pub Date : 2024-06-01 Epub Date: 2024-05-28 DOI: 10.1192/bjb.2024.25
Om Prakash
{"title":"RE: Positive models of suffering and psychiatry.","authors":"Om Prakash","doi":"10.1192/bjb.2024.25","DOIUrl":"10.1192/bjb.2024.25","url":null,"abstract":"","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":"48 3","pages":"205"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141157291","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
Care pathways for longstanding eating disorders must offer paths to recovery, not managed decline. 针对长期进食障碍的护理路径必须提供康复之路，而不是控制衰退。
IF 2.6
BJPsych Bulletin Pub Date : 2024-06-01 DOI: 10.1192/bjb.2023.38
James Downs
{"title":"Care pathways for longstanding eating disorders must offer paths to recovery, not managed decline.","authors":"James Downs","doi":"10.1192/bjb.2023.38","DOIUrl":"10.1192/bjb.2023.38","url":null,"abstract":"<p><p>Eating disorders are historically underserved in healthcare, but are increasingly prevalent and recognised for their high costs regarding mortality, quality of life and the economy. Those with longstanding eating disorders are commonly labelled 'severe and enduring' (SEED), which has been challenged for its conceptual vagueness and potential to discourage patients. Attempts to define individuals from this cohort as having 'terminal' illness have also gained traction in recent years. This paper is grounded in lived/living experience and relevant research. It challenges the logical coherence and utility of SEED, arguing that the word 'enduring' unhelpfully situates intractability of longstanding illness within patients themselves and the nature of their illness. This risks a sense of inevitability and overlooks the important role of contextual factors such as lacking resources and insufficient evidence for withholding active treatment. Recommendations suggest approaches to dismantling unhelpful binaries between early intervention and intensive support, recovery and decline.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"177-181"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9583651","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
Nasogastric tube feeding under restraint: understanding the impact and improving care. 束缚下的鼻胃管喂食：了解影响并改善护理。
IF 2.6
BJPsych Bulletin Pub Date : 2024-06-01 DOI: 10.1192/bjb.2023.58
Sarah J Fuller, Jacinta Tan, Dasha Nicholls
{"title":"Nasogastric tube feeding under restraint: understanding the impact and improving care.","authors":"Sarah J Fuller, Jacinta Tan, Dasha Nicholls","doi":"10.1192/bjb.2023.58","DOIUrl":"10.1192/bjb.2023.58","url":null,"abstract":"<p><strong>Background: </strong>Nasogastric tube feeding under physical restraint is an intervention that clinicians working in specialist mental health in-patient units may need to implement.</p><p><strong>Aims: </strong>To examine the impact of this intervention on people with lived experience, carers and staff.</p><p><strong>Method: </strong>People with lived experience and parents and/or carers were recruited via UK eating disorder charity Beat. Clinicians were recruited via the British Eating Disorders Society's research forum. Qualitative semi-structured interviews were conducted and transcribed, and the results were thematically analysed.</p><p><strong>Results: </strong>Thirty-six participants took part, and overlapping themes were identified. All participants spoke in relation to four themes: (a) the short-term impact on the patient; (b) the impact on those around the patient; (c) the long-term impact; and (d) the positive impact. Subthemes were identified and explored.</p><p><strong>Conclusion: </strong>This lifesaving intervention can also negatively affect patients, parents and carers, peers and staff. Further research is needed to understand how interactions and environmental modifications can mitigate the negative impacts.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"163-167"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10235772","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
Excluding autism or excluding everything? The problem of broad definitions in the England and Wales Draft Mental Health Bill. 排除自闭症还是排除一切？英格兰和威尔士精神健康法案草案中的宽泛定义问题。
IF 2.6
BJPsych Bulletin Pub Date : 2024-06-01 DOI: 10.1192/bjb.2023.60
Peter Beazley
{"title":"Excluding autism or excluding everything? The problem of broad definitions in the England and Wales Draft Mental Health Bill.","authors":"Peter Beazley","doi":"10.1192/bjb.2023.60","DOIUrl":"10.1192/bjb.2023.60","url":null,"abstract":"<p><p>The recent Draft Mental Health Bill for England and Wales proposes changes to the Mental Health Act 1983 which will include, for the first time, a legal definition of autism. This article explores the specific potential issue that the definition, owing to its breadth, potentially encompasses a number of conditions other than autism, consequently leaving the definitionally dependent concept of 'psychiatric disorder' significantly narrowed in scope. The potential implications of this - primarily the concern that a range of other conditions and presentations could be unintentionally excluded from the scope of the civil powers in the Mental Health Act - are discussed.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"187-191"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9755163","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
Tobacco-free campuses - a pipe dream? A survey of current smoking cessation practice in mental health units in Ireland. 无烟校园--痴人说梦？爱尔兰精神卫生单位当前戒烟实践调查。
IF 2.6
BJPsych Bulletin Pub Date : 2024-06-01 DOI: 10.1192/bjb.2023.50
Colm Harrington, Elaine Walsh
{"title":"Tobacco-free campuses - a pipe dream? A survey of current smoking cessation practice in mental health units in Ireland.","authors":"Colm Harrington, Elaine Walsh","doi":"10.1192/bjb.2023.50","DOIUrl":"10.1192/bjb.2023.50","url":null,"abstract":"<p><strong>Aims and method: </strong>Smoking and vaping are prohibited on Ireland's Health Service Executive (HSE) campuses. The HSE states that there is no evidence to suggest vaping is less damaging than cigarettes. Recent meta-analyses have shown that e-cigarettes are in fact less dangerous and can help smokers quit. Our study analyses the current smoking policies in place in mental health 'approved centres' in Ireland, what is being done to help smokers quit while in-patients and the level of support among staff for the introduction of e-cigarettes as a harm reduction tool. Clinical nurse managers from each mental health approved centre were surveyed to assess adherence to smoking policies.</p><p><strong>Results: </strong>Only 5% of surveyed units enforce the HSE's Tobacco Free Campus Policy; 55% of units supported the idea of using e-cigarettes to help patients quit cigarettes.</p><p><strong>Clinical implications: </strong>Ireland's hospital campuses are not tobacco free. Changes need to be made to our smoking policies and their enforcement.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"158-162"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10025352","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
Role of clinical attachments in psychiatry for international medical graduates to enhance recruitment and retention in the NHS. 为国际医学毕业生提供精神病学临床实习机会，以加强国家医疗服务体系的招聘和留用。
IF 2.6
BJPsych Bulletin Pub Date : 2024-06-01 DOI: 10.1192/bjb.2023.59
Milap Rajpara, Parveen Chand, Pallab Majumder
{"title":"Role of clinical attachments in psychiatry for international medical graduates to enhance recruitment and retention in the NHS.","authors":"Milap Rajpara, Parveen Chand, Pallab Majumder","doi":"10.1192/bjb.2023.59","DOIUrl":"10.1192/bjb.2023.59","url":null,"abstract":"<p><strong>Aims and method: </strong>There are numerous challenges in the recruitment and retention of the medical workforce in psychiatry. This mixed-methods study examined the role of psychiatry clinical attachments for international medical graduates (IMGs) to enhance recruitment and retention. An online survey was launched to capture views and perceptions of IMGs about clinical attachments. The quantitative and qualitative responses were analysed to elicit findings.</p><p><strong>Results: </strong>In total, 92 responses were received, with respondents commonly from India, Pakistan and Egypt. Respondents were mostly aged 25-34, with ≥3 years of psychiatry experience. Over 80% expressed strong interest in completing a psychiatry clinical attachment and believed it would support career progression. Qualitative data indicated that IMGs hoped to gain clinical experience and understanding of the National Health Service (NHS). They wished for a clearer, simpler process for clinical attachments.</p><p><strong>Clinical implications: </strong>Clinical attachment can be mutually beneficial, providing IMGs with opportunity to confidently start their psychiatry career in the UK and enhance medical recruitment in mental health services across the NHS.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"198-204"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10302850","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
RE: In the liminal spaces of mental health law - what to do when section 136 expires? RE: 精神卫生法的边缘空间--第 136 条到期后该怎么办？
IF 2.6
BJPsych Bulletin Pub Date : 2024-06-01 Epub Date: 2024-05-28 DOI: 10.1192/bjb.2024.27
Rafiq Ahmed Memon
{"title":"RE: In the liminal spaces of mental health law - what to do when section 136 expires?","authors":"Rafiq Ahmed Memon","doi":"10.1192/bjb.2024.27","DOIUrl":"10.1192/bjb.2024.27","url":null,"abstract":"","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":"48 3","pages":"206"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141157290","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
Why choose BJPsych Bulletin? 为什么选择《BJPsych Bulletin》？
IF 2.6
BJPsych Bulletin Pub Date : 2024-06-01 Epub Date: 2024-05-28 DOI: 10.1192/bjb.2024.35
Andrew Forrester
{"title":"Why choose <i>BJPsych Bulletin</i>?","authors":"Andrew Forrester","doi":"10.1192/bjb.2024.35","DOIUrl":"10.1192/bjb.2024.35","url":null,"abstract":"<p><p><i>BJPsych Bulletin</i> was first established as the <i>Bulletin of the Royal College of Psychiatrists</i> in 1977. Since then, it has extended its influence within the field, and it is now the go-to journal for practical clinical considerations in psychiatry, and mental health more widely. It stands together with the wider family of RCPsych journals - <i>BJPsych</i>, <i>BJPsych Advances</i>, <i>BJPsych Open</i> and <i>BJPsych International</i> - and offers a number of distinct advantages for readers and authors. I commend it to you.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":"48 3","pages":"149-150"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141157295","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
Author's Reply: Positive models of suffering and psychiatry. 作者回复：痛苦和精神病学的积极模式。
IF 2.6
BJPsych Bulletin Pub Date : 2024-06-01 Epub Date: 2024-05-28 DOI: 10.1192/bjb.2024.28
Ahmed Samei Huda
{"title":"Author's Reply: Positive models of suffering and psychiatry.","authors":"Ahmed Samei Huda","doi":"10.1192/bjb.2024.28","DOIUrl":"10.1192/bjb.2024.28","url":null,"abstract":"","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":"48 3","pages":"206"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141157287","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
Police of the psyche: the psychiatrist and psychiatry in Spanish punk songs. 心理警察：西班牙朋克歌曲中的精神病医生和精神病学》。
IF 2.6
BJPsych Bulletin Pub Date : 2024-06-01 DOI: 10.1192/bjb.2023.47
Fabian Pavez, Erika Saura, Pedro Marset
{"title":"Police of the psyche: the psychiatrist and psychiatry in Spanish punk songs.","authors":"Fabian Pavez, Erika Saura, Pedro Marset","doi":"10.1192/bjb.2023.47","DOIUrl":"10.1192/bjb.2023.47","url":null,"abstract":"<p><p>Previous research has revealed that stigma is not restricted to people with mental health problems but extends to the professionals involved in their care and treatment. Unlike other artistic manifestations, the study of the depictions of psychiatry in popular music is still a less-explored topic. This article addresses the subcultural portrayals of the psychiatrist and psychiatric treatments within Spanish popular music. The predominance of negative depictions of mental health professionals as social control agents was a striking finding, given the topicality that characterises punk music. It is suggested that the allegorical role assigned to the psychiatrist in such a specific narrative framework, marked by ideological factors, could potentially explain these findings. In contrast to other cultural manifestations that show a tendency towards more balanced views of psychiatric treatment and practice, the negative representations in Spanish punk songs seem to have evolved little over decades, reflecting outdated views of the psychiatric approach.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"182-186"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9680877","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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