Does the cognitive therapy of depression rest on a mistake? [Special articles]
Cognitive therapy for depression is common practice in today's National Health Service, yet it does not work well. Aaron Beck developed it after becoming disillusioned with the psychoanalytic theory and therapy he espoused and practised. But Beck's understanding of psychoanalysis appears to have been seriously flawed. Understood rightly, the psychoanalytic approach offers a cogent theory and therapy for depression which, unlike the cognitive approach, takes us to its emotional-motivational roots. A clinically successful therapy can afford to eschew theory and rest on its pragmatic laurels. This is not the case for cognitiv...
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Gipps, R. G. T. Tags: Special articles Source Type: research

Mental capacity legislation in the UK: systematic review of the experiences of adults lacking capacity and their carers [Review Article]
Aims and method Capacity legislation in the UK allows substitute decision-making for adults lacking capacity. Research has explored the experiences of such adults and their carers in relation to the Adults with Incapacity (Scotland) Act 2000, and the Mental Capacity Act 2005 in England and Wales. A systematic review of the relevant research was performed using a framework method. Results The legislation provided mechanisms for substitute decision-making which were seen as useful, but there were negative experiences. Decision-making did not always seem to follow the legislative principles. Awareness of the legislation was l...
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Wilson, S. Tags: Review Article Source Type: research

Perceptions and knowledge of antipsychotics among mental health professionals and patients [Original papers]
Aims and method To assess the patients' most influential concerns regarding long-acting injectable antipsychotics (LAIs) and mental health professionals' preconceptions about these concerns. For both groups, to assess the level of knowledge about LAIs. This cross-sectional study used semi-structured interviews of patients with schizophrenia or schizoaffective disorder (n = 164), nurses (n = 43) and physicians (n = 20). Results The mental health professionals overestimated many of the patients' fears of LAIs, and the expressed fears exceeded the actual experiences of patients already on LAIs. Acceptance to switch to LAIs wa...
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Cahling, L., Berntsson, A., Bröms, G., Öhrmalm, L. Tags: Original papers Source Type: research

Personality disorder services in England: findings from a national survey [Original papers]
Aims and method We aimed to evaluate the availability and nature of services for people affected by personality disorder in England by conducting a survey of English National Health Service (NHS) mental health trusts and independent organisations. Results In England, 84% of organisations reported having at least one dedicated personality disorder service. This represents a fivefold increase compared with a 2002 survey. However, only 55% of organisations reported that patients had equal access across localities to these dedicated services. Dedicated services commonly had good levels of service use and carer involvement, and...
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Dale, O., Sethi, F., Stanton, C., Evans, S., Barnicot, K., Sedgwick, R., Goldsack, S., Doran, M., Shoolbred, L., Samele, C., Urquia, N., Haigh, R., Moran, P. Tags: Original papers Source Type: research

A Devil's dictionary for mental health [Editorials]
Clinical psychiatry, for all its emphasis on scientific rigour, is mediated mainly by words rather than by numbers. As with other professional areas, it has developed its own set of jargon words and phrases. Many of these are not the technical terms traditionally seen as jargon, but standard English words and phrases used in an idiosyncratic way. They therefore go unnoticed as jargon, while enfeebling our communications. I have used the template of Ambrose Bierce's The Devil's Dictionary to highlight some examples, with the aim of helping us all to talk, write and, perhaps, think more clearly. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: Timms, P. Tags: Editorials Source Type: research

Patient safety and quality of care in mental health: a world of its own? [Editorials]
Quality and safety in healthcare, as an academic discipline, has made significant progress over recent decades, and there is now an active and established community of researchers and practitioners. However, work has predominantly focused on physical health, despite broader controversy regarding the attention paid to, and significance attributed to, mental health. Work from both communities is required in order to ensure that quality and safety is actively embedded within mental health research and practice and that the academic discipline of quality and safety accurately represents the scientific knowledge that has been a...
Source: Psychiatric Bulletin - October 2, 2017 Category: Psychiatry Authors: D'Lima, D., Crawford, M. J., Darzi, A., Archer, S. Tags: Editorials Source Type: research

Shrink Wrapped: Tales from Psychiatrists [Reviews]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Cooney, G. Tags: Reviews Source Type: research

Handbook on Obsessive-Compulsive and Related Disorders [Reviews]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Drummond, L. M. Tags: Reviews Source Type: research

Vitamin D deficiency is to be expected due to immune changes related to mental health problems [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Swanepoel, A. Tags: Correspondence Source Type: research

Seeing, spots and blots [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Dhillon, B., Dhillon, N. Tags: Correspondence Source Type: research

To educate or to entertain? [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Newman-Zand, K. H. Tags: Correspondence Source Type: research

Being sensible about suicides [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Watts, J. Tags: Correspondence Source Type: research

Patient admission and caregiver stress [Correspondence]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Kruger, E. R. Tags: Correspondence Source Type: research

Scottish independence: the view of psychiatry from Edinburgh [Perspectives]
(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Bland, J. Tags: Perspectives Source Type: research

Trainee experiences of intellectual disability psychiatry and an innovative leaderless support group: a qualitative study [Education & training]
Aims and method There is very little research into the challenges of training in intellectual disability psychiatry or into interventions which may address these challenges. Using focus groups, we explored the experiences of intellectual disability psychiatry trainees, and evaluated a leaderless trainee support group developed in Bristol. Results Five distinct themes were identified via framework analysis: that trainees felt unprepared for the difference from previous posts; the need for support; the value of the group; that trainees were concerned about judgement in supervision; that the group structure was valued. Clinic...
Source: Psychiatric Bulletin - August 1, 2017 Category: Psychiatry Authors: Spackman, R., Toogood, H., Kerridge, J., Nash, J., Anderson, E., Rai, D. Tags: Education & amp; training Source Type: research