Malingering mental disorders: clinical assessment [Articles]
SUMMARY
Malingering is the dishonest and intentional production of symptoms. It can cause considerable difficulty as assessment runs counter to normal practice, and it may expose clinicians to testing medicolegal situations. In this first part of a two-article review, we explore types of psychiatric malingering and their occurrence across a range of common and challenging scenarios, discussing presentations that may help delineate true from feigned illness. A framework is provided for undertaking an assessment where malingering is suspected, including recommendations on clinician approach, the use of collateral information...
Source: Advances in Psychiatric Treatment - January 3, 2017 Category: Psychiatry Authors: Tracy, D. K., Rix, K. J. B. Tags: Articles Source Type: research
Psychological treatments for psychosis: INVITED COMMENTARY ON... PSYCHOLOGICAL TREATMENTS FOR SCHIZOPHRENIA SPECTRUM DISORDER [Commentary]
Most of the novel psychological therapies reviewed by Turkington & Lebert have their roots in at least one traditional approach of cognitive, behavioural and meditation practice. These therapies offer exciting prospects, but none as yet has a strong enough evidence base to warrant routine implementation in the National Health Service. In a climate of scarce resources, implementation of novel therapies is likely to come at the cost of traditional therapies with a stronger evidence base. Clinical practice must not run ahead of the evidence, but we must enable new, targeted treatments to be implemented in a timely manner ...
Source: Advances in Psychiatric Treatment - January 3, 2017 Category: Psychiatry Authors: Greenwood, K. Tags: Commentary Source Type: research
Psychological treatments for schizophrenia spectrum disorder: what is around the corner? [Articles]
This article outlines the most promising of these new interventions and attempts to answer the crucial question as to their differential effects on different psychotic presentations. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - January 3, 2017 Category: Psychiatry Authors: Turkington, D., Lebert, L. Tags: Articles Source Type: research
Diagnosis and treatment: are psychiatrists choosing wisely? [Articles]
This article is about the problem of overuse and the launch of the Royal College of Psychiatrists’ Choosing Wisely campaign. It provides a critical review of why this might occur and whether Choosing Wisely is likely to be successful. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - January 3, 2017 Category: Psychiatry Authors: Maughan, D., James, A. Tags: Articles Source Type: research
The best drug treatment for psychotic depression: antidepressants, antipsychotics or both combined?: COMMENTARY ON... COCHRANE CORNER [Round the corner]
Psychotic depression is a severe condition. Drug treatment (antipsychotics, antidepressants or the combination) or electroconvulsive therapy (ECT) are both effective. However, a 2005 Cochrane review of drug treatments could not find a clear benefit for combination treatment with antidepressant and antipsychotic medication over antidepressants alone. The current updated Cochrane review (2015) incorporated two larger studies and found evidence of superiority for combination treatment. The review was constrained by the small number of available studies and could not address key questions such as the relative merits of antipsy...
Source: Advances in Psychiatric Treatment - January 3, 2017 Category: Psychiatry Authors: Smith, K. Tags: Round the corner Source Type: research
Pharmacological treatment for psychotic depression [Cochrane Corner]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - January 3, 2017 Category: Psychiatry Authors: Wijkstra, J., Lijmer, J., Burger, H., Cipriani, A., Geddes, J., Nolen, W. A. Tags: Cochrane Corner Source Type: research
New from CPD Online [CPD Online]
(Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - January 3, 2017 Category: Psychiatry Tags: CPD Online Source Type: research
Death by PowerPoint: alternatives for life [Articles]
This article considers the role of technology in teaching and learning, identifying underlying assumptions that are often made. It identifies and appraises technology that can be used with or instead of PowerPoint to best facilitate deep learning. The potential pedagogical benefits and practical limitations of these technologies are considered, and strategies are highlighted to maximise the impact of PowerPoint where it is the software of choice. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - October 31, 2016 Category: Psychiatry Authors: Duffy, R. M., Henry, M. Tags: Articles Source Type: research
Mindfulness in addictions [Articles]
There have been many developments in mindfulness-based approaches (MBAs) since the original mindfulness-based stress reduction (MBSR) course was first delivered in the 1980s. There are now a variety of mindfulness approaches, which are used to good effect in a range of psychological and physical health disorders. The addictions field first witnessed the development of relapse prevention techniques more than 30 years ago. MBAs have been adapted for use in relapse prevention and can be offered as a mindfulness-based relapse prevention (MBRP) course. MBSR or mindfulness-based cognitive therapy (MBCT) courses may also be usefu...
Source: Advances in Psychiatric Treatment - October 31, 2016 Category: Psychiatry Authors: Johnson, D., Mullen, D., Smith, I. D., Wilson, A. Tags: Articles Source Type: research
Alcohol policy and public health [Articles]
Alcohol is the most commonly used recreational drug in the world and the third leading cause of preventable death. Alcohol consumption and alcohol problems have increased steadily over the past six decades. Methods likely to reduce alcohol problems (e.g. minimum pricing, restricting licensing hours and increasing the availability of alcohol treatment) tend not to be supported by the drinks industry. Methods favoured by the industry (e.g. public education, industry self-regulation and product warning labelling) are less effective or do not work. The recent history of alcohol policy clearly demonstrates how the financial pow...
Source: Advances in Psychiatric Treatment - October 31, 2016 Category: Psychiatry Authors: Luty, J. Tags: Articles Source Type: research
Cervantes and Don Quixote de la Mancha [Mindreading]
This article, in the 400th anniversary year of Cervantes’ death, introduces Cervantes’ biography, discusses the enduring features of his classic novel and explores the value and importance of the novel for psychiatry. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - October 31, 2016 Category: Psychiatry Authors: Oyebode, F. Tags: Mindreading Source Type: research
Auditory hallucinations in schizophrenia: helping patients to develop effective coping strategies [Articles]
This article describes how to recognise voice hearers’ ineffective coping strategies and how to teach effective approaches that are a crucial catalyst in the recovery process. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - October 31, 2016 Category: Psychiatry Authors: Turkington, D., Lebert, L., Spencer, H. Tags: Articles Source Type: research
Assessing and managing hallucinations in children and adolescents [Articles]
This article details the clinical assessment of hallucinations in children and adolescents, taking into account developmental considerations and paediatric organic associations. It describes hallucinations in young people with psychoses (schizophrenia spectrum and mood disorders) and non-psychotic psychiatric disorders (emotional and behavioural disorders), and it addresses therapeutic aspects. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - October 31, 2016 Category: Psychiatry Authors: Dominguez, M.-d.-G., Garralda, M. E. Tags: Articles Source Type: research
Transcranial magnetic stimulation in clinical practice [Articles]
This article explains the use of TMS in clinical practice. (Source: Advances in Psychiatric Treatment)
Source: Advances in Psychiatric Treatment - October 31, 2016 Category: Psychiatry Authors: Hardy, S., Bastick, L., ONeill-Kerr, A., Sabesan, P., Lankappa, S., Palaniyappan, L. Tags: Articles Source Type: research
Perinatal psychiatry: a new specialty or everyones business? [Articles]
Perinatal psychiatry is a relatively new sub-specialty and controversy exists about such specialist provision. Differences can occur in how mental illnesses present in pregnancy, and there is a need to take into account both mother and baby. The risks of not treating perinatal mental illness can be both acute and chronic, and suicide in the context of untreated illness remains a leading indirect cause of maternal mortality. Despite the government’s agenda of preventive healthcare, service provision is inequitable across the UK. Advice regarding treatment continues to be complex, and perinatal psychiatrists need to ke...
Source: Advances in Psychiatric Treatment - October 31, 2016 Category: Psychiatry Authors: Humphreys, J., Obeney-Williams, J., Cheung, R. W., Shah, N. Tags: Articles Source Type: research
