Going beyond 'good enough teaching in psychiatric training [Articles]
This article explores the assessment process itself and ways to optimise it, and presents a case for going beyond teaching how to pass exams in order to address wider issues relating to psychiatry. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - February 28, 2017 Category: Psychiatry Authors: Sarkar, S. N., Young, A. H. Tags: Articles Source Type: research
Psychiatry in the Foundation Programme: an overview for supervisors [Articles]
This article outlines how to develop high-quality foundation posts and how to support doctors in meeting the foundation curriculum competencies, which include experience of working in multidisciplinary teams and developing communication skills. The knowledge and skills gained in psychiatry placements will be valuable to all doctors, no matter what their future career intentions. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - February 28, 2017 Category: Psychiatry Authors: Perry, J., Ryland, H., Thoms, L., Boyle, A. Tags: Articles Source Type: research
Malingering mental disorders: medicolegal reporting [Articles]
In this second part of a two-article review on malingering we consider the challenges of presenting clinical and psychometric findings. Numerous clinical and demographic factors are statistically associated with malingering but applying them to an individual case risks challenges to the expert psychiatric witness’s evidence. Although psychometric data can usefully help strengthen or challenge a diagnosis, expert witnesses must recognise and report the limitations of these tests. We recommend that psychiatric expert witnesses do not try to look for or to link any external incentives with clinical findings, and indeed ...
Source: Advances in Psychiatric Treatment - February 28, 2017 Category: Psychiatry Authors: Rix, K. J. B., Tracy, D. K. Tags: Articles Source Type: research
Assessing explanatory models and health beliefs: an essential but overlooked competency for clinicians [Articles]
This article discusses recent evidence showing how the exploration of explanatory models can help to shape treatment and outcomes for some of the most common categories of mental illness, and presents case studies illustrating dilemmas clinicians face when their explanatory models differ from those of their patients. It concludes with recommendations on how a culturally sensitive clinical approach based on the exploration of explanatory models during assessment and treatment can be used as an effective way of dealing with the complexity of patients’ and families’ needs. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - February 28, 2017 Category: Psychiatry Authors: Dinos, S., Ascoli, M., Owiti, J. A., Bhui, K. Tags: Articles Source Type: research
Diagnostic difficulty in bipolar disorder [Refreshment]
Bipolar disorder is a common mental disorder that can be challenging to diagnose. This brief article outlines how bipolar disorder is diagnosed and how it can be distinguished from other disorders with similar phenotypes. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - February 28, 2017 Category: Psychiatry Authors: Saunders, K. E. A. Tags: Refreshment Source Type: research
Clinical formulation: where it came from, what it is and why it matters [Articles]
Clinical formulation was introduced in its present form a little over 30 years ago and is, in essence, a concise summary of the origins and nature of a person’s problems, together with opinion on what may go wrong in the future and what steps should be taken to improve matters. In our article we discuss how, in recent times, the task of preparing a clinical formulation has rightly become a multidisciplinary exercise involving the whole clinical team and, even more important, that nowadays the patient – the subject of the clinical formulation – together with their carers should also be actively involved in...
Source: Advances in Psychiatric Treatment - February 28, 2017 Category: Psychiatry Authors: Baird, J., Hyslop, A., Macfie, M., Stocks, R., Van der Kleij, T. Tags: Articles Source Type: research
Deaf people: what every clinician needs to know [Articles]
Deafness is a common and varied medical, social and psychological construct that affects a significant proportion of the population. Restricted communication and uninformed attitudes have adverse effects on the physical and mental health of deaf people. Clinicians need to know how to recognise and resolve these difficulties. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - February 28, 2017 Category: Psychiatry Authors: du Feu, M. Tags: Articles Source Type: research
Therapeutic risk-taking: a justifiable choice [Articles]
This article examines therapeutic risk-taking, recognising the challenges to supporting it in practice and debating how they may be overcome. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - February 28, 2017 Category: Psychiatry Authors: Felton, A., Wright, N., Stacey, G. Tags: Articles Source Type: research
Newer generation antidepressants for young people: real-life evidence needed: COMMENTARY ON... COCHRANE CORNER [Round the corner]
Major depressive disorder in children and adolescents is common and associated with significant morbidity and mortality. This 2012 meta-analysis by Hetrick et al shows statistically significant, but small, improvements in depressive symptom scores and probability of remission with second-generation antidepressants (SGAs) compared with placebo. SGAs lead to a small, but significant, increase in risk of suicidal thoughts/attempts compared with placebo. Patients included in the primary studies had milder depression, less psychiatric comorbidity and less suicidality than those normally seen in clinical practice in the UK&rsquo...
Source: Advances in Psychiatric Treatment - February 28, 2017 Category: Psychiatry Authors: Hussain, H., Dubicka, B., Wilkinson, P. Tags: Round the corner Source Type: research
Newer generation antidepressants for depressive disorders in children and adolescents [Cochrane Corner]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - February 28, 2017 Category: Psychiatry Authors: Hetrick, S. E., McKenzie, J. E., Cox, G. R., Simmons, M. B., Merry, S. N. Tags: Cochrane Corner Source Type: research
New from CPD Online [CPD Online]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - February 28, 2017 Category: Psychiatry Tags: CPD Online Source Type: research
After a prolonged gestation and difficult labour, informed consent is safely delivered into English and Scots law [Articles]
It is over 40 years since the principle of informed consent was accepted in the USA and it has been long established in other common law jurisdictions. But for decades English law has been constrained by the Sidaway case, which effectively perpetuated a form of medical paternalism. Nevertheless, a patient-centred approach can be traced to one of the judgments in that case, and in the case of Montgomery the Supreme Court has now adopted an approach to consent which is based on self-determination and autonomy and is more closely aligned to professional practice. It calls for a dialogue between doctor and patient, recognition...
Source: Advances in Psychiatric Treatment - January 3, 2017 Category: Psychiatry Authors: Rix, K. J. B. Tags: Articles Source Type: research
Statutory wills: doing the right thing under the Mental Capacity Act 2005 [Articles]
This article explains the procedure for applying for a statutory will, including the role of medical practitioners. Salient legal cases are summarised to highlight the difficulties in applying a best interests framework for decision-making in the context of statutory wills. Finally, this article considers how the United Nations Convention on the Rights of Persons with Disabilities (CRPD) might affect not only on statutory wills, but also the wider provisions of the MCA. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - January 3, 2017 Category: Psychiatry Authors: Milward, K., Curtice, M., Harding, R. Tags: Articles Source Type: research
New horizons: forensic mental health services for older people [Articles]
Although the older adult population makes up only a small percentage of mentally disordered offenders, there is a clear need for forensic mental health services for older people. However, these services to date have developed ad hoc and with no coordination. In this article we discuss the evolution, current provision, future direction and therapeutic implications of such services. Although the epidemiology, criminology and clinical characteristics of older people are sufficiently different from those of younger people to warrant such service specificity, we suggest that the provision of care should be geared to services ba...
Source: Advances in Psychiatric Treatment - January 3, 2017 Category: Psychiatry Authors: Natarajan, M., Mulvana, S. Tags: Articles Source Type: research
Forensic mental health services for children and adolescents: rationale and development [Articles]
This article outlines the rationale for dedicated specialist services for high-risk young people about whom there may be family or professional concerns in relation to mental disorder. It provides an overview of the development and remit of such services and emphasises the need for them to form part of overall service provision for children and young people. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - January 3, 2017 Category: Psychiatry Authors: Hindley, N., Lengua, C., White, O. Tags: Articles Source Type: research
