The Other Side of Silence: A Psychiatrist's Memoir of Depression [Reviews]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - April 3, 2017 Category: Psychiatry Authors: Brown, T. Tags: Reviews Source Type: research

Irving Gottesman: American psychologist and behaviour geneticist who radically changed traditional views of schizophrenia [Obituaries]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - April 3, 2017 Category: Psychiatry Authors: McGuffin, P. Tags: Obituaries Source Type: research

James Patrick Watson MD, FRCP, FRCPsych: Formerly Professor of Psychiatry, King's College London and Honorary Consultant Psychiatrist, South London and Maudsley NHS Trust [Obituaries]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - April 3, 2017 Category: Psychiatry Authors: Craig, T. K. J., Bouras, N. Tags: Obituaries Source Type: research

Antipathy towards people with personality disorders [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - April 3, 2017 Category: Psychiatry Authors: Tyrer, P. Tags: Correspondence Source Type: research

Understanding challenges around implementation of specialist service recommendations for obsessive-compulsive disorder [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - April 3, 2017 Category: Psychiatry Authors: Walker, K. J., Christmas, D. M. B. Tags: Correspondence Source Type: research

Critical reflections on psychiatry: could Thomas Szasz still have relevance in modern medical practice? [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - April 3, 2017 Category: Psychiatry Authors: Bansal, J. Tags: Correspondence Source Type: research

The writings of Thomas Szasz [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - April 3, 2017 Category: Psychiatry Authors: Pies, R. W. Tags: Correspondence Source Type: research

The mini-PAT as a multi-source feedback tool for trainees in child and adolescent psychiatry: assessing whether it is fit for purpose [Education & training]
This paper discusses the research supporting the use of multi-source feedback (MSF) for doctors and describes the mini-Peer Assessment Tool (mini-PAT), the MSF instrument currently used to assess trainees in child and adolescent psychiatry. The relevance of issues raised in the literature about MSF tools in general is examined in relation to trainees in child and adolescent psychiatry as well as the appropriateness of the mini-PAT for this group. Suggestions for change including modifications to existing MSF tools or the development of a specialty-specific MSF instrument are offered. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - April 3, 2017 Category: Psychiatry Authors: Salmon, G., Pugsley, L. Tags: Education & amp; training Source Type: research

Niemann-Pick type C disease - the tip of the iceberg? A review of neuropsychiatric presentation, diagnosis and treatment [Review Article]
Niemann–Pick type C (NP-C) disease is a rare neurodegenerative lysosomal storage disorder. It is highly heterogeneous, and there is limited awareness of a substantial subgroup that has an attenuated adolescent/adult-onset disease. In these patients psychiatric features, often a psychosis, may dominate the initial impression, although often there is an associated ataxia and cognitive impairment. Typically, patients experience a substantial diagnostic delay. In this review we highlight the importance of early recognition and discuss the pathophysiology, neuropsychiatric presentation and recent changes in the investigat...
Source: Psychiatric Bulletin - April 3, 2017 Category: Psychiatry Authors: Evans, W. R. H., Hendriksz, C. J. Tags: Review Article Source Type: research

Antipsychotic prescribing of consultant forensic psychiatrists working in different levels of secure care with patients with schizophrenia [Original papers]
Aims and method To detect any differences in the antipsychotic prescribing practices of consultant forensic psychiatrists working in different levels of secure care with patients diagnosed with schizophrenia, and to identify potential reasons for any differences. Prescribing data were collected from four secure hospitals within one National Health Service trust. A questionnaire was sent to consultant forensic psychiatrists working at those hospitals as well as those working in the trust's community forensic services. Results Consultants working in high security prescribed more oral antipsychotics than consultants working i...
Source: Psychiatric Bulletin - April 3, 2017 Category: Psychiatry Authors: Machin, A., McCarthy, L. Tags: Original papers Source Type: research

Psychiatry trainees' experiences of cognitive-behavioural therapy training in a UK deanery: a qualitative analysis [Original papers]
Aims and method To explore core psychiatry trainees' experiences of cognitive–behavioural therapy (CBT) training by using interpretative phenomenological analysis of semi-structured interviews conducted with seven core trainee psychiatrists in Yorkshire and the Humber Deanery. Results Four key themes emerged: (1) barriers to training; (2) guidance, with emphasis on the importance of supervision groups; (3) acquisition of new skills and confidence; (4) personal influence on the training experience. Clinical implications Many trainees in Yorkshire have a positive experience of CBT training; however, some also experienc...
Source: Psychiatric Bulletin - April 3, 2017 Category: Psychiatry Authors: Carson, A. A., Clark, S. E. Tags: Original papers Source Type: research

Unlocking an acute psychiatric ward: the impact on unauthorised absences, assaults and seclusions [Original papers]
Aims and method The acute psychiatric in-patient service in Christchurch, New Zealand, recently changed from two locked and two unlocked wards to four open wards. This provided the opportunity to evaluate whether shifting to an unlocked environment was associated with higher rates of adverse events, including unauthorised absences, violent incidents and seclusion. We compared long-term adverse event data before and after ward configuration change. Results Rates of unauthorised absences increased by 58% after the change in ward configuration (P = 0.005), but seclusion hours dropped by 53% (P = 0.001). A small increase in vi...
Source: Psychiatric Bulletin - April 3, 2017 Category: Psychiatry Authors: Beaglehole, B., Beveridge, J., Campbell-Trotter, W., Frampton, C. Tags: Original papers Source Type: research

Caregiver burden and distress following the patient's discharge from psychiatric hospital [Original papers]
This study investigates the level of burden and psychological distress reported by caregivers after the patient's admission. Results This study found that the overall level of burden and psychological distress experienced by caregivers did not differ according to the patient's legal status. However, the caregivers of those who were voluntarily admitted supervised the person to a significantly greater extent than the caregivers of those who were involuntarily admitted. Approximately 15% of caregivers revealed high levels of psychological distress. Clinical implications This study may emphasise a need for mental health pro...
Source: Psychiatric Bulletin - April 3, 2017 Category: Psychiatry Authors: Ranieri, V., Madigan, K., Roche, E., McGuinness, D., Bainbridge, E., Feeney, L., Hallahan, B., McDonald, C., O'Donoghue, B. Tags: Original papers Source Type: research

Online media reporting of suicides: analysis of adherence to existing guidelines [Original papers]
This study highlights the urgent need for the implementation of responsible reporting guidelines in online media articles as a component of suicide prevention efforts. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - April 3, 2017 Category: Psychiatry Authors: Utterson, M., Daoud, J., Dutta, R. Tags: Original papers Source Type: research

Police liaison and section 136: comparison of two different approaches [Original papers]
Aims and method Two police liaison and section 136 schemes were developed alongside police services at different sites within the same NHS trust. In one, a mental health nurse worked with frontline police attending incidents related to mental health. The other involved nurses providing advice from the police control room. Section 136 detentions were measured over two 6-month periods (6 months apart) before and after practice change. Data analysed included total numbers of section 136 assessments, outcomes following subsequent assessment, and relevant diagnostic and demographic factors. Association of any change in section ...
Source: Psychiatric Bulletin - April 3, 2017 Category: Psychiatry Authors: Jenkins, O., Dye, S., Obeng-Asare, F., Nguyen, N., Wright, N. Tags: Original papers Source Type: research