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Getting heard
- Author:
- ZUCCHELLI Fabio
- Journal article citation:
- Mental Health Today, January/February 2014, pp.12-13.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The Hearing Voices Movement has become established in the UK and provides an alternative to the traditional psychiatric view to what hearing voices means. This article provides a brief history of the movement and the development of the Network in the UK. It also looks at how the approach works within mental health services and with practitioners. (Original abstract)
Turning the tables
- Author:
- SLOCOMBE Will
- Journal article citation:
- Mental Health Today, September 2012, pp.28-29.
- Publisher:
- Pavilion
- Place of publication:
- Hove
A psychiatrist called Isabel Wilson (1895-1982) designed and created a group of table mats for a group of her colleagues. These table mats called, ‘Table Mats of the Famously Insane’, depicted various characters who might be called ‘famous’ and ‘insane’, including George III, an Egyptian god, and King Lear. They were accompanied by coasters designed around the topic of ‘causes and cures’ including drugs, the moon, and psychotherapy. Inspired by this story, CorpoArt, a small service user venture was commissioned to design their own set of table mats on the theme of famous psychiatrists and ‘causes and cures’. The aim was to introduce them to something of the history of psychiatry and how far it has come, and also to allow them to articulate their own experiences of treatment. The resulting mats are varied and interesting. Some focus on the designs of Wilson’s original mats. Another focuses on the ways in which mental health problems are ‘hidden’. Others are inspired by things that help people to cope, including activities such as cycling and the role of the mother. These mats may serve as a useful springboard into a conversation between service users and mental health professionals.
Is adult general psychiatry a pathway to the prison back door?
- Author:
- NEILL Stephen
- Journal article citation:
- Mental Health Today, May 2012, pp.24-29.
- Publisher:
- Pavilion
- Place of publication:
- Hove
There is concern about the high percentage of psychiatrically ill people in prison. Before psychiatric patients have been incarcerated for serious crime in secure units or prison, they have often been assessed for mental illness in general adult acute psychiatric wards. The aim of this study was to investigate whether adult general psychiatry and forensic psychiatry should work together for the better treatment of offenders with mental health problems. The study used anonymised in-depth information derived from electronic records at the South London and Maudsley NHS Foundation Trust. A sample of 542 patients’ files in the adult general psychiatry male ward was examined. The findings showed that 33.8% of these patients were subject to a legal event, from investigation and arrest to imprisonment, during the course of their latest admission. An even larger unspecified number of patients were engaged within the criminal justice system, but their status did not change during the course of admission. Violent conduct in clinical settings, absconding, and the misuse of substances in the course of admission were all linked to criminal conduct. The article concludes that general psychiatry and forensic psychiatry should work together for the better treatment of mentally disordered offenders.
Altering perceptions
- Author:
- SHRUBBS Richard
- Journal article citation:
- Mental Health Today, March 2012, pp.8-9.
- Publisher:
- Pavilion
- Place of publication:
- Hove
In the 1950s and 60s, a raft of research was carried out into psychedelic drugs, such as lysergic acid diethylamide (LSD), psilocybin (a compound found in magic mushrooms), MDMA (ecstasy) and mescaline, which alter cognition and perception, and their potential benefit to people with mental health problems. But at the same time as this research was being carried out, recreational use of psychedelic drugs led to the political view of these drugs being dangerous. As a result, the US banned all uses of psychedelics in 1968, even for research. However, after decades of being seen purely as illegal, the potential for psychedelic drugs to be used as a treatment for mental health problems is being considered once again. A number of studies are taking place that are once again investigating whether psychedelic drugs could have a therapeutic benefit if administered properly. Initial research has shown that MDMA has positive effects on post-traumatic stress disorder and that psilocybins may be able to treat personality disorders. In addition, the fear that psychedelics cause schizophrenia appears to be largely unfounded.
Tuning in: a story by a patient and a therapist about making sense of voices
- Authors:
- KNOLS Michel, CORSTENS Dirk
- Journal article citation:
- Mental Health Today, November 2011, pp.28-32.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This article describes the collaboration between a psychiatrist and a patient who was hearing voices. The treatment of the patient was guided by a 3 stage process described in the ‘Maastrich Approach’ to hearing voices. The aim of the treatment was to make sense of the voice hearer’s experiences and to integrate the voices into his life. The stories are described from both the perspective of the psychiatrist and the patient. The work they did is contrasted with the general practice guidelines for treating schizophrenia, and the possible outcomes between the 2 approaches are compared. Reflections are offered on the value of empowerment, ownership, and personal story in formulating psychosis, in contrast to passive concepts of mental illness.
Speaking up for spirituality
- Author:
- AZUONYE Ikechuskwu
- Journal article citation:
- Mental Health Today, September 2011, pp.14-15.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This article starts by describing the case of an apparently healthy woman who began to hear hallucinatory voices telling her to have a brain scan for a tumour. The 2 male voices identified themselves as formerly working at Great Ormond Street Hospital for Sick Children. Despite the absence of clinical signs, she was referred for a scan which revealed that she had a benign tumour of the brain. Following surgery she no longer heard the voices. This article is written by the psychiatrist who treated her at the time. His belief is that the voices were of real individuals from a spiritual dimension. He holds the view that voices can be caused by brain damage, functional illness, the subconscious mind, or communications from the spiritual dimension. The article argues against assuming a neurological basis for all psychiatric disorders, but instead taking a ‘dualist’ view which acknowledges the spiritual nature of people.
A fresh perspective
- Author:
- EATON Lynn
- Journal article citation:
- Mental Health Today, June 2010, pp.16-18.
- Publisher:
- Pavilion
- Place of publication:
- Hove
In this article, the author talks to Professor Dinesh Bhugra, the president of the Royal College of Psychiatrists. It describes how his background in India has given him a unique insight on psychiatry in the UK. Working in Leicester, Professor Bhugra found it interesting to see the struggles clinicians were having in providing appropriate multicultural services, where he comments “services have to be both geographically and emotionally accessible. You have to be aware of who you are providing services for”. Much of his research has been around the experiences of minority groups both ethnic and gay, and he explains how a person’s culture or background doesn’t change their experiences of distress, it just modifies the way it is expressed. He outlines how good psychiatry is based on teamwork. The article outlines new directions the Professor would like to explore in his tenure as the president of the Royal College of Psychiatrists, such as improve the quality of interaction between psychiatrist and patient in private sittings.
Forced medication - the unreason of psychiatry
- Author:
- GRAY Ben
- Journal article citation:
- Mental Health Today, May 2008, pp.26-27.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The author argues that psychiatry has a long history of unreason, abuse and making prejudiced decisions about people with mental illness - particularly to those who hear voices or have visual hallucinations. Greater attention needs to be given to the perspectives of people with mental health problems and what they want, including what sorts of treatment they may want.
New ways are working
- Author:
- JACKSON Catherine
- Journal article citation:
- Mental Health Today, September 2007, pp.16-17.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The author reports on how Easington mental health services tackled their difficulties in recruiting psychiatrists. Over the past four years the service redistributed responsibilities across the mental health team and introduced new, expanded roles for non-medical staff. The service won a NIMHE Positive Practice Award last year in the New Ways of Working category.
The mini PAS-ADD interview pack
- Author:
- MOSS Steve
- Publisher:
- Pavilion
- Publication year:
- 2002
- Pagination:
- 94p., 2 booklets
- Place of publication:
- Brighton
Psychiatric Assessments Schedules for Adults with Developmental Disabilities , the PAS-ADD system, is a set of well regarded assessment tools for undertaking mental health assessments with people with learning disabilities. They are designed to provide a smooth, reliable flow of information on psychiatric symptoms from all those involved in an individual’s care, including family members, support staff and care staff. These enhanced versions of the original materials come in three parts: The Mini-PAS-ADD handbook for use by professionals involved in mental health assessments. This comprises a new semi-structured interview and improved clinical glossary, plus new outline training plan and coding exercises. 100 Mini PAS-ADD interview score forms for recording the mini PAS-ADD interview scores. The PAS-ADD Checklist (x 100) a questionnaire written in everyday language for use by care staff and families to identify potential mental health problems and to decide whether a further assessment is needed. Of particular interest to all professionals involved in mental health assessments of people with learning disabilities.