bluuebunny/crossref_metadata_2025 huggingface dataset:
Formulating a Psychiatric Case
Authors: Varghese F. T. , Mellsop G. W.
Published: January 2018

Interest in the process of formulating a psychiatric case continues unabated (Greenberg et al, 1982). We report the findings of a brief survey conducted in an attempt to begin publicizing examiners' expectations in this contentious area.
Psychotherapy Supervision: The Attitudes of General Psychiatrists
Authors: Lieberman Stuart , Cobb John
Published: January 2018

Do consultant psychiatrists believe that psychotherapy supervision should be an integral part of the training of the junior doctors? If they do, when, where, for how long and by whom do they feel that supervision should be done? In the South West Thames Region we circulated a questionnaire to all general psychiatric consultants in an attempt to answer these questions. We report on some results of our survey and raise important immediate issues which would seem a subject for debate. The major issue is the debate about specialist psychotherapists versus psychodynamic psychiatrists. Although the College seems to favour strongly that psychotherapy teaching for general psychiatrists should be done by psychotherapy specialists, the ‘consumer’ appears to have a conflicting view, at least in our region.
The DHSS Mental Illness Policy Paper: A Personal View
Authors: Reed John
Published: January 2018

In November 1982, a conference on the provision of comprehensive, district based, psychiatric services was organized by the Community Psychiatry Research Unit of St Bartholomew's Hospital Medical College. At this conference, Lord Trefgarne, Parliamentary Under Secretary of State at the DHSS, reaffirmed the Department's policy of creating local district psychiatric services and closing those mental illness hospitals which are not well placed to provide a local service.
The Journal and the Bulletin
Authors: Crammer J. L.
Published: January 2018

Every member of the College is entitled to these two monthlies, which go all over the world, since about a quarter of the membership is overseas. While the Bulletin is predominantly about College work and membership activities, and goes only to the membership, the Journal is an international medical-scientific journal with a circulation also among non-member subscribers worldwide, particularly among university libraries, medical schools and governmental health agencies. Because of this extensive sale, and because the Journal is published by the College instead of by a commercial publisher such as Blackwell or Macmillan (as are many journals), the money coming in is enough to finance the whole publishing operation. This is particularly so since the editors and assessors give their time and expertise entirely without fees, in some cases amounting to many hours a week of honorary labour, although all the editors (for instance) are also in clinical practice. The financial effect is that not one penny of a member's subscription goes to the production and mailing of these two journals to members, indeed, some of the Journal's ‘profit’ can be applied to reducing the cost of other College publications, which are often sold at a loss.
What Do Psychiatrists Understand by Formulation?
Authors: Hollyman Julie A. , Hemsi Loic
Published: January 2018

Following the taking of a psychiatric history and the examination of the mental state, it is standard practice to prepare a formulation (Institute of Psychiatry, 1973; Slater and Roth, 1977; Royal College of Psychiatrists, 1979; Garrick and Stotland, 1982). Indeed, the concept of formulation is central to the psychiatrist's approach.
Consent to Treatment by the Mentally Ill and Mentally Handicapped—An Anomaly in the Mental Health Act 1983
Authors: Dimond Bridgit C.
Published: January 2018

I would like to bring to light an apparent oversight in the new statutory rules relating to consent to treatment by the mentally ill and mentally handicapped. This will have very serious consequences for the management of patients who are on short-term detention orders. The provisions relating to consent to treatment set out in Part IV of the Mental Health Act 1983 are the first attempt to cover by statutory controls the doctor's clinical freedom to prescribe treatment for his compulsorily detained patient. In addition, certain of the new provisions (which take effect from 30 September 1983) apply to the voluntary patients as well.
What do the Examiners Understand by Formulation?
Authors: Hollyman Julie A. , Hemsi Loic
Published: January 2018

A recent survey of the views of clinicians at St George's Hospital on the content of the psychiatric formulation (Hollyman and Hemsi, 1983) revealed much diversity of opinion and confirmed our hypothesis that the notion is open to different interpretations. It seemed appropriate therefore to conduct a similar survey of College Examiners to discover whether there is similar variation in that group.
The Sad Case of Mr Watene
Authors: Crammer J. L.
Published: January 2018

Here is a good teaching case:

Mr Watene, aged 25, was put in prison for seven days on a charge of offensive behaviour, with a charge of robbery pending. On the third day he was recommended for transfer to a psychiatric hospital because he was sullen, depressed and uncommunicative; he had barricaded himself in his cell because he was scared of other prisoners, and he carried a knife for his protection, as he said. Two doctors wrote the order. One noted: ‘It is very difficult to gain his attention. He cerebrates slowly, and replies to repeated questioning are in the main irrelevant.’ The other said: ‘It is not really possible to have a conversation with him, but he does indicate his fear of being left alone in the cell and wished me to stay with him. Says he is mixed up.’
Three Hospitals in China
Authors: Haig Robin A.
Published: January 2018

In April 1983 I went on a medical tour of China, travelling around the People's Republic in three weeks, with compulsory stops at the Friendship Stores, and flying visits to commune hospitals, clinics, a Chinese Medicine hospital, and a Chinese Medicine factory. The psychiatrists on the tour were interested in visits to the Shanghai Psychiatric Hospital, the Neuropsychiatric Department of the Beijing Capital Hospital and the Hangzhau Railway Workers' Sanitarium.
Job Stress and Burnout
Authors: Morrice J. K. W.
Published: January 2018

Stress, like depression, is a universal experience. Both are generally self-limiting and may even prove to be beneficial in terms of personal growth. In some circumstances, however, stress and depression may become excessive or morbid, and lead to considerable disability.
Developing Patterns of Care in Mental Illness and Mental Handicap
Authors: Moyes Isabel C. A.
Published: January 2018

The second symposium to be arranged for nurses and psychiatrists by the Nursing Committee was held at the Quarterly Meeting of the College in London on 17 November 1983. A criticism of the initial meeting held in Liverpool in April 1982 was that although nursing attendance had been excellent, the response from the psychiatrists had been poor. This was disappointing as the aim of the meetings was to provide a forum where topics of mutual interest or concern could be freely discussed. However, on this occasion, when the Chairman of the meeting, Dr Birley, called for psychiatrists in the audience to identify themselves, out of the ninety or so present, two-thirds were psychiatrists.
Trainees in a Therapeutic Community for Adolescents
Authors: Wells Peter
Published: January 2018

The experience of working with disturbed adolescents—many of whom manifest conduct disorders—in a therapeutic community is in many respects contrasting and different from the more conventional psychiatric setting. Studies have shown that doctors' attitudes to the therapeutic community approach are very polarized, as are attitudes to psychological and organic methods. When faced with a choice of using psychotherapy, behaviour therapy, social psychiatry, or biological methods, doctors again exhibit strong preferences. The opportunity to experience therapeutic community methods is not usually available in teaching hospitals, and is not uncommonly a source of friction when sited in a hospital. Relationships between psychotherapists and other psychiatrists in teaching hospitals are not always harmonious.
Changes in American Psychiatry: Impressions of a UK Trainee
Authors: King Michael B.
Published: January 2018

It is clear that, at least in recent years, American psychiatry has been on the move. The past decade has seen dramatic shifts in emphasis away from the complicated, empirically derived and little validated theories of the Post-Freudians. A new, aggressive medical specialty is challenging analytical departments in medical schools and postgraduate teaching hospitals. This is most apparent on the Eastern seaboard, in States which have traditionally been more orientated to European views.
Comments on the Case for a Degree in Occupational Therapy
Authors: Bennett Douglas
Published: January 2018

Occupational therapy is rarely featured in psychiatric journals and little discussion takes place between our two professions. Now, however, we have a chance to consider a paper, issued by the Education Board of the College of Occupational Therapy, stating their case for a professional degree.
Teaching Psychiatry: Scientific Myth
Authors: Walmsley Tom
Published: January 2018

On the whole, when psychiatrists get together in meetings or conferences, they have a fairly good idea of what they are talking about. Discussion flows in a more or less coherent way. Even if the topic involved is problematic—say, the diagnostic criteria for schizophrenia—there is a general sense of agreement about what is meant by the words ‘diagnosis' and 'schizophrenia’; even if the meanings are fuzzy at the edges. In areas of psychiatry made complex by the number of variables involved, statistical methods help to clarify the information gleaned, so that in the assessment of, for example, social factors in mental disorder, some clarity of conclusion prevails.
Examination, Accreditation or Inspection?
Authors: Kendell R. E.
Published: January 2018

What is the best way of maintaining and raising the quality of ‘higher’ (i.e. senior registrar) training, and the best way of ensuring that aspiring psychiatric specialists are competent to undertake the tasks ahead of them? Basically, three alternatives are available—examination, or ‘accreditation’ of individual trainees, or inspection of training posts—and my purpose is to discuss the advantages and disadvantages of these alternatives.
The Nodder Report—A Scottish Psychiatrist Reacts
Authors: Davidson Robert
Published: January 2018

Among reports from committees and working parties, some are crisp and stimulating, while others, the majority unfortunately, are dull and sedative. The Nodder Report falls into the latter category which is a pity because some parts of it are worth reading. It is neither as good nor as useful as it should be because it fails to tackle the problem as fully and as vigorously as required. The working party have avoided difficult but essential problems such as the difficult patient, the patient concerned in criminal proceedings, the role of the consultant psychiatrist, the role of other doctors and the role of the nursing officer. They have grasped the tulips and tiptoed through the nettles.
The Medical Contribution to the Management of Mental Illness Services
Authors: Dick D. H.
Published: January 2018

Health Advisory Service visits to services for the mentally ill in recent months keep throwing up a persistent theme: the apparent failure of the medical staff to provide the impetus that is necessary to develop and manage an effective comprehensive psychiatric service based upon the needs of patients rather than on professional or sectional interests.
Clinical Psychologists and Psychiatrists Working Together in the Community
Authors: Frost Michael , Liddell Andree
Published: January 2018

Since the publication of the Trethowan Report (1977) psychologists have been encouraged to expand their role outside the more orthodox psychiatric setting. As a small and steadily developing professional group, they have attempted to gain visibility by seeking alliances with medical specialties other than psychiatry, which had provided them with a kind of sheltered environment since the inception of the National Health Service. General practitioners have probably most often been solicited in these attempts to obtain a wider recognition. The favourable response of many general practitioners created the necessary climate to stimulate clinical psychologists to carry out systematic evaluations of their contribution to primary care (McPherson and Feldman, 1977; Johnston, 1978; Ives, 1979; Koch, 1979; Earll and Kincey, 1980).
Psychiatry in the 1880s: The President's Assassin and the Queen's Would-be Assassin
Authors: Walk Alexander
Published: January 2018

One hundred years ago, in July 1881, President Garfield met his death by assassination. The trial of the murderer, Guiteau, and the controversy about his mental state, were extensively commented on in the Journal of Mental Science between July 1882 and January 1883. First there is a lengthy editorial (an ‘Occasional Note of the Quarter’) in which the Editor gives his own opinion as to Guiteau's sanity and responsibility, and in later pages there is a full report of the Judge's summing up in the case. The October issue contains a detailed account of the post-mortem carried out on the body of the murderer after his execution; and lastly, in January 1883 the Editor replies to letters and criticisms he has received. The following is a condensed version of the first editorial.
The Role of Mind in Relation to Psychiatry
Authors: Smythe Tony
Published: January 2018

MIND could not function without the help of individual psychiatrists and a basic sympathy and understanding on our part for what psychiatry is trying to achieve.
Confidentiality: Minors Assessed by Multidisciplinary Teams
Authors: Harris Jean
Published: January 2018

This article is based on work undertaken at the request of my fellow members of a DHSS Working Party chaired by Professor Norman Tutt, Department of Applied Social Studies at the University of Lancaster. The terms of reference were: ‘to consider observation and assessment services for children and young persons referred to local authority Social Services Departments; to clarify the role of observation and assessment centres; to consider the promotion of non-residential observation and assessment; to consider what improvements in present assessment practice might be helpful or necessary and to make recommendations’. The report is currently in its final draft and has been sent to the DHSS for approval; and, since my contribution has necessarily been compressed into a few paragraphs, my colleagues suggested that I should seek an additional route to publication.
Undergraduate Teaching in Psychiatry
Authors: Wilkinson Greg
Published: January 2018

A workshop on the teaching of psychiatry to undergraduate medical students was held at the Institute of Psychiatry on 6 May 1981. Dr S. Greer and Dr C. Bass organized the meeting on behalf of the Association of University Teachers of Psychiatry, and there were sessions on four topics during the day; recruitment to psychiatry; the measurement of students' attitudes towards psychiatry and the use of ‘liaison’ psychiatry as a teaching method; the use of videotapes in teaching medical students interviewing skills—a practical demonstration; and a panel discussion of the problems in teaching undergraduates psychiatry.
The Work of the Ombudsman
Authors: Clothier C. M.
Published: January 2018

I esteem it the greatest honour to have been invited to deliver this Inauguration Lecture. It is not only the distinction and importance of this College and its members which make the invitation one to be proud of: I have the additional pleasure of being well acquainted with your new and distinguished President. Having worked with him on tasks closely associated with the welfare of the whole medical profession, I know from personal experience how deep is his learning, how clear his understanding and how abundant his common sense. As an outsider I would respectfully venture to congratulate the College on its choice.
Trainees' Attitudes in Child Psychiatry
Authors: Garralda M. E.
Published: January 2018

Interest in the training of psychiatrists is not a new development in Great Britain (Lewis, 1964). Child psychiatry training has a more recent history (Warren, 1974). The RMPA in 1967 approved documents outlining principles and requirements for the training of child psychiatrists. The most recent guidelines were issued by the Joint Committee for Higher Psychiatric Training (JCHPT) in 1975. They advanced the principle that a variety of experience was a requirement of any training programme, and they detailed the types of clinical experience, supervision facilities and formal teaching occasions that should be available.
Involvement of Psychiatrists in Nurse Education
Authors: Seager C. P.
Published: January 2018

The Nursing Sub-Committee of the Education Committee was asked by the General Nursing Council for information concerning the attitude of psychiatrists towards involvement in the training of nurse learners. In order to gather information a questionnaire was circulated to members of the College requesting information about their knowledge of visits by General Nursing Council Inspectors and their awareness of the implications of the report issued by the Inspector concerning nursing services.
Number Seventeen
Authors: Walk Alexander
Published: January 2018

In my article ‘Arrival in Belgrave Square’ (News and Notes, June 1975), I promised that a future issue would contain a description of the College's new headquarters and of the way the house was being adapted for our use. It has taken over four years for the arrangement of the house to be sufficiently settled for the promise to be kept, and even now, as will be seen, further changes and developments are underway.
The Work of a College Section
Authors: Leff J. P. , Brown A. C.
Published: January 2018

At the Annual Meeting of the College in July 1979 the Social and Community Psychiatry Group was constituted a Specialist Section.
Culture Shock and the Overseas Trainee
Authors: Cox John L.
Published: January 2018

The term Culture Shock describes the complex gamut of feelings experienced following an abrupt change of environment, as when an individual moves country. This event causes a discontinuity of social relationships previously relied on for the maintenance of self-esteem and frequently taken entirely for granted.
Multidisciplinary Teams: A Personal View
Authors: Connell Philip H.
Published: January 2018

The contributions to the BMJ on multidisciplinary teams, the editorial and subsequent correspondence have raised and ventilated, sometimes with heat and sometimes inaccurately, many different issues and points of view concerning the ways in which different professional persons work (or don't work) together.
Psychiatry in the 1880s
Authors: Walk Alexander
Published: January 2018

‘Between 1846 and 1879 the produce of a penny income tax has risen from £750,000 to £1,750,000, notwithstanding a much greater exemption; and the inhabited house duty has advanced in about a similar ratio; leaving little doubt that a considerable increase in the paying capabilities of the middle classes has been diffused throughout the country.
The Contribution of Dynamic Psychotherapy to Forensic Psychiatry and Vice Versa
Authors: Cox Murray
Published: January 2018

Many activities undertaken by the forensic psychiatrist have nothing to do with dynamic psychotherapy, and rightly so. Likewise, the main thrust of dynamic psychotherapy, is independent of forensic issues. Nevertheless, there is a preserve of clinical responsibility within forensic psychiatry which, on occasion, justly invokes the aid of dynamic psychotherapy. This may be when the scope of the patient's treatment, already initiated by the forensic psychiatrist, needs to be enlarged to include dynamic psychotherapy, or when assessment of intrapsychic processes calls for prolonged engagement with the patient at depth, within the proximity provided in a therapeutic setting. For example, the complex task of disentangling amnesia or pseudo-amnesia from repression is one which no one experienced in either field would regard as easy.
The Statutory Registration of Psychotherapists?
Authors: Shepherd Michael
Published: January 2018

The Report of the Professions Joint Working Party (1978) raises a number of questions. The first of these springs from the composition of the Working Party. Five of the organizations are overtly in business to train and certify practitioners of psychotherapy along psychodynamic lines, but though the Report speaks collectively of ‘seven organizations representing practitioners of psychotherapy’ neither the British Association for Behaviour Psychotherapy nor the Royal College of Psychiatrists can be categorized in the same way. Each of these organizations raises issues of a different order.
An Attempt at Self-Audit
Authors: Oakes S. V.
Published: January 2018

Medical audit is currently the subject of much discussion, but the breadth and intensity of the debate should not obscure the idea of medical audit as ‘basically a process of self-education’ (Shaw, 1980a). The requirements for audit have been summarized as information, resources and willingness to participate (Shaw, 1980b). I have attempted to devise a simple scheme for self-audit in a general psychiatric setting. The acquisition of appropriate information within the resources of ordinary clinical practice was my aim.
Teaching Medical Students to Interview Psychiatric Patients
Authors: Maguire Peter
Published: January 2018

If medical students are to be effective in clinical practice they must acquire the skills needed to put patients with psychiatric problems at ease, to promote trust and confidence, and to elicit an accurate and relevant history. Unfortunately, there is considerable evidence that traditional methods of medical training fail to equip them with these essential skills.
Making a Psychodynamic Formulation
Authors: Aveline Mark
Published: January 2018

In psychiatry signs and symptoms are observed and arranged into diagnostic patterns or clusters. The diagnosis is the ‘what’ of what is wrong with the patient. In order to plan effectively, we also need to know the whys and wherefores of his state. The understanding that we have of this is expressed in the psychodynamic formulation. In preparing it we draw upon our human capacity for understanding and empathy, our capacity to read the story of the other person's reactions.
‘Where Stands Psychiatry?’
Authors: Fernando G. P. S.
Published: January 2018

Of recent years psychiatry has been assailed from many sides. Psychologists, political philosophers, social workers have had their say, but the most hurtful have been assaults from within the citadel itself, such as the forceful views expressed by R. D. Laing and Thomas Szasz. The essence of their argument is that mental disorder is not a disease nor an illness and should not therefore be the concern of doctors.
The Outside View
Authors: Black Douglas
Published: January 2018

I hope that there is no need for me to argue the general case for research in psychiatry, or indeed in any branch of medicine where our knowledge is incomplete—which, of course, means every branch. I do not, of course, imply that research is a necessary component of individual careers in psychiatry; but for the health of the discipline as a whole it is quite essential. The greatest enemies of progress in any branch of science are dogmatically held beliefs; and I believe—not I hope too dogmatically—that the best protection from a dogmatic cast of mind comes from some experience or research. Research is sometimes portrayed as something which may inhibit the taking of necessary decisions—but in my experience indecision has not been peculiar to research-workers, who are, however, less likely to take decisions lightly and on insufficient evidence.
Tinker, Trainer, Savoir-Faire: The Trainee and Research
Authors: Szmukler George
Published: January 2018

I hope that this somewhat obscure title will assume some meaning over the next ten minutes or so. The aim of this talk is to examine the trainee's view of research. Trainees have a variety of reasons for not embarking on research at registrar or senior registrar level. The most commonly stated are the following.
Psychiatric Discharge Summaries in Mental Handicap Settings
Authors: Ikkos George
Published: January 2018

Selective abstraction of information and good communication are essential in the practice of psychiatry. A good psychiatric discharge summary performs both these functions and can therefore be a significant aid in patient management. The need for a good psychiatric discharge summary is no less necessary in the psychiatry of mental handicap than in general adult psychiatry. However, the psychiatry of mental handicap does differ in some respects from that of general adult psychiatry. This difference therefore should be reflected in the psychiatric discharge summary in mental handicap settings if the summary is to represent accurately the clinical process. This fact was recognised by the Medical Executive Committee of Leavesden Hospital and it was therefore decided to provide specific guidelines on the writing of discharge summaries in a mental handicap in-patient setting to junior trainees in that hospital. Below is a document which I prepared at the request of the Medical Executive Committee, and which has now been officially accepted by them. It is hoped that its publication will be of interest to readers working in other mental handicap hospitals.
Foreign Report: Psychiatry in Australia
Authors: Szmukler George
Published: January 2018

After some 13 years of pale-faced exile in England I returned with some excitement to Australia, eager to share in its psychiatric development and perhaps to benefit a little from the fruits of what appears as the international rapacity of Murdoch, Holmes a Court, Elders IXL et al. The second more furtive wish suffered early set-backs as I discovered that the Australian economy was dipping alarmingly and that the Australian dollar, once to my mind as solid as Ayer's Rock, was sinking rather than floating against other currencies. This has meant cut-backs in government expenditure, health included, threatening my first wish as well.
Tuke House: Initial experience of a new community service for neurotic illness
Authors: Newby David , Lake B. , Sims A. C. P.
Published: January 2018

‘The number in each room rarely, if ever, exceeded ten. Here, I generally found several of the patients engaged in some useful or amusing employment. Every class seemed to form a little family … I incline to think, that the probability of recovery is greater, where a moderate number of patients associate together … I incline to think the number ought in no case to exceed fifteen’.
The Diagnosis of Child Sexual Abuse
Authors: Bentovim Arnon
Published: January 2018

Kempe, in an address to the International Association for Child Abuse and Neglect in 1979, drew the professional communities' attention to ‘the serious plight of sexually abused children’. He described this as the final stage in the communities' recognition of patterns of child abuse. This cycle had commenced with his recognition of ‘The Battered Child Syndrome’ in the early 60s.
Achieving the BTC Qualification
Authors: Munro A. , McCormick W. O. , Archibald D. W.
Published: January 2018

Since 1984, Nova Scotia has had a programme to bring a small number of senior trainees in psychiatry from Britain or Ireland to undertake one year of clinical work plus continuing medical education here. This programme is sponsored by the Nova Scotia Provincial Department of Health in collaboration with the Dalhousie University Department of Psychiatry.
Audio-Visual Aids to Teaching: Videotape Reviews
Authors: Garrett Elizabeth
Published: January 2018

A mixed audience of health professionals at a recent Mental Health Film Council screening welcomed this video which shows a variety of community-based initiatives. Most participants thought it would be useful in several contexts, for fellow professionals and for the general public. Those working with individuals who are ill, have a handicap or are old could be helped by the video, it was believed, to clarify their own attitudes to institutions: local residents might be introduced to the idea of care in their own community.
Audio-Visual Aids to Teaching: Videotape Reviews
Authors: Seager C. P.
Published: January 2018

This tape deals with the transition from pre-clinical to clinical medicine as seen through the eyes of two medical students. They embark on their clinical training at Sutton Hospital where an apparently inhumane and thoughtless surgeon talks literally over the head of a recently admitted emergency. He and his entourage walk away leaving the patient unable to answer the questions of her neighbour, and presumably of herself, as to what is wrong and what is going to happen to her.
What Should an Ideal Emergency Psychiatry Service be Like?
Authors: White Steven
Published: January 2018

At a time of financial stringency, it may seem perverse to speculate about the ideal. Nevertheless, recent experience of working in the psychiatry emergency room (ER) of a large teaching hospital in Texas set me thinking about the requirements for a really satisfactory emergency psychiatry service (eps); one which would run smoothly and be acceptable to the clients, their families and the agencies involved in making referrals; one the staff running it would feel comfortable with and get satisfaction from working in; one which would provide a comprehensive and really adequate service, rather than just a finger in the dike.
The Central Mental Hospital, Dundrum—Small can be Interesting
Authors: Smith Charles
Published: January 2018

The Central Mental Hospital, Dundrum opened its doors for business in 1850. We cannot be sure why our English masters at the time considered it more urgent to open a security hospital in Ireland before planning and constructing Broadmoor. Were the Irish, as a race, sick and dangerous, or does an old institution like Dundrum reflect the views of the colonists on the colonised!
1987 Trainees' Forum
Authors: Rice Peter
Published: January 2018

The 1987 Trainees' Forum took place at the College's Winter Quarterly Meeting on 27 January 1987. The Meeting was attended by 43 psychiatrists, of whom 18 were consultants and seven of those were tutors. The Panel members at the Forum were: Dr J. L. T. Birley, Dean of the Royal College of Psychiatrists; Professor Robert Cawley, the current Chief Examiner, who both gave short introductory talks; Professor H. G. Morgan, Deputy Chairman of the Examiners' Board of the College; Dr Sally Pidd, Chairman of the Psychiatric Tutors Sub-Committee; Dr Jan Falkowski, Senior House Officer at St George's Hospital London and Dr Peter Rice, Vice-Chairman of the Collegiate Trainees' Committee. The contributors were chosen to represent the range of interested parties; the examiners, the tutors, the College Approval teams and, of course, the candidates.
An Open Forensic Unit for the Borderline Mentally Impaired Offender
Authors: Smith Jeanette
Published: January 2018

Over recent years attention has been directed towards providing appropriate facilities for the mentally abnormal offender. In the past such individuals were probably absorbed into the hospital system. However, the open door policy of the 1960s and 1970s, together with hospital closures and reduced bed numbers, has meant that this invisible absorption has been unable to continue. It has been suggested that many of these mentally abnormal offenders are inappropriately placed within the penal system, thus contributing to prison overcrowding. The Butler and Glancy Reports recommended Regional Secure Units as a possible solution. At the beginning of 1987, 14 of these had opened. The tendency has been for Regional Secure Units to deal mainly with the mentally ill offenders and the needs of the mentally impaired have been largely overlooked. The literature on the subject of this latter group has been sparse. Craft described an isolated unit in Wales, which dealt with mentally abnormal offenders, and there are hospitals which provide secure facilities for the mentally handicapped. The purpose of this study is to describe the characteristics of the patients admitted to an open forensic unit in order to assess the suitability of the facilities and the outcome of the treatment provided.
Assessing Needs in the Community
Authors: Quarry Andrew , Rayner Rosemary
Published: January 2018

We were asked to do some research into the needs of people with long-term mental health problems who were living in the community. The main questions which sprang to mind were WHO, WHAT, and HOW to approach this.
Visits to Centres of Excellence in Mental Handicap
Authors: Evans Ann Christine
Published: January 2018

In December 1986 I was invited by Yorkshire Regional Health Authority to visit centres of excellence with regard to mental handicap community provision. I had just been appointed to a consultant psychiatrist post with a special interest in mental handicap. The Authority's suggestion was that I go to several centres around Britain and make one trip to Europe and one trip to North America. I was very favourably impressed by Yorkshire's imaginative style and set to work to plan my tour. I had until 1 April 1987 when my new job started. I learned very quickly that preparing a travel schedule is a frustrating and irritating task. It took more than four weeks of telephone calls, with the aid of detective work by Directory Enquiries, before I had even a rough plan of campaign. I discovered several truths at this time. These were.
Liaison Psychiatry in a Paediatric Oncology Clinic: A decade of experience and change
Authors: Jones Jacqueline
Published: January 2018

Families who have a child with a life-threatening disease need support during the illness and in the bereavement phase. Although few would disagree, the means to provide such a network is not easy. During 10 years working in an oncology clinic, I have become aware of the importance of close liaison links within the clinic itself and in the community. By the nature of life-threatening and terminal illness, staff members need opportunities to discuss their feelings towards their patients if such extremes as patient avoidance or identification are to be prevented. Once a close team spirit exists, the likelihood of an individual becoming over-stressed diminishes. Although all team personnel are potentially at risk, I would suggest that those at greatest risk are at opposite ends of the hierarchy, i.e. the consultant constantly faced with challenging medical decisions and involvement with emotionally drained parents and the junior nurses, seen as ‘safe’ people on whom to unburden. The latter spend more time with the families and have no legitimate mode of escape!
Post-war Maudsley personalities
Authors: Crown Sidney
Published: January 2018

The 100th Annual Dinner of the Gaskell Club for Winners of the Gold Medal was held at the Royal College of Psychiatrists on 30 October 1987.

Looking round the tables I was struck by the number of people who had worked at the Maudsley, a tangible reminder of the contribution of that centre of excellence to psychiatry.

I do not doubt that the standard of psychiatry at the Maudsley remains as high as it ever has been, but inevitably my thoughts ran to the post-war period when, as a 21 year old, it seemed one was surrounded by giants.
Foreign report: Psychiatry in Israel
Authors: Brown J. P.
Published: January 2018

Seven years of ecstasy and agony have been enjoyed and endured in Israel, and from the calm of my sabbatical back in the UK, I welcome this opportunity to look in on Israeli psychiatry. The setting is a dramatic one. Israel's recent history is characterised by a hard-won statehood in 1948, massive waves of immigration, a clash of oriental and occidental cultures, and repeated wars. In the face of this rapid and traumatic change, Israelis have exhibited an exaggerated faith in the powers of the state. By denial of emotional and mental problems, a somewhat brittle stability has been achieved, not enhanced by almost uniformly negative attitudes to mental disorder. Understandably Israeli psychiatry has also been characterised by the fight for survival. The professional scene is made up of fierce, creative, one could almost say “true grit” individualists and powerful professional cliques. Israeli psychiatry was literally forged on the battlefields of the Independence War and has retained an Old Testament character of war-like struggle up until the present day. It is to the credit of Israeli psychiatrists that they have succeeded at the highest level in dealing with routine psychiatric problems alongside the awesome consequences of this continuous stress and trauma.
Consultant jobs in mental handicap: dead end posts?
Authors: Nwulu B. N.
Published: January 2018

“That is unusual.” “What?” “That young men like you take up consultant posts in mental handicap. I thought it was a job retired psychiatrists returned to, to avoid the boredom of inactivity.”
The use of the EEG in clinical psychiatry
Authors: Bowie P. C. W. , Beaini A. Y. , da Costa A. A.
Published: January 2018

The electroencephalogram (EEG) is widely reported to be of limited value in psychiatry. This is particularly so with regard to the neuroses and functional psychoses. The value of the EEG in organic states is not much better, especially since the advent of computerised tomography (CT). However, it should be noted that the former gives a functional and the latter a structural assessment of cerebral disturbance.
The Marlborough Family Day Unit
Authors: Asen K.
Published: January 2018

The Marlborough Family Day Unit has been in existence for 10 years. It is part of the Marlborough Family Service, a community-based psychiatric service for patients of all ages. Its location is the site of the former Marlborough Day Hospital in London NW8. The Day Unit was created in 1977 by Dr Alan Cooklin who is still the consultant in charge of the whole service. The reason for setting up such a unit was to experiment with new ways of dealing with what is now so fashionably termed ‘multi-problem families’. These are families where one or more members have been in extensive contact with psychiatric and social services. Multiple hospitalisations, removal of children into care, and general chaotic behaviour are the presenting ‘symptoms’. Such families have unrivalled skills in collecting agencies and professionals like flypaper and making it very difficult for anyone to leave the field given the enormous anxiety created all round.
The treatment of child abuse in an in-patient setting
Authors: Kennedy Roger
Published: January 2018

The Families Unit at the Cassel Hospital is the only medical establishment with in-patient beds for whole families, and it can provide the opportunity for detailed and relatively safe observation and treatment of severely disordered families. A number of different kinds of family are treated, including those in which a mother has suffered a severe post puerperal breakdown, those in which one or more members of the family have a severe psychiatric condition such as chronic depression, as well as families whose whole functioning in many aspects of life has broken down.
Part-time senior registrar training in child and adolescent psychiatry
Authors: Gath Ann
Published: January 2018

An enquiry concerning the difficulties faced by doctors with domestic responsibilities was undertaken as a response to a letter by a part-time senior registrar who was facing problems in her training.
Coordinating care: Homepack: The use of a computer in community care
Authors: Martindale D. N. , Ness M. , Turner T. H. , Wright J.
Published: January 2018

The project described in this paper developed from a DHSS funded scheme which was part of the Government's ‘Helping the Community to Care’ initiative. This was aimed at meeting a deficiency in the community — the lack of a coordinated system of after care for people suffering from long-term mental illness. The Mental Health Division of the DHSS described it thus.
Mental Health Services Planning
Authors: Wilkinson Greg
Published: January 2018

A timely conference on Mental Health Services Planning, organized jointly by the Royal College of Psychiatrists and the Department of Health and Social Security, took place in London in March 1985. The conference concentrated on difficulties associated with the implementation of government policies for mental health service planning in England and Wales. Particular emphasis was given to the problems of transition from hospital-based services to community-based services.
The use of the Telephone in Continuing Psychiatric Education: Successes and Failures
Authors: Seager C. P.
Published: January 2018

To those who have bought shares in British Telecom, and for those who have not, this report may offer evidence to help them rationalize their judgement about the wisdom of their action.
In-Patient Psychotherapy at the Cassel Hospital
Authors: Denford J. D.
Published: January 2018

Admission to hospital for psychotherapy facilitates communication with patients and allows more ways of influencing them than do conventional out-patient situations. Small and large groups can be added to individual interviews, and living together allows the development of many potentially therapeutic relationships with other patients and staff. This additional influence can be ignored. If it is assumed to be an integral part of treatment and organised rationally, the whole hospital becomes its instrument; psychotherapists, nurses, patients, domestic staff and administrators can be seen to be subordinate to that whole, and their traditional activities, attitudes to each other, and theories, are inevitably modified. Traditional boundaries between the roles of different workers become blurred, while how they get on with each other has important consequences for patients, so that their separate roles and functions must be clearly defined.
Regional Symposium of World Psychiatric Association in Jaipur, India
Authors: Wallis Geoffrey
Published: January 2018

Much of the initiative for this symposium, held between 6 and 8 January 1985, came from Professor Shridhar Sharma, President of the Indian Psychiatric Society, and the 38th Annual Conference of the Indian Psychiatric Society, at which there was a record number of participants, was held immediately before and in the same place as the Symposium. Many of the psychiatrists who attended the IPS Conference stayed on for the Symposium, where they somewhat outnumbered their foreign colleagues. The premises were the Medical College and Hospital named after Sawai Man Singhji, a Maharaja of Jaipur. The complex is a little way outside a crenellated pink wall surrounding the equally pink and fascinating Jaipur in Rajasthan, North India. The site, enhanced by a large marquee for refreshments, was very pleasant.
The Red Handbook: an historic centenary
Authors: Rollin Henry R.
Published: January 2018

On 21 February 1884, a sub-committee of the Medico-Psychological Association meeting in Glasgow was appointed to prepare a handbook ‘in the hope of helping Attendants on the insane to a due understanding of the work in which they are engaged’. With commendable speed the four gentlemen concerned, Drs A. Campbell Clark, C. McIvor Campbell, A. R. Turnbull and A. R. Urquart, completed their allotted task, and in 1885 The Handbook For The Instruction Of Attendants On The Insane was published.
Guidelines for the Training of General Psychiatrists in Psychotherapy
Authors: Birley J. L. T.
Published: January 2018

This memorandum concerns training in psychotherapy during the initial three year period of general professional training in psychiatry. A brief statement on this training was included in the statement on approval of training schemes for general professional training (1984). This document also stated that every trainee should have a minimum of one year's training in general psychiatry and some experience from among a variety of sub-specialties. At present none of the sub-specialty experience is mandatory, but all training schemes should provide as wide a range of sub-specialty experience as possible.
Psychiatric Formulation and Mental State (UK, 1982, 12 mins)
Authors: Seager C. P.
Published: January 2018

When viewing the videotape, the first question one has to ask is why it should be video rather than written or audio material. In this particular instance, that question is difficult to answer. The tape simply shows two psychiatrists reading a prepared script either on camera or voice-over to the legends making up the two mnemonics they propose. The result is a rather dull recitation of material which would not be likely to ‘have them rolling in the aisles’.
Hospital Beds for Psychiatric Patients
Authors: Priest R.G.
Published: January 2018

Members write to the College asking for guidance on planning services for psychiatric patients, and in particular on the desirable level of provision of hospital beds. At the request of the Executive and Finance Committee I am publishing the following information, based on a letter that I wrote to Regional Advisers.
Developmental Disabilities Service in California
Authors: Bouras N.
Published: January 2018

The roots of the modern mental retardation service can be traced to the federal legislation introduced by President Kennedy in 1963. Shortly after he took office in 1961, he appointed an expert panel to study the issues and problems and to propose a plan of action. This signified complete separation between mental health and mental retardation services.
Isolated Senior Trainees: a Survey and a Cure
Authors: Mendelson Eric , Callender Kay , Horne Andrew
Published: January 2018

The lot of a senior registrar starting higher specialist training is not always a happy one. At least that is what our experience suggested when we began our careers in forensic psychiatry.
Welsh Division Trainees Day
Authors: Lovett J. W. T.
Published: January 2018

The first ever Welsh Division Trainees Day took place at Whitchurch Hospital, Cardiff on 13 May 1986. Although geographically one of the larger, Wales is numerically one of the smaller Divisions of the College, with only 33 Inceptors and 27 senior trainees (as at April 1986). Nevertheless the attendance was satisfactory for such an initial event with 34 trainees attending, of whom 13 came from peripheral hospitals. Unfortunately, no doubt because of the distances involved, there were no trainees from North Wales or Carmarthen.
Samai Isaac Davidson, Medical Director, Shalvata Mental Health Centre, Tel-Aviv University Medical School, Hod Hasharon, Israel
Authors: MN
Published: January 2018

Professor Shamai Davidson, Medical Director of Shalvata Mental Health Centre, died on 18 March 1986 aged 59.
Louis Minski, Honorary Consultant, St George's Hospital, London SW17
Authors: MJM
Published: January 2018

Louis Minski, a foundation fellow of the College, died at Cheam, Surrey on 11 September 1986, aged 84.
Three Years of Medical Audit in a Psychiatric Unit
Authors: Edwards J. Guy , Nunn C. M. H. , Ricketts B. S.
Published: January 2018

For more than a decade psychiatrists have paid lip service to the idea that peer group medical audit might be valuable, but few have initiated regular audit meetings. This could be due partly to fear of criticism from colleagues and partly to a feeling that we can well do without additional, possibly time wasting, meetings. We in the Department of Psychiatry of the Royal South Hants Hospital have held monthly audit meetings for the last three years. We would like to report our experience of these, as we have found them to be supportive rather than threatening—despite our initial apprehension—and we believe that they have resulted in improvements in our service.