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Regulatory policies on medicines for psychiatric disorders: is Europe on target?
- Authors:
- BARBUI Corrado, GARATTINI Silvio
- Journal article citation:
- British Journal of Psychiatry, 190(2), February 2007, pp.91-93.
- Publisher:
- Cambridge University Press
The European Medicines Agency (EMEA) is the regulatory body that provides the institutions of the European Community with the best possible scientific advice on the quality, safety and efficacy of medicinal products. Drugs approved by the EMEA are automatically marketable in all the European member states. Since the beginning of the EMEA’s activities a number of drugs acting on the central nervous system obtained marketing authorisation. This paper highlights some aspects of the EMEA rules that may negatively affect the evaluation of medicines for psychiatric disorders.
Recovery in psychiatry
- Authors:
- SCHRANK Beate, SLADE Mike
- Journal article citation:
- Psychiatric Bulletin, 31(9), September 2007, pp.321-325.
- Publisher:
- Royal College of Psychiatrists
In recent years, the concept of recovery from severe mental illness has increasingly gained relevance in the mental health field. Countries all over the world have been introducing recovery policy into mental health services However, there is still debate about the concept, such as whether symptom reduction is central or not. This article proposes a conceptual framework for recovery and identifies emergent practical issues. The term, two meanings, two classes of definitions which emerged from two different influences, can be identified for the term recovery in mental health. In psychiatry the idea of recovery is based on longitudinal studies demonstrating a widely heterogeneous course for severe mental illnesses. In this context, remission is defined as an improvement in symptoms and other deficits to a degree that they would be considered within a normal range. Recovery can be seen as a long-term goal of remission This is named service-based definition of recovery. A second definition of the term recovery came from the self-help and consumer/user/survivor movement. Here, recovery may include, but does not require, symptom remission or a return to normal functioning. However, recovery is seen as a process of personal growth and development, and involves overcoming the effects of being a mental health patient, with all its implications, to regain control and establish a personally fulfilling, meaningful life This is named the user-based definition of recovery. This is exemplified by the National Institute for Mental Health in England definition of recovery as the ‘achievement of a personally acceptable quality of life’.
Women and psychiatric treatment: a comprehensive text and practical guide
- Editors:
- HENDERSON Claire, SMITH Catherine, SMITH Shubulade, STEVENS Angela, (eds)
- Publisher:
- Routledge
- Publication year:
- 2006
- Pagination:
- 338p.
- Place of publication:
- London
Provides a practical guide to the challenge of preserving fairness in access and quality of provision of health care and argues that equity is only achievable through greater recognition of gender differences. Taking into account the main variables which influence treatment, such as setting, age and culture, clear suggestions are given for the reform of training, research and provision of services according to gender differences. This practical text offers a thorough investigation of the issues surrounding the treatment of women with mental health problems. It will be welcomed by psychiatrists, clinical psychologists and other mental health workers.
Postpsychiatry
- Authors:
- BRACKEN Patrick, THOMAS Philip
- Publisher:
- Oxford University Press
- Publication year:
- 2005
- Pagination:
- 304p., bibliog.
- Place of publication:
- Oxford
The book asks, is madness best thought of as a medical condition? Psychiatrists and the drug industry maintain that psychoses are brain disorders amenable to treatment with drugs. There is no convincing evidence that the brain is disordered in psychosis, yet governments across the world are investing huge sums of money on mental health services that take for granted the idea that psychosis is an illness to be treated with medication. Although some people who use mental health services find medication helpful, many do not, and resist the idea that their experiences are symptoms of illnesses like schizophrenia. Consequently they are forced into having treatment against their wishes. The authors examine the conflicting ways in which politicians, academics, and mental health professionals appear to understand madness, and contrast this with voices and experiences that are usually excluded - those of the people who use mental health services. They then examine the power of psychiatry to shape how we understand ourselves and our emotions, before considering some of the basic limitations of psychiatry as science to make madness meaningful. In the final section of the book they draw on evidence from service users and survivors, the humanities and anthropology, to point out a new direction for mental health practice.
A survey of psychiatrists' attitudes toward treatment guidelines
- Authors:
- HEALY Daniel J., et al
- Journal article citation:
- Community Mental Health Journal, 40(2), April 2004, pp.177-184.
- Publisher:
- Springer
The authors developed a survey to look at psychiatrists' attitudes toward psychotropic prescribing guidelines, specifically the Texas Medication Algorithm Project (TMAP) algorithms. The 22-page survey was distributed to 24 psychiatrists working in 4 CMHC's; 13 completed the survey. 90% agreed that guidelines should be general and flexible. The majority also agreed that guidelines should define how to measure response to a specific agent; fewer agreed guidelines should specify dosage, side effect management, or augmentation strategies. Psychiatrists were familiar with TMAP; none referred to it in their practice. In spite of this, psychiatrists' medication preferences were similar to those suggested by guidelines.
The role of theory in the assessment of sex offenders
- Author:
- QUACKENBUSH Ray E.
- Journal article citation:
- Journal of Child Sexual Abuse, 12(3/4), 2003, pp.77-101.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
No generally accepted theory of sex offender behaviour exists at this point. As clinical experience and research findings interact within an evolving theoretical framework, the picture of what is important, as well as what is possible to know about a sex offender, is rapidly changing. It is vital that mental health professionals, the legal system, social service agencies, and other consumers and providers of sex offender assessments be aware of both what is possible to learn about an offender as well as the limitations on that knowledge and its application. Prominent theories that influence the assessment of offenders in North America and Europe are presented and examined. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
Voices of reason, voices of insanity: studies of verbal hallucinations
- Authors:
- LEUDAR Ivan, THOMAS Philip
- Publisher:
- Routledge
- Publication year:
- 2000
- Pagination:
- 235p.
- Place of publication:
- London
Discusses the experience of auditory hallucinations, through six case histories of historical and modern individuals. Argues that what was once perceived as a sign of virtue is now seen as a sign of insanity. Covers issues such as philosophical concepts of the self, contemporary psychiatric views, therapeutic work with voice hearers, and media treatment of mental illness.
Repatriating psychiatric patients
- Authors:
- GREEN Lucinda, NAYANI Tony
- Journal article citation:
- Psychiatric Bulletin, 24(11), November 2000, pp.405-408.
- Publisher:
- Royal College of Psychiatrists
In a psychiatric intensive care unit in central London 17 percent of consecutive admissions between 1 October 1997 and 1 October 1998 were foreign nationals from European Union (EU) countries. This paper discusses the experience of arranging repatriation and some of the relevant legal, ethical and clinical issues involved and reports the results of contacting all the EU embassies regarding the process of repatriating psychiatric patients to their respective countries.
What you don't know won't hurt you: information given to patients about the side-effects of antipsychotic drugs
- Authors:
- SMITH Shubulade, HENDERSON Max
- Journal article citation:
- Psychiatric Bulletin, 24(5), May 2000, pp.172-174.
- Publisher:
- Royal College of Psychiatrists
Information given to patients about side-effects of their medication plays a key role in future adherence. This article investigates the amount of information doctors feel they need to give to patients when they are prescribing conventional antipsychotic medication. Overall, doctors said they gave large amounts of information to patients about possible side-effects of anti-psychotic drugs, but some side-effects we discussed far more frequently than others.
Getting personal
- Authors:
- VILE John, et al
- Journal article citation:
- Openmind, 105, 2000, pp.8-9.
- Publisher:
- MIND
This article looks at the blurring of concepts of personality disorder and mental illness. New technologies emphasise the biological component in both mental illness and personality disorders, and so break down the traditional distinction between the two. As a result, more people will be deemed appropriate subjects for psychiatric treatment, psychiatrists will face an increasing conflict of interest between social control and therapeutic treatment.