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Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development最新文献

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Antisocial personality disorder: new directions 反社会型人格障碍:新方向
Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development Pub Date : 2014-03-01 DOI: 10.1192/APT.BP.113.011205
Jessica Yakeley, A. Williams
{"title":"Antisocial personality disorder: new directions","authors":"Jessica Yakeley, A. Williams","doi":"10.1192/APT.BP.113.011205","DOIUrl":"https://doi.org/10.1192/APT.BP.113.011205","url":null,"abstract":"Antisocial personality disorder is a complex condition carrying high rates of comorbidity and mortality for individuals as well as harmful consequences for their families and society. Despite the publication of National Institute for Health and Care Excellence (NICE) guidelines for the disorder, the evidence base and provision of effective treatments remain inadequate, and the belief that the condition is untreatable remains widespread among psychiatrists and other professionals. This article highlights current diagnostic controversies and summarises the evidence for conceptualising antisocial personality disorder as a disorder of attachment. Informed by this developmental perspective, we provide a framework for the management and treatment of adults with antisocial personality disorder, highlighting the importance of creating a safe setting and recommending adaptations of therapeutic technique to facilitate the engagement of this ‘treatment-rejecting’ patient population. We conclude with an outline of the current government policy on the treatment of high-risk offenders with personality disorder.Know the current diagnostic criteria and epidemiology of antisocial personality disorder.Evaluate the evidence that antisocial personality disorder can be conceptualised as a disorder of attachment, and use a developmental framework to inform treatment interventions.Gain an understanding of psychological approaches to antisocial personality disorder.","PeriodicalId":89879,"journal":{"name":"Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development","volume":"20 1","pages":"132-143"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1192/APT.BP.113.011205","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65778670","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: 49
精神科中的代谢综合征：认识与处理的进展 [translation of “Metabolic syndrome in psychiatry: advances in understanding and management” by John Ying] 精神科中的代谢综合征：认识与处理的进展 [translation of “Metabolic syndrome in psychiatry: advances in understanding and management” by John Ying]
Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development Pub Date : 2014-03-01 DOI: 10.1192/S1355514600018782
Cyrus S. H. Ho, M. Zhang, A. Mak, R. Ho
{"title":"精神科中的代谢综合征：认识与处理的进展 [translation of “Metabolic syndrome in psychiatry: advances in understanding and management” by John Ying]","authors":"Cyrus S. H. Ho, M. Zhang, A. Mak, R. Ho","doi":"10.1192/S1355514600018782","DOIUrl":"https://doi.org/10.1192/S1355514600018782","url":null,"abstract":"","PeriodicalId":89879,"journal":{"name":"Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66142704","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
Prevention strategies for adolescent depression 青少年抑郁症的预防策略
Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development Pub Date : 2014-03-01 DOI: 10.1192/APT.BP.112.010314
C. Bennett, R. Jones, Danny J. Smith
{"title":"Prevention strategies for adolescent depression","authors":"C. Bennett, R. Jones, Danny J. Smith","doi":"10.1192/APT.BP.112.010314","DOIUrl":"https://doi.org/10.1192/APT.BP.112.010314","url":null,"abstract":"Depression is missed more often in adolescents than in adults, partly because they present with symptoms different from those in adults and because many do not seek help. Early detection or the delay of onset can have a significant effect on a young person’s development and social functioning. We briefly discuss diagnosis and screening instruments before presenting the wide range of educational and psychological preventive approaches developed for adolescent depression. Many of the latter are based on the cognitive–behavioural or interpersonal therapy models. We consider how clinicians might use the current evidence base to identify and prevent depression in adolescents, and outline the principles of management of the disorder.","PeriodicalId":89879,"journal":{"name":"Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development","volume":"20 1","pages":"116-124"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1192/APT.BP.112.010314","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65776720","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: 5
Mental healthcare in Brazil: modest advances and major challenges 巴西的精神卫生保健:适度进步和重大挑战
Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development Pub Date : 2014-03-01 DOI: 10.1192/APT.BP.113.011593
J. Mari
{"title":"Mental healthcare in Brazil: modest advances and major challenges","authors":"J. Mari","doi":"10.1192/APT.BP.113.011593","DOIUrl":"https://doi.org/10.1192/APT.BP.113.011593","url":null,"abstract":"This brief article describes the main health indicators of Brazil and gives an overview of psychiatric care. It points out the primary pitfalls of the mental healthcare system and presents some suggestions for the future of mental health in the country.","PeriodicalId":89879,"journal":{"name":"Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development","volume":"20 1","pages":"113-115"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1192/APT.BP.113.011593","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65779152","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: 14
Adolescent decision-making and the zone of parental control: a missed opportunity for legislative change 青少年的决策和父母的控制范围:错失了立法改革的机会
Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development Pub Date : 2014-03-01 DOI: 10.1192/APT.BP.112.010538
F. Akerele
{"title":"Adolescent decision-making and the zone of parental control: a missed opportunity for legislative change","authors":"F. Akerele","doi":"10.1192/APT.BP.112.010538","DOIUrl":"https://doi.org/10.1192/APT.BP.112.010538","url":null,"abstract":"Issues relating to the consent of individuals under 18 years of age in England and Wales are covered by the Family Law Reform Act 1969, the Children Act 1989, the Mental Health Act 1983 (to some extent) and case law. Legislation on the consent of minors to hospital admission and treatment is complicated and contradictory, leaving clinicians unsure when to rely on the consent of the minor or that of someone with parental responsibility. This article reviews the concept of the zone of parental control (ZPC), introduced in England in 2008. It argues that this concept is too vague and subjective to provide any clear guidance on who can give consent for a minor’s admission and treatment.","PeriodicalId":89879,"journal":{"name":"Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development","volume":"20 1","pages":"144-150"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1192/APT.BP.112.010538","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65777222","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: 6
Seeking clarity in the twilight zone: COMMENTARY ON… ADOLESCENT DECISION-MAKING AND THE ZONE OF PARENTAL CONTROL 在模糊地带寻求清晰:评论……青少年的决策和父母控制的区域
Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development Pub Date : 2014-03-01 DOI: 10.1192/APT.BP.113.011643
A. Vallance
{"title":"Seeking clarity in the twilight zone: COMMENTARY ON… ADOLESCENT DECISION-MAKING AND THE ZONE OF PARENTAL CONTROL","authors":"A. Vallance","doi":"10.1192/APT.BP.113.011643","DOIUrl":"https://doi.org/10.1192/APT.BP.113.011643","url":null,"abstract":"SUMMARY This commentary offers further arguments relating to the ambiguities inherent in the new concept of the zone of parental control (ZPC) as defined by the revised Mental Health Act Code of Practice, but argues that a directive approach needs to be balanced with flexibility. The conflicting rights of child, parent and State are also discussed. Whereas medico-legal discourse tends to base itself on previous legislative frameworks, it is argued that an evidence-based approach may also be valuable in order to ascertain and incorporate young people’s views on the matter.","PeriodicalId":89879,"journal":{"name":"Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development","volume":"20 1","pages":"151-152"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1192/APT.BP.113.011643","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65778828","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
Metabolic syndrome in psychiatry: advances in understanding and management 精神病学代谢综合征:认识和管理的进展
Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development Pub Date : 2014-03-01 DOI: 10.1192/APT.BP.113.011619
Cyrus S. H. Ho, M. Zhang, A. Mak, R. Ho
{"title":"Metabolic syndrome in psychiatry: advances in understanding and management","authors":"Cyrus S. H. Ho, M. Zhang, A. Mak, R. Ho","doi":"10.1192/APT.BP.113.011619","DOIUrl":"https://doi.org/10.1192/APT.BP.113.011619","url":null,"abstract":"SUMMARY Metabolic syndrome comprises a number of cardiovascular risk factors that increase morbidity and mortality. The increase in incidence of the syndrome among psychiatric patients has been unanimously demonstrated in recent studies and it has become one of the greatest challenges in psychiatric practice. Besides the use of psychotropic drugs, factors such as genetic polymorphisms, inflammation, endocrinopathies and unhealthy lifestyle contribute to the association between metabolic syndrome and a number of psychiatric disorders. In this article, we review the current diagnostic criteria for metabolic syndrome and propose clinically useful guidelines for psychiatrists to identify and monitor patients who may have the syndrome. We also outline the relationship between metabolic syndrome and individual psychiatric disorders, and discuss advances in pharmacological treatment for the syndrome, such as metformin.","PeriodicalId":89879,"journal":{"name":"Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development","volume":"20 1","pages":"101-112"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1192/APT.BP.113.011619","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65779191","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: 33
Autoimmune encephalitis: a potentially treatable cause of mental disorder 自身免疫性脑炎:一种潜在的可治疗的精神障碍病因
Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development Pub Date : 2014-03-01 DOI: 10.1192/APT.BP.113.011304
H. Rickards, S. Jacob, B. Lennox, T. Nicholson
{"title":"Autoimmune encephalitis: a potentially treatable cause of mental disorder","authors":"H. Rickards, S. Jacob, B. Lennox, T. Nicholson","doi":"10.1192/APT.BP.113.011304","DOIUrl":"https://doi.org/10.1192/APT.BP.113.011304","url":null,"abstract":"Autoimmune encephalitides can present with altered mental states, particularly psychosis and delirium. Psychiatrists need to be particularly vigilant in cases of first-episode psychosis and to look out for other, sometimes subtle, features of encephalitis. Encephalitis related to N -methyl-D-aspartate (NMDA) receptor autoantibodies is the most common autoimmune cause of isolated psychosis, the second being related to voltage-gated potassium channel (VGKC)-complex antibodies. Psychiatrists should note ‘red flag’ signs of seizures, autonomic instability, movement disorders and sensitivity to antipsychotic medication (including neuroleptic malignant syndrome). They should also be aware that, in some cases, encephalitis is a non-metastatic manifestation of malignancy. Treatment primarily involves suppression of immunity and is often successful if delivered early. There is accumulating evidence that isolated psychiatric syndromes can be caused by autoimmunity and this could potentially signal a significant change in the approach to disorders such as schizophrenia. Psychiatrists and neurologists need to work together to diagnose, manage and understand this group of conditions.","PeriodicalId":89879,"journal":{"name":"Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development","volume":"37 1","pages":"92-100"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1192/APT.BP.113.011304","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65778724","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: 46
Recovery in forensic services: facing the challenge 法医服务的恢复:面对挑战
Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development Pub Date : 2014-03-01 DOI: 10.1192/APT.BP.113.011403
B. Mann, Elizabeth Matias, J. Allen
{"title":"Recovery in forensic services: facing the challenge","authors":"B. Mann, Elizabeth Matias, J. Allen","doi":"10.1192/APT.BP.113.011403","DOIUrl":"https://doi.org/10.1192/APT.BP.113.011403","url":null,"abstract":"Although there is an increasing focus on recovery within mental health services, there has been limited exploration of the applicability of these principles within forensic services. The authors draw on their experiences within forensic rehabilitation services to discuss the potential obstacles to secure recovery, exploring the systemic and risk management aspects of such a setting as well as considering attachment theory within this context. Some proposals based on clinical experience are given on how such obstacles are faced and tackled.","PeriodicalId":89879,"journal":{"name":"Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development","volume":"20 1","pages":"125-131"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1192/APT.BP.113.011403","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65778753","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: 54
Changing diagnostic practices: autism spectrum disorder 改变诊断方法:自闭症谱系障碍
Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development Pub Date : 2014-01-01 DOI: 10.1192/APT.BP.112.010801
M. Woodbury-Smith
{"title":"Changing diagnostic practices: autism spectrum disorder","authors":"M. Woodbury-Smith","doi":"10.1192/APT.BP.112.010801","DOIUrl":"https://doi.org/10.1192/APT.BP.112.010801","url":null,"abstract":"In medical practice it is crucial that symptom descriptions are as precise and objective as possible, which psychiatry attempts to achieve through its psychopathological lexicon. The term ‘autism spectrum disorder’ has now entered psychiatric nosology, but the symptom definitions on which it is based are not robust, potentially making reliable and valid diagnoses a problem. This is further compounded by the spectral nature of the disorder and its lack of clear diagnostic boundaries. To overcome this, there is a need for a psychopathological lexicon of ‘social cognition’ and a classification system that splits rather than lumps disorders with core difficulties in social interaction.","PeriodicalId":89879,"journal":{"name":"Advances in psychiatric treatment : the Royal College of Psychiatrists' journal of continuing professional development","volume":"20 1","pages":"23-26"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1192/APT.BP.112.010801","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65777716","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: 1
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