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BJPsych Bulletin

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https://www.readbyqxmd.com/read/28184321/epistemic-injustice-or-safety-first
#1
Manhal M Zarroug, Dieneke Hubbeling, Robert Bertram
No abstract text is available yet for this article.
February 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28184320/the-correlation-between-mental-disorders-and-terrorism-is-weak
#2
Ardavan Khoshnood
No abstract text is available yet for this article.
February 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28184319/the-most-important-things-i-have-learnt-in-my-career-as-a-psychiatrist
#3
Julian Leff
This paper is something of a patchwork, incorporating many issues that have intrigued me during 34 years of research. I have included the importance of maintaining a solid base in clinical work, alongside research activities, and being alert to the possibility of a somatic condition contributing to psychiatric symptoms. I stress the value of careful observation of patients, their response to treatments and reasons for dropping out. In addition, I have included 14 more lessons, learned from my experience of research, which I hope will be of use to those readers who aspire to become researchers...
February 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28184318/training-in-quality-improvement-for-the-next-generation-of-psychiatrists
#4
Elizabeth Ewins, Rob Macpherson, Geoff van der Linden, Stephen Arnott
Quality improvement (QI) projects have been shown to positively influence patient care. They provide opportunities for trainees to present and publish their work locally and nationally, and to gain valuable leadership and management experience. We describe a pilot project to engage in QI trainees across a National Health Service trust and a school of psychiatry. After the first year of this programme over half of psychiatry trainees in the school (58% of core trainees and 47% of advanced trainees) are participating in 28 individual QI projects and QI project methodology is to become embedded in the core psychiatry training course...
February 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28184317/adherence-to-medication-in-the-community-audit-cycle-of-interventions-to-improve-the-assessment-of-adherence
#5
REVIEW
Saeed Farooq, Abid Choudry
Aims and method To investigate whether medication adherence is monitored during follow-up in out-patient reviews. A retrospective audit was carried out with a sample of 50 follow-up patients with a diagnosis of schizophrenia or schizoaffective disorder. Following this, interventions were made prior to the re-audit (including text messaging clinicians and prompt sheets in the out-patient department to encourage adherence discussions). Results There was an improvement on all the standards set for this audit following the interventions...
February 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28184316/perceptual-distortions-and-deceptions-what-computers-can-teach-us
#6
Matthew M Nour, Joseph M Nour
The nature of perception has fascinated philosophers for centuries, and has more recently been the focus of research in psychology and neuroscience. Many psychiatric disorders are characterised by perceptual abnormalities, ranging from sensory distortions to illusions and hallucinations. The distinction between normal and abnormal perception is, however, hard to articulate. In this article we argue that the distinction between normal perception and abnormal perception is best seen as a quantitative one, resting on the degree to which the observer's prior expectations influence perceptual inference...
February 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28184315/mental-capacity-and-borderline-personality-disorder
#7
Karyn Ayre, Gareth S Owen, Paul Moran
The use of the Mental Capacity Act 2005 in assessing decision-making capacity in patients with borderline personality disorder (BPD) is inconsistent. We believe this may stem from persisting confusion regarding the nosological status of personality disorder and also a failure to recognise the fact that emotional dysregulation and characteristic psychodynamic abnormalities may cause substantial difficulties in using and weighing information. Clearer consensus on these issues is required in order to provide consistent patient care and reduce uncertainty for clinicians in what are often emergency and high-stakes clinical scenarios...
February 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28184314/-doc-can-i-fly-to-australia-a-case-report-and-review-of-delirium-following-long-haul-flight
#8
Thomas McCabe
Air travel is now a common feature of most of our elderly population's lives. There is little by way of warnings, rules or recommendations for our patients with psychiatric diagnoses, in particular dementia, who intend to travel by plane, in contrast to other specialties. In this article I highlight an adverse outcome of long-haul air travel as a result of delirium and resulting accelerated decline in overall cognitive function. I review literature related to the topic and suggest ways to minimise precipitating factors for stressors prior to and during flights...
February 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28184313/juvenile-delinquency-welfare-justice-and-therapeutic-interventions-a-global-perspective
#9
REVIEW
Susan Young, Ben Greer, Richard Church
This review considers juvenile delinquency and justice from an international perspective. Youth crime is a growing concern. Many young offenders are also victims with complex needs, leading to a public health approach that requires a balance of welfare and justice models. However, around the world there are variable and inadequate legal frameworks and a lack of a specialist workforce. The UK and other high-income countries worldwide have established forensic child and adolescent psychiatry, a multifaceted discipline incorporating legal, psychiatric and developmental fields...
February 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28184312/pokorny-s-complaint-the-insoluble-problem-of-the-overwhelming-number-of-false-positives-generated-by-suicide-risk-assessment
#10
Olav Nielssen, Duncan Wallace, Matthew Large
Alex Pokorny's 1983 prospective study of suicide found that 96.3% of high-risk predictions were false positives, and that more than half of the suicides occurred in the low-risk group and were hence false negatives. All subsequent prospective studies, including the recent US Army Study To Assess Risk and Resilience in Servicemembers (STARRS), have reported similar results. We argue that since risk assessment cannot be a practical basis for interventions aimed at reducing suicide, the alternative is for mental health services to carefully consider what amounts to an adequate standard of care, and to adopt the universal precaution of attempting to provide that to all of our patients...
February 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28184311/personality-disorder-still-the-patients-psychiatrists-dislike
#11
Dimitrios Chartonas, Michalis Kyratsous, Sarah Dracass, Tennyson Lee, Kamaldeep Bhui
Aims and method In 1988, Lewis and Appleby demonstrated that psychiatrists hold negative attitudes towards patients with personality disorder. We assessed the attitudes of psychiatry trainees towards patients with borderline personality disorder and depression, expecting an improvement. 166 trainees were block randomised to receive one of four case vignettes that varied by diagnosis and ethnic group. We used Lewis and Appleby's original questionnaire and the Attitudes to Personality Disorder Questionnaire (APDQ)...
February 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28184310/capacity-in-vacuo-an-audit-of-decision-making-capacity-assessments-in-a-liaison-psychiatry-service
#12
Benjamin W J Spencer, Gareth Wilson, Ewa Okon-Rocha, Gareth S Owen, Charlotte Wilson Jones
Aims and method We aimed to audit the documentation of decision-making capacity (DMC) assessments by our liaison psychiatry service against the legal criteria set out in the Mental Capacity Act 2005. We audited 3 months split over a 2-year period occurring before, during and after an educational intervention to staff. Results There were 21 assessments of DMC in month 1 (6.9% of all referrals), 27 (9.7%) in month 16, and 24 (6.6%) in month 21. Only during the intervention (month 16) did any meet our gold-standard (n = 2)...
February 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28184309/plans-hopes-and-ideas-for-mental-health
#13
EDITORIAL
John R Ashton
Mental health and the failings of the mental health services are in the spotlight as never before. Nowhere is this more apparent than in the often dire situation with regard to child and adolescent mental health. At the same time, there is a renewed interest in the scope for prevention of mental illness and distress, and in population approaches to mental well-being. It may come as a surprise to some that others have given such serious consideration to strategic approaches to public mental health as long ago as the 1950s...
February 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28184308/the-access-and-waiting-time-standard-for-first-episode-psychosis-an-opportunity-for-identification-and-treatment-of-psychosis-risk-states
#14
EDITORIAL
Richard Whale, Andrew Thompson, Rick Fraser
Expansion of early intervention services to identify and clinically manage at-risk mental state for psychosis has been recently commissioned by NHS England. Although this is a welcome development for preventive psychiatry, further clarity is required on thresholds for definition of such risk states and their ability to predict subsequent outcomes. Intervention studies for these risk states have demonstrated that a variety of interventions, including those with fewer adverse effects than antipsychotic medication, may potentially be effective but they should be interpreted with caution...
February 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/27752354/correction
#15
(no author information available yet)
[This corrects the article on p. 223 in vol. 40, PMID: 27512595.].
October 2016: BJPsych Bulletin
https://www.readbyqxmd.com/read/27752353/author-s-reply
#16
Ollie Minton
No abstract text is available yet for this article.
October 2016: BJPsych Bulletin
https://www.readbyqxmd.com/read/27752352/guidance-on-advance-care-planning
#17
Jonathan Waite
No abstract text is available yet for this article.
October 2016: BJPsych Bulletin
https://www.readbyqxmd.com/read/27752351/terrorism-it-s-not-mental-illness-it-s-politics
#18
Philip J McGarry
No abstract text is available yet for this article.
October 2016: BJPsych Bulletin
https://www.readbyqxmd.com/read/27752350/paracetamol-and-risk-factors-in-newcastle
#19
Alasdair J Macdonald
No abstract text is available yet for this article.
October 2016: BJPsych Bulletin
https://www.readbyqxmd.com/read/27752349/the-foundation-programme-in-psychiatry-a-qualitative-study-into-the-effects-of-a-foundation-placement
#20
Ann Boyle, Sophie Davies, Nisha Dogra, Jennifer Perry, Hannah Fosker
Aims and method There is a drive to increase the number of psychiatry foundation placements to ensure that training keeps up with the changing health and social care landscape. This qualitative study aimed to explore, by interview, the experiences of 17 doctors who have completed a foundation placement in psychiatry. Results The study highlights the benefits of foundation psychiatry placements and some of their positive and negative aspects. Clinical implications Those developing foundation placements will need to ensure they are of high quality...
October 2016: BJPsych Bulletin
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