Psychiatric Bulletin
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Annual elections -- President [The College]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - November 5, 2009 Category: Psychiatry Tags: The College Source Type: journals
Involvement of a young service user in the appointment of a doctor [Correspondence]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - November 5, 2009 Category: Psychiatry Authors: Bhardwaj, A., Kathane, R. Tags: Correspondence Source Type: journals
HoNOSty: does HoNOS provide a good enough measure of outcome? [Correspondence]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - November 5, 2009 Category: Psychiatry Authors: Sieniewicz, B. J., Fear, C. Tags: Correspondence Source Type: journals
Is this not discrimination? [Correspondence]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - November 5, 2009 Category: Psychiatry Authors: George, M. K., Joseph, R. Tags: Correspondence Source Type: journals
The 'special' ones: survey of Laughlin Prize winners [Correspondence]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - November 5, 2009 Category: Psychiatry Authors: George, S. Tags: Correspondence Source Type: journals
Internet and doctors' security - how exposed are you? [Correspondence]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - November 5, 2009 Category: Psychiatry Authors: Raffi, A., Malik, A., Mahmoo, J. Tags: Correspondence Source Type: journals
Qualitative outcome for community treatment orders [Correspondence]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - November 5, 2009 Category: Psychiatry Authors: Malik, M., Hussein, N. Tags: Correspondence Source Type: journals
Trends in mental health googling [Correspondence]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - November 5, 2009 Category: Psychiatry Authors: Cummings, E. J. Tags: Correspondence Source Type: journals
Personal psychotherapy in psychiatric training: study of four London training schemes [Education & training]
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AIMS AND METHOD
We carried out a web-based survey to establish the proportion of London
psychiatry senior house officers who undertake personal psychotherapy.
Demographics, training characteristics and psychotherapy experience were
examined using descriptive statistics. Predictors of personal psychotherapy
status were examined using logistic regression.
RESULTS
The majority of trainees who undertook personal psychotherapy included
training as a reason for doing so. Of the participants,16% had undergone
personal psychotherapy and of the remainder, 73% reported that they would
consider it in the future. Ethnicit...
Source: Psychiatric Bulletin - November 5, 2009 Category: Psychiatry Authors: Dover, D., Beveridge, E., Leavey, G., King, M. Tags: Education & training Source Type: journals
Training in partnership: role of service users with intellectual disability and carers [Education & training]
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This article brings together the benefits
of involving service users with intellectual disability and carers in
teaching, discussing their roles as trainers, and providing practical tips to
plan sessions as well as recognise and overcome barriers. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - November 5, 2009 Category: Psychiatry Authors: Biswas, A. B., Raju, L. B., Gravestock, S. Tags: Education & training Source Type: journals
Carers' clinics: support group for carers of heroin addicts [Special articles]
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Heroin addiction, being a chronic condition, can have a devastating impact
on carers of addicts. However, the information and support needs of carers
often go unrecognised and unaddressed. ‘Carers’ clinics’ are
one such information-sharing and support group for carers of heroin addicts.
This simple yet innovative service provision has been enthusiastically
recieved by carers and has been running effectively since April 2007. We
believe this scheme can be replicated across other services. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - November 5, 2009 Category: Psychiatry Authors: George, S., Boulay, S., Jones, H., Bartlett, C., Farley, T., Clarke, C. Tags: Special articles Source Type: journals
Management of self-harm in older people [Original papers]
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This study
involved undertaking a scoping exercise to explore current management of
self-harm in elderly people in selected North London hospitals, by
interviewing healthcare professionals directly involved in their
treatment.
RESULTS
The study showed varied methods of coding clinical information across
trusts, with no consistent method of surveillance.
CLINICAL IMPLICATIONS
Implications of this exercise involve generation of a summary document that
will educate stage two of the project, which is the convention of a working
party to implement a surveillance system across the region. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - November 5, 2009 Category: Psychiatry Authors: Toms, N. D., Ritchie, C. W. Tags: Original papers Source Type: journals
Impact of a diagnosis of psychosis: user-led qualitative study [Original papers]
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AIMS AND METHOD
To explore the impact of diagnosis on people who experience psychosis.
Eight participants were interviewed about the impact that diagnosis had on
them.
RESULTS
The research found that the impact of diagnosis can involve both positive
and negative elements. It can be a ‘means of access’ as well as a
‘cause of disempowerment’. It can help by ‘naming the
problem’ and hinder by ‘labelling the person’. It is a
‘cause of social exclusion’ for all, but despite this service
users can be successful in ‘achieving social inclusion’.
...
Source: Psychiatric Bulletin - November 5, 2009 Category: Psychiatry Authors: Pitt, L., Kilbride, M., Welford, M., Nothard, S., Morrison, A. P. Tags: Original papers Source Type: journals
Prosecution of physical assaults by psychiatric in-patients in Northern Ireland [Original papers]
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This study aimed to
quantify the use of prosecution of assailants as a response, and to examine
what other responses were used. The responses to violent incidents in three
Northern Ireland psychiatric in-patient units in the year 2003 were
ascertained retrospectively.
RESULTS
Of 245 incidents meeting the legal definition of assault, police were
contacted in 10, and 1 resulted in a prosecution. Seven in-patients accounted
for 30.4% of assaults. Of the assaults, 46.5% were dealt with by staff using
de-escalation alone.
CLINICAL IMPLICATIONS
These results demonstrate the infrequent reporting of such assaults to...
Source: Psychiatric Bulletin - November 5, 2009 Category: Psychiatry Authors: Young, C., Brady, J., Iqbal, N., Brown, F. Tags: Original papers Source Type: journals
How specialist ECT consultants inform patients about memory loss [Original papers]
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AIMS AND METHOD
A questionnaire was distributed to consultants with a special interest in
electroconvulsive therapy (ECT) at clinics participating in an ECT
accreditation process. This aimed to ascertain a consensus of clinical
practice regarding informing patients about the treatment and assessment of
memory during ECT.
RESULTS
The response rate was 64%. There is consensus on informing patients about
the possibility of permanent memory loss. Memory is assessed before and during
an ECT course by clinical interview and Mini-Mental State Examination, but
rarely at long-term follow-up.
CLINICAL IMPLICATIONS
P...
Source: Psychiatric Bulletin - November 5, 2009 Category: Psychiatry Authors: Hanna, D., Kershaw, K., Chaplin, R. Tags: Original papers Source Type: journals
A suitable waiting room? Hospital transfer outcomes and delays from two London prisons [Original papers]
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AIMS AND METHOD
To describe a group of prisoners who required transfer to mental health
units from two London prisons. Data were collected from prison clinical
records.
RESULTS
Overall, 149 patient-prisoners were transferred over a 17-month period.
Around a quarter were not previously known to services. The aggregate wait was
36.5 years (averaging between 93 and 102 days per prisoner) and the total
saving to the National Health Service (NHS) has been estimated at £6.759
million.
CLINICAL IMPLICATIONS
Both prisons manage a large number of prisoners with untreated psychosis.
While in prison, they save ...
Source: Psychiatric Bulletin - November 5, 2009 Category: Psychiatry Authors: Forrester, A., Henderson, C., Wilson, S., Cumming, I., Spyrou, M., Parrott, J. Tags: Original papers Source Type: journals
Untreated depression in the community [Original papers]
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AIMS AND METHOD
Reaching into the community to treat people with anxiety and depressive
disorders raises the spectre of wrongful use of scarce resources at best, and
of disease mongering at worst. We recruited for an internet-based treatment
for social phobia.
RESULTS
Applications were received from 789 people, and 205 were rejected because
of severe depression or suicidal thoughts. Many were excluded because they had
another disorder or were in treatment. Some dropped out, only 7 were
subthreshold cases and 291 people with social phobia were treated.
CLINICAL IMPLICATIONS
Despite easy access to clinicians,...
Source: Psychiatric Bulletin - November 5, 2009 Category: Psychiatry Authors: Andrews, G., Titov, N., Schwencke, G. Tags: Original papers Source Type: journals
Criminally invalid: the treatment outcome profile form for substance misuse [Original papers]
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AIMS AND METHOD
To audit completion of the Treatment Outcome Profile (TOP) form in
individuals attending substance misuse services in England. Forms are
completed at the start of treatment and every 3 months thereafter. All forms
at 3-drug treatment services were inspected over 6 months.
RESULTS
Forms were inspected for 200 service users; 86% were fully completed.
Two-thirds (67%) of service users had no declared funding for illicit drug use
in the previous month (mean spending £988; s.e. = 149) despite denying
any paid employment and criminal activity.
CLINICAL IMPLICATIONS
The section on crime in th...
Source: Psychiatric Bulletin - November 5, 2009 Category: Psychiatry Authors: Easow, J., Varughese, S., Luty, J. Tags: Original papers Source Type: journals
Leadership development: more than on-the-job training [Editorials]
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The effective psychiatric leader in clinical administration must possess
organisational knowledge, financial acumen, negotiation and conflict
resolution skills, and a broad knowledge of our field. Team building,
motivating others, mentorship, and the ability to hire excellent colleagues
are all important attributes of leadership. It is opportune for our profession
to promote training and skill acquisition in leadership development. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - November 5, 2009 Category: Psychiatry Authors: Buckley, P. F. Tags: Editorials Source Type: journals
Leslie Citrome [E-interview]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Fannon, D. Tags: E-interview Source Type: journals
Combating Sleep Disorders: Kathy Sexton-Radek & Gina Graci [Reviews]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Bagary, M. Tags: Reviews Source Type: journals
Treating Bulimia Nervosa and Binge Eating: An Integrated Metacognitive and Cognitive Therapy Manual: Myra Cooper, Gillian Todd & Adrian Wells [Reviews]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Morris, J. Tags: Reviews Source Type: journals
Professor John Case Nemiah: Formerly Professor Emeritus of Psychiatry, Dartmouth Medical School, New Hampshire, USA [Obituaries]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Green, A., Silberfarb, P., Racusin, R. Tags: Obituaries Source Type: journals
The trouble with NHS psychiatrists [Correspondence]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Harrison, J. A. Tags: Correspondence Source Type: journals
Journal club syndrome: a newly described disorder of doctors in training [Correspondence]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Agell, I. Tags: Correspondence Source Type: journals
The trouble with... [Correspondence]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Taylor, M., Shah, P. Tags: Correspondence Source Type: journals
New Ways of Working: are we prepared? [Correspondence]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Bansal, S. Tags: Correspondence Source Type: journals
Critical psychiatry seeks to avoid the polarisation engendered by anti-psychiatry [Correspondence]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Double, D. B. Tags: Correspondence Source Type: journals
Abigtent? [Correspondence]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Cowen, P. J. Tags: Correspondence Source Type: journals
Do we know the legal framework in child and adolescent mental health services? Survey of specialist registrars [Education & training]
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AIMS AND METHOD
This survey was conducted as part of the baseline assessment of
trainees’ needs concerning the legal aspects of child care and to
evaluate the implications for the regional academic programme. A group of
specialist registrars in child and adolescent psychiatry in the North Western
Deanery completed a questionnaire-based survey.
RESULTS
None of the specialist registrars had experience in forensic child and
adolescent psychiatry. With regard to the legislation: 13 (100%) mentioned the
Mental Health Act 1983; 12 (92.3%) the Children Act 1989; 7 (53.8%) the Human
Rights Act 1998. Of those sur...
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Khan, F., Khan, F., Hackett, L., Ross, K. Tags: Education & training Source Type: journals
Recruiting psychiatrists - a Sisyphean task? [Education & training]
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In 2009, the Royal College of Psychiatrists piloted a system for national
recruitment to the first year of training (CT1) in England. This paper reviews
the changes in recruitment of UK medical graduates to psychiatry over the past
20 years, both within the West Midlands and nationally. Fewer UK graduates are
entering psychiatric training in the West Midlands despite the introduction of
pre-registration training in psychiatry and the expansion of medical schools
in the region; this picture is reflected nationally. Reasons for the
continuing problems in recruitment are discussed and suggestions made for
improving th...
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Brown, N., Vassilas, C. A., Oakley, C. Tags: Education & training Source Type: journals
Quality standards for community mental health teams [Special articles]
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There is an increasing requirement for mental health services to
demonstrate the quality of care provided. We have developed a quality report
of our local community mental health team in Cornwall and suggest quality
measures that we believe are useful to patients and clinicians, and possible
to implement without overwhelming busy team members. They include measures of
satisfaction, accessibility, safe process and review, outcomes, evidence-based
practice and staff performance. Different teams may need different standards
but we hope this paper will stimulate discussion and debate. (Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Laugharne, R., Shankar, R. Tags: Special articles Source Type: journals
Specialist mental healthcare for children with epilepsy: child and adolescent mental health service liaison with neuroscience [Original papers]
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AIMS AND METHOD
To describe services used by children with epilepsy seen by a liaison
psychiatry team in Scotland and to examine existing guidance. Case notes of
all patients with epilepsy were systematically reviewed to determine service
involvement.
RESULTS
The majority of patients attended joint psychiatry and neurology clinics.
Scottish Intercollegiate Guidelines Network (SIGN) recommendations for the
psychosocial management of children with epilepsy were met. Most patients were
assessed by a clinical psychologist and received educational psychology input,
individual and family treatment approaches. Half h...
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Johnstone, R. J., Morton, M. J. S. Tags: Original papers Source Type: journals
Uncertainty among Scottish psychiatrists over NHS continuing care guidance [Original papers]
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AIMS AND METHOD
To examine knowledge among Scottish psychiatrists of the 1996 guidance on
National Health Service (NHS) responsibility for continuing healthcare, a
postal questionnaire was devised and sent to the 132 consultants and
specialist registrars in the South-East Scotland Deanery in May 2007.
RESULTS
Two-thirds of the clinicians (67%, n = 88) responded, 88% of whom
had in-patient responsibilities. Only 24% responded positively to an awareness
of the current Scottish guidance. There was a strong association between
awareness of the guidance and psychiatric speciality, and greater awareness
among clinic...
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Stevenson, G. S., Philipson, A., McLaren, G. Tags: Original papers Source Type: journals
Junior doctors' knowledge and practice of electrocardiographic monitoring for high-risk patients receiving antipsychotic medications [Original papers]
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AIMS AND METHOD
The risk of developing fatal tachyarrhythmias can increase in patients
receiving antipsychotic medication. Two surveys were conducted, one to
evaluate junior doctors’ knowledge of the QTc interval and
the second to investigate the experience of electrocardiographic (ECG)
monitoring among patients on four acute psychiatric wards.
RESULTS
The first survey revealed that junior doctors were lacking in knowledge
regarding the QTc interval. The second revealed that ECG monitoring
of high-risk patients was inadequate. Half of the high-risk patients who
required an ECG were not given one, whereas...
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Darwiche, F.-Z., Ugradar, S., Turner, T. Tags: Original papers Source Type: journals
Aetiology of depression and schizophrenia: current views of British psychiatrists [Original papers]
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AIMS AND METHOD
A postal survey assessed current views of a random sample of 154 British
psychiatrists on aetiological factors in depression and schizophrenia.
RESULTS
Genetics, biochemical abnormalities and substance misuse were considered
important factors in both illnesses. Beyond that, psychiatrists varied widely
in their views. Depression was viewed as a more multifactorial condition with
psychological/social factors more important, whereas biological factors were
considered more important in schizophrenia. Aetiological factors were thought
to vary more in depression than in schizophrenia and discussing th...
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Baillie, D., McCabe, R., Priebe, S. Tags: Original papers Source Type: journals
Trends in admissions to an intellectual disability hospital [Original papers]
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AIMS AND METHOD
Long-term admission trends in a large specialist National Health Service
(NHS) hospital were examined over a 3-year period. These were compared with
three earlier 3-year periods. The medical records were examined for admission
numbers, source of admissions, length of stay, legal status, reason for
admission and readmission rate.
RESULTS
The percentage of patients admitted from home decreased over time, whereas
the admissions from group homes increased threefold. Long-stay admissions
decreased in the second and third periods followed by an increase in the
fourth period. There was a progressive i...
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Ganguly, S., Gore, S., Marston, G., Roy, A. Tags: Original papers Source Type: journals
Characteristics of patients seen by a community perinatal mental health service [Original papers]
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This study describes the
characteristics of 277 service users newly referred to a specialist community
perinatal mental health service over 1 year, and discusses the implications
for effective management of mental illness related to childbearing.
RESULTS
The most common diagnosis was affective disorder (51%), of which 8% had
bipolar affective disorder. Almost three in five women had previous
non-pregnancy-related psychiatric contact and a fourth had previous
ante/postnatal psychiatric contact. More than half were on medication at
conception, most commonly antidepressants (43%).
CLINICAL IMPLICATIONS
This stu...
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Durrani, A., Cantwell, R. Tags: Original papers Source Type: journals
Outcomes of information provision to callers to a psychiatric medication helpline [Original papers]
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AIMS AND METHOD
To examine outcomes of information received by callers to a psychiatric
medication helpline. A questionnaire was completed over the telephone with 123
callers, asking about the reason for contacting the helpline, frequency of
self-referral to a healthcare professional, action taken as a result of
information received, and satisfaction with the service and quality of
information received.
RESULTS
Almost half of callers reported changes to their medication (stopping,
starting, switching or dose adjustment) after consulting the helpline, with
the majority receiving reassurance, referral, review an...
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Olofinjana, O., Connolly, A., Taylor, D. Tags: Original papers Source Type: journals
Pharmacogenomic perspectives on the management of mood disorders [Editorials]
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Psychiatric pharmacogenomics is a relatively young field of clinical
practice, focused on the identification of genetic profiles determining
varieties of metabolic patterns that, in turn, assist in the choice of
appropriate medications and their corresponding doses. In psychiatry, the mood
disorders area has been the most active in trying to advance knowledge and
expertise in pharmacogenomics. The cytochrome P450 system (particularly 2D6
and 2C19 enzymes and their respective codifying genes) and, more recently,
serotonin transporter and receptor gene tests are among the most utilised and
promising. In spite of enco...
Source: Psychiatric Bulletin - September 29, 2009 Category: Psychiatry Authors: Alarcon, R. D. Tags: Editorials Source Type: journals
Hagop Akiskal [E-interview]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 30, 2009 Category: Psychiatry Authors: Fannon, D. Tags: E-interview Source Type: journals
Forthcoming Events [Forthcoming events]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 30, 2009 Category: Psychiatry Tags: Forthcoming events Source Type: journals
Book Reviews [Reviews]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 30, 2009 Category: Psychiatry Authors: O'Sullivan, T. Tags: Reviews Source Type: journals
Get Through Workplace Based Assessments in Psychiatry (2nd edn): Sree Prathap & Mohana Murthy [Reviews]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 30, 2009 Category: Psychiatry Authors: Oakley, C. Tags: Reviews Source Type: journals
Bulimics on Bulimia [Reviews]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 30, 2009 Category: Psychiatry Authors: Thuermer, S. Tags: Reviews Source Type: journals
Problems in NHS psychiatry and recruitment chaos - are they related? [Correspondence]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 30, 2009 Category: Psychiatry Authors: Kolli, V. B., Lyons, J., Ralevic, D. Tags: Correspondence Source Type: journals
New ways of losing the art of psychiatry [Correspondence]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 30, 2009 Category: Psychiatry Authors: Van Velsen, C. Tags: Correspondence Source Type: journals
New ways can work [Correspondence]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 30, 2009 Category: Psychiatry Authors: Ogden, D. J. Tags: Correspondence Source Type: journals
We need to learn from other doctors [Correspondence]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 30, 2009 Category: Psychiatry Authors: de Silva, P. N. Tags: Correspondence Source Type: journals
New Ways not Working and the consultoid [Correspondence]
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(Source: Psychiatric Bulletin)
Source: Psychiatric Bulletin - August 30, 2009 Category: Psychiatry Authors: Hilton, C. Tags: Correspondence Source Type: journals
