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Psychiatrists as neurologists . . . or biologists 精神科医生作为神经科医生…或生物学家
The psychiatrist Pub Date : 2013-12-01 DOI: 10.1192/PB.37.12.403C
P. Timms
{"title":"Psychiatrists as neurologists . . . or biologists","authors":"P. Timms","doi":"10.1192/PB.37.12.403C","DOIUrl":"https://doi.org/10.1192/PB.37.12.403C","url":null,"abstract":"Michael Fitzgerald thinks that ‘All future psychiatrists should be neuropsychiatrists’[1][1] - and, what’s more, should only concern themselves with diagnosis and prescribing, leaving psychological treatments to non-psychiatrists. I disagree. Don’t get me wrong, I enjoy ‘hunt the lesion","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"74 1","pages":"403-404"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83785183","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
Some psychiatrists should continue to directly provide psychological therapies 一些精神科医生应该继续直接提供心理治疗
The psychiatrist Pub Date : 2013-12-01 DOI: 10.1192/PB.37.12.404
Mohsin Khan
{"title":"Some psychiatrists should continue to directly provide psychological therapies","authors":"Mohsin Khan","doi":"10.1192/PB.37.12.404","DOIUrl":"https://doi.org/10.1192/PB.37.12.404","url":null,"abstract":"Fitzgerald[1][1] suggests that psychiatrists should not directly provide psychological therapies. There are a number of reasons why some of them should.\u0000\u0000First, specialist experience in delivering psychological therapies may strengthen the skill of a psychiatrist in choosing when and how to use","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"1 1","pages":"404-404"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87281179","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
Payment by results: validating care cluster allocation in the real world 按结果付费:在现实世界中验证护理集群分配
The psychiatrist Pub Date : 2013-11-01 DOI: 10.1192/PB.BP.112.041780
Stavros Bekas, Orlin Michev
{"title":"Payment by results: validating care cluster allocation in the real world","authors":"Stavros Bekas, Orlin Michev","doi":"10.1192/PB.BP.112.041780","DOIUrl":"https://doi.org/10.1192/PB.BP.112.041780","url":null,"abstract":"Aims and method To validate care cluster allocation for payment by results (PbR) in mental health and to evaluate clustering and auditing methodologies. We applied exclusion criteria to the patient population of a mental health trust. An automated validation compared cluster with expected ICD-10 codes or scores on the Health of the Nation Outcome Scales (HoNOS) and Mental Health Clustering Tool (MHCT). Six hundred ‘mismatched’ cases were reviewed in depth to better understand the reasons why these cases appeared misclustered.\u0000\u0000Results There was a significant mismatch between ICD-10 codes, HoNOS and MHCT scores and allocated care cluster, with differences between services and localities. Some clusters appeared to be more accurately allocated. The ‘deep dive’ analysis indicated that most mismatches occurred because psychosis was allocated to a non-psychotic cluster and vice versa , but also as a result of inherent weaknesses of the MHCT.\u0000\u0000Clinical implications High levels of inappropriate care cluster allocation highlight the need to improve practice. Weaknesses in the MHCT and ICD-10 coding mean that the final arbiter should be clinical judgement. Auditing will, by necessity, have a significant margin of error.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"78 1","pages":"349-355"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83857784","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: 13
Dr Gareth Owen 加雷思·欧文博士
The psychiatrist Pub Date : 2013-11-01 DOI: 10.1192/PB.BP.113.044461
Sabina Dosai
{"title":"Dr Gareth Owen","authors":"Sabina Dosai","doi":"10.1192/PB.BP.113.044461","DOIUrl":"https://doi.org/10.1192/PB.BP.113.044461","url":null,"abstract":"![Figure][1] \u0000\u0000Dr Gareth Owen studied philosophy and physics before starting medicine at the Royal Free and University College Medical School, qualifying in 1999. He subsequently trained in general medicine and clinical neuroscience at Addenbrooke’s Hospital, Cambridge, before starting","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83778409","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
Effectiveness of a summer school in influencing medical students' attitudes towards psychiatry 暑期学校对医学生精神病学态度的影响
The psychiatrist Pub Date : 2013-11-01 DOI: 10.1192/PB.BP.113.043513
Sharon Beattie, C. Lister, Julie Khan, P. Cornwall
{"title":"Effectiveness of a summer school in influencing medical students' attitudes towards psychiatry","authors":"Sharon Beattie, C. Lister, Julie Khan, P. Cornwall","doi":"10.1192/PB.BP.113.043513","DOIUrl":"https://doi.org/10.1192/PB.BP.113.043513","url":null,"abstract":"Aims and method Summer schools are advocated as part of the national recruitment initiative despite little evidence of their impact. This study evaluates the effectiveness of a 3-day non-clinical initiative. Change in attitudes and career intention were measured by administering a questionnaire, which included the 30-item Attitudes Toward Psychiatry (ATP-30) survey, at the start and end of the event.\u0000\u0000Results Mean ATP-30 scores increased from 119 to 128, which represented a highly statistically significant change ( t = 5.40, d.f. = 18, P <0.001). A positive shift in intention to pursue psychiatry as a career was demonstrated.\u0000\u0000Clinical implications These results suggest well-planned summer schools can have a significant impact on students’ attitudes. Despite high initial ATP-30 scores a positive shift in attitudes and career intentions was still seen. Further evaluation of the longitudinal impact is needed. Events such as this are important and likely produce a cumulative effect alongside other recruitment strategies.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"63 1","pages":"367-371"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76046609","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: 8
Diverse response from psychiatrists to CTOs 从精神科医生到首席技术官的不同反应
The psychiatrist Pub Date : 2013-11-01 DOI: 10.1192/PB.37.11.372B
P. Lepping
{"title":"Diverse response from psychiatrists to CTOs","authors":"P. Lepping","doi":"10.1192/PB.37.11.372B","DOIUrl":"https://doi.org/10.1192/PB.37.11.372B","url":null,"abstract":"I thank Dr Lawton-Smith for his comments on our paper on community treatment orders (CTOs).[1][1],[2][2] I find it necessary, however, to emphasise that we never implied that all psychiatrists like the new CTOs. In fact, we merely pointed out that they have been used much more than the Department of","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"48 1","pages":"372-372"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90511571","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
Flight of ideas - death of a definition: a discussion on phenomenology 观念的逃离——一个定义的死亡:现象学的讨论
The psychiatrist Pub Date : 2013-11-01 DOI: 10.1192/PB.BP.111.036194
Neil Jeyasingam
{"title":"Flight of ideas - death of a definition: a discussion on phenomenology","authors":"Neil Jeyasingam","doi":"10.1192/PB.BP.111.036194","DOIUrl":"https://doi.org/10.1192/PB.BP.111.036194","url":null,"abstract":"Phenomenology provides the foundations on which the functions of modern psychiatry stand. It also provides a common language for the assessment of patients, and for the education of the next generation of psychiatrists. However, phenomenology is not anchored in independent clinicopathological correlates, and therefore it is vulnerable to subtle alterations over time. This article briefly discusses some concepts regarding phenomenology and attempts to comment on the various definitions available under the common descriptor termed ‘flight of ideas’. It is asserted that without appropriate monitoring and teaching of these basic descriptors and recognising the value of historical observations, serious inconsistencies will continue to arise in clinical theory and practice, which may prove difficult to rectify.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"208 1","pages":"359-362"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73773659","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
Dr Zaïda Hall DM, FRCP, FRCPsych Formerly Consultant in Psychiatry and Psychotherapy, Southampton University and Royal South Hants Hospital Zaïda Hall DM博士，FRCP, FRCPsych前精神病学和心理治疗顾问，南安普敦大学和皇家南汉茨医院
The psychiatrist Pub Date : 2013-11-01 DOI: 10.1192/PB.BP.113.045427
N. Hall
{"title":"Dr Zaïda Hall DM, FRCP, FRCPsych Formerly Consultant in Psychiatry and Psychotherapy, Southampton University and Royal South Hants Hospital","authors":"N. Hall","doi":"10.1192/PB.BP.113.045427","DOIUrl":"https://doi.org/10.1192/PB.BP.113.045427","url":null,"abstract":"![Figure][1] \u0000\u0000Zaida Hall, who died recently at the age of 87, became the first female consultant psychiatrist in the University of Southampton in 1971. Together with her colleague and friend, Pamela Ashurst, she built up the Psychotherapy Department, housed initially in a portakabin. It","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"18 1","pages":"374-374"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78744232","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
Specialisation and marginalisation: how the assertive community treatment debate affects individuals with complex mental health needs 专业化和边缘化:武断的社区治疗辩论如何影响具有复杂心理健康需求的个人
The psychiatrist Pub Date : 2013-11-01 DOI: 10.1192/PB.BP.113.044537
A. Rosen, H. Killaspy, C. Harvey
{"title":"Specialisation and marginalisation: how the assertive community treatment debate affects individuals with complex mental health needs","authors":"A. Rosen, H. Killaspy, C. Harvey","doi":"10.1192/PB.BP.113.044537","DOIUrl":"https://doi.org/10.1192/PB.BP.113.044537","url":null,"abstract":"The growth of specialism in a field can be considered a healthy response to emerging evidence, technology and skills, yet it risks creating unhelpful barriers to collaborative working and fragmented patient pathways. Mental health services in England have experienced this tension in recent years through the national implementation of local specialist community teams that aim to reduce the need for in-patient admission through a focus on crisis resolution, early intervention and assertive community treatment (ACT). In response to the results of studies assessing its effectiveness, there has been disinvestment in ACT. This risks marginalising people with severe and complex mental health problems by depriving them and their families of the intensive support they need for successful community living, as well as discouraging researchers from undertaking further high-quality studies that can inform the intelligent evolution of the ACT model within different contexts.","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"50 1","pages":"345-348"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88951893","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: 28
Introduction to Systemic and Family Therapy: A User’s Guide 系统和家庭治疗导论:用户指南
The psychiatrist Pub Date : 2013-11-01 DOI: 10.1192/PB.BP.113.043059
J. Bland
{"title":"Introduction to Systemic and Family Therapy: A User’s Guide","authors":"J. Bland","doi":"10.1192/PB.BP.113.043059","DOIUrl":"https://doi.org/10.1192/PB.BP.113.043059","url":null,"abstract":"Introduction to Systemic and Family Therapy: A User’s Guide By John Hills Palgrave Macmillan, 2012, £23.99, pb, 216 pp. ISBN: 9780230224445 \u0000\u0000This book, written by a humane, philosophical and highly experienced clinician, is in a ‘Basic Texts in Counselling and Psychotherapy’ series, billed","PeriodicalId":89639,"journal":{"name":"The psychiatrist","volume":"1 1","pages":"375-375"},"PeriodicalIF":0.0,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78796873","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: 2
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