How psychiatrists can engage with the media [Articles]
The media offers opportunities for psychiatrists to communicate with a wide and varied audience, thereby influencing the views of the public and policy makers on mental health issues. There are many different types of media outlet, including daily news media, documentary makers, specialist media, features and comment, and new media. The Science Media Centre is an independent press office that aims to help ensure that the views of scientists, clinicians and researchers are heard in the UK national news media when their area of expertise hits the headlines. In the news media, journalists work to tight time frames and often f...
Source: Advances in Psychiatric Treatment - January 2, 2014 Category: Psychiatry Authors: Bithell, C. Tags: Articles Source Type: research

Genetics and psychosis [Refreshment]
Genetic research into psychotic disorders is advancing rapidly. On the basis of general evidence for genetic influences from family, twin and adoption studies, molecular genetic studies, particularly genome-wide association studies (GWAS), are identifying a range of common genetic risk factors that each have a small effect on risk, while certain chromosomal copy number variants (CNVs) are rarer, but have a larger effect on risk. There is also evidence for partial overlap of genetic influences among psychotic disorders and with non-psychotic disorders. This brief article summarises the main themes, current findings and pote...
Source: Advances in Psychiatric Treatment - January 2, 2014 Category: Psychiatry Authors: Cardno, A. G. Tags: Refreshment Source Type: research

Interprofessional education in mental health services: learning together for better team working [Articles]
Interprofessional education, learning which brings together different professional groups, helps to prepare practitioners for effective team-based collaborative practice and is now included in all undergraduate training programmes in the health professions. We explore the merits of team-based interprofessional learning, drawing on learning theory and mental health policy. We endorse the use of a practice-based interprofessional education model involving patients in which students experience the complexity of team working and the clinical team gain a more detailed analysis of team processes, which can enhance the quality of...
Source: Advances in Psychiatric Treatment - January 2, 2014 Category: Psychiatry Authors: Kinnair, D., Anderson, E., van Diepen, H., Poyser, C. Tags: Articles Source Type: research

Psychiatry and the dark side: eugenics, Nazi and Soviet psychiatry [Articles]
This article re views some of these aspects of the history of psychiatry, including Germany’s eugenics programme and the former USSR’s detention of dissidents under the guise of psychiatric treatment. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - January 2, 2014 Category: Psychiatry Authors: Luty, J. Tags: Articles Source Type: research

Towards partnerships in mental healthcare: COMMENTARY ON... UNDERSTANDING 'RECOVERY' & BECOMING A RECOVERY-ORIENTED PRACTITIONER [Commentary]
We consider key facets of the concept of mental health recovery and how they are reflected in other concepts that run through the emerging focus on public mental healthcare. We widen the scene to portray the niche into which recovery fits and show how it and recent research indicate why psychiatrists should use the social sciences more widely to complement neuroscience. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - January 2, 2014 Category: Psychiatry Authors: Bailey, S., Williams, R. Tags: Commentary Source Type: research

Becoming a recovery-oriented practitioner [Articles]
This article outlines these components and discusses the associated need for change in the culture of provider organisations along with implementation of wider social and economic policies to support peoples’ recovery and social inclusion. This is a values-led approach supported by persuasive advocacy and international endorsement but still in need of further development, systematic evaluation and confirmatory evidence. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - January 2, 2014 Category: Psychiatry Authors: Roberts, G., Boardman, J. Tags: Articles Source Type: research

Communicating with people with intellectual disabilities: a guide for general psychiatrists [Articles]
Good communication is central to psychiatric consultation. It informs assessment, diagnosis and treatment, and is an important part of empowering people to take more control of their own mental health. But active listening and personally tailored explanations may require additional skills and may need to be practised in the context of ethical and legal frameworks. In this article we consider the additional impairments that occur in people with intellectual disabilities who use psychiatric services and describe practical steps that can be taken by clinicians and service providers to overcome these impairments, to make reaso...
Source: Advances in Psychiatric Treatment - January 2, 2014 Category: Psychiatry Authors: Boardman, L., Bernal, J., Hollins, S. Tags: Articles Source Type: research

Changing diagnostic practices: autism spectrum disorder [Reflection]
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 t...
Source: Advances in Psychiatric Treatment - January 2, 2014 Category: Psychiatry Authors: Woodbury-Smith, M. Tags: Reflection Source Type: research

Psychogenic non-epileptic seizures: aetiology, diagnosis and management [Articles]
Psychogenic non-epileptic seizures (PNES) have a significant impact on most patients in terms of distress, disability, loss of income and iatrogenic harm. Three-quarters of patients with PNES are initially misdiagnosed and treated for epilepsy. Misdiagnosis exposes patients to multiple iatrogenic harms and prevents them from accessing psychological treatment. In most cases, the patient’s history (and witness accounts) should alert clinicians to the likely diagnosis of PNES. Since this diagnosis may be resisted by patients and may involve ‘un-diagnosing’ epilepsy, video-electroencephalogram recording of ty...
Source: Advances in Psychiatric Treatment - January 2, 2014 Category: Psychiatry Authors: Oto, M., Reuber, M. Tags: Articles Source Type: research

Developing tomorrow's antipsychotics: the need for a more personalised approach [Articles]
There has been little pharmacological advance in the treatment of schizophrenia since the introduction of chlorpromazine in the 1950s. This may be set to change as recent advances in molecular biology offer the prospect of a better understanding of the pathophysiology of the disorder and allow investigation of the complex interplay of genetic and environmental risk factors. In this review I discuss future approaches to antipsychotic drug development, highlighting the need to better define symptom areas and develop drugs based on an understanding of neurobiological mechanisms. The development of biomarkers has the potential...
Source: Advances in Psychiatric Treatment - January 2, 2014 Category: Psychiatry Authors: Hunter, R. Tags: Articles Source Type: research

Exercise for depression [Cochrane Corner]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - January 2, 2014 Category: Psychiatry Authors: Cooney, G. M., Dwan, K., Greig, C. A., Lawlor, D. A., Rimer, J., Waugh, F. R., McMurdo, M., Mead, G. E. Tags: Cochrane Corner Source Type: research

New from CPD Online [CPD Online]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - January 2, 2014 Category: Psychiatry Tags: CPD Online Source Type: research

A Confederacy of Dunces: mental illness in the life and work of John Kennedy Toole [Mindreading]
This article examines the life and work of John Kennedy Toole, focusing on his 1981 Pulitzer Prize winning novel A Confederacy of Dunces. Toole finished the novel in 1966 and, after failing to rework his manuscript to his editor’s satisfaction, he shelved the project. Following this, he displayed symptoms typical of paranoid schizophrenia and he took his own life at the age of 31. In his novel, Toole parodies both psychoanalysis and the practice of psychiatry at the time, with a strong overlap with the emerging perspectives critical of psychiatry popularised by figures such as Szasz, Laing and Foucault. Toole’s...
Source: Advances in Psychiatric Treatment - November 1, 2013 Category: Psychiatry Authors: Pal, A. Tags: Mindreading Source Type: research

Management of the renal adverse effects of lithium [Articles]
This article reviews these adverse effects with special emphasis on their management. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - November 1, 2013 Category: Psychiatry Authors: Gupta, S., Kripalani, M., Khastgir, U., Reilly, J. Tags: Articles Source Type: research

Young people who cut themselves: can understanding the reasons guide the treatment? [Articles]
This article explores the possible mechanisms involved when young people cut themselves and discusses therapeutic approaches in the light of these. Clinicians and researchers are encouraged to refine, develop and research interventions for young people who self-harm by cutting. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - November 1, 2013 Category: Psychiatry Authors: Wright, B., Hooke, N., Neupert, S., Nyein, C., Ker, S. Tags: Articles Source Type: research