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In this second interview with Dr Gwen Adshead, she discusses her recently published paper on the role of mentalisation in the management of violence. More...
3/28/2013 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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In this podcast, Dr Gwen Adshead discusses the concept of mentalisation and the role of psychological therapies in changing the mind. She argues that mentalisation-based therapies can be applied to even the most complex psychological disorders as they work to alter the underlying neuronal structures in the brain. More...
2/26/2013 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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The high prevalence of sexual dysfunction in people with psychosis has often been attributed solely to the side-effects of antipsychotic medication, and less is known about the rates of sexual dysfunction in prodromal and first-episode psychosis. In this podcast, Dr Oliver Howes and Dr Tiago Reis Marques discuss the findings of their recent study into this area, published in the British Journal of Psychiatry. More...
11/20/2012 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Academic,Clinical
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In this podcast, Dr Ezra Susser talks to Ali Ajaz about the relationship between micronutrient deficiency and neurodevelopmental disorders, and some of the challenges facing researchers in this field. More...
10/22/2012 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Academic
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The ‘National Confidential Inquiry into Suicide and Homicide by People with Mental Illness’ is an annual inquiry that looks at the circumstances in which people with mental illness commit suicide or homicide, identifying annual trends and using these to make recommendations to the health service. In this podcast, Professor Louis Appleby discusses the findings of the most recent inquiry with Dr Paula Murphy. More...
9/28/2012 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Academic
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Professor Georg Kuhn talks to Dr Steven Moylan about his recently published study (Åberg et al, 2012) into cardiovascular fitness and its link with the development of depression. More...
9/7/2012 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Academic,Clinical
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Here, Dr Peter Mason discusses a number of case reports of adults with ADHD and comorbid psychosis, outlining the symptoms that commonly present. He also reviews the current evidence base for the treatment of the disorders, including the risks and benefits of prescribing stimulants to adults with psychosis. More...
8/20/2012 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Academic,Clinical
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Dr Andreas Schröder talks to Dr Steven Moylan about the prevalence of functional somatic syndromes and the issues that currently exist with their diagnosis and treatment. He discusses the results of his recently published study, which indicate that a cognitive-behavioural group treatment is effective in the management of such syndromes. More...
7/4/2012 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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Dr Ylva Ginsberg and colleagues recently conducted a study to test the effectiveness of methylphenidate as a treatment for ADHD in prison inmates. Here, Dr Ginsberg discusses her findings with Dr Ovais Badat, and reviews how the research can influence future treatment in prison populations. More...
3/13/2012 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Academic,Clinical
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Here, Dr Vikram Patel talks to Dr Ovais Badat about his recently published study into lay health worker intervention in common mental health disorders in India. More...
2/14/2012 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Academic,Clinical
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In this series of podcasts, two giants of their field, Professor Robin Murray and Professor Tim Crow (left), discuss their experiences of psychosis research since the 1960s, reflecting upon the ideas, evidence and arguments that have taken place over the years, and where they have led. More...
1/19/2012 | Download
Minimum recommended time: 90 minutes | Credits: 3 | CPD Domains: Academic,Clinical
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Dr Riviere discusses the findings of his recent research on risk factors for mental ill health in US reservists after deployment in Iraq (Riviere et al 2011). More...
7/22/2011 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Academic,Clinical,Professional
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Here, Dr Ovais Badat talks to Professor Val Curran about a recently published study (Morgan et al, 2010) which aimed to investigate how varying levels of cannabidiol and THC have an impact on the acute effects of the drug in naturalistic settings. More...
11/26/2010 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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The mental health needs of people require input at different levels: biological, psychological and social. Whilst a lot of attention is being paid to biological and psychological interventions, social interventions at a community level is still in its infancy. Dr Nusrat Husain and his colleagues have conducted a randomised control trial looking at social interventions for British Pakistani women with depression. In this podcast he talks about the study design, the findings and the way forward for social intervention. More...
11/11/2010 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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Abreaction, or the ‘drug interview', was a relatively common therapeutic intervention in psychiatry in the middle to late 20th century. It is far less commonly practiced now, though there has been little investigation or understanding of why this decline in practice occurred. Here, Dr Norman Poole and colleagues investigated the published English language reports on the process as applied to conversion disorder (Poole et al, 2010), and among the many interesting conclusions is that the reasons for its declining use are not clear; it certainly was not due to lack of evidence for its effectiveness. More...
9/2/2010 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Academic
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Involuntary hospital admissions in psychiatric practice bring up many ethical dilemmas. Any process that restricts the autonomy of a person needs to be carefully thought about. Involving the people and getting their perception of the entire proceeding is a step in the right direction. Prof Stefan Priebe and his team have conducted the largest prospective study to date to find out how patients view involuntary hospital admission (Priebe et al, 2010). Here, Dr Saliha Nazir talks to Prof Priebe about the study design, the findings and the outcomes from this study. More...
8/3/2010 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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Today we are discussing internet addiction, which has become a growing global phenomenon reported by professional anecdote and by mainstream media. Although internet addiction is not formally recognised by the ICD or DSM as yet, there is much research afoot to attempt to define it, and by so doing, develop specific and evidence-based ways to treat it. We discuss a two-wave prevalence study by Dr Fu et al (2010), looking at how big the problem of internet addiction is, what it is comorbid with, and whether it can be seen to exist on its own as a diagnostic entity. More...
7/22/2010 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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This podcast is about the concept and practice of supported employment programmes. We all have concerns about helping patients maximise their potential, and of course, meaningful work is one of the prime ways in which this is achieved. In an uncommon trial for the UK, Dr Louise Howard and colleagues conducted a randomised controlled trial of an American system called IPS or Individual Placement Support, to see if this evidence based programme would be as effective over here in the UK (Howard et al, 2010). Their paper helps shed a lot of light on the challenges that supported employment programme participants and professionals face. More...
6/9/2010 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical,Professional
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The condition of borderline personality disorder (BPD) is one of the most distinctive psychiatric syndromes of adulthood. Environmental factors such as child sexual abuse, and other family influences such as maternal over involvement and inconsistency may have a role in its pathogenesis. Indeed, various forms of maternal psychopathology may be associated with patterns of mother–infant interaction that have an impact on infant development. In this podcast, Dr Margaret Murphy speaks with Professor Peter Hobson about his study (Hobson et al, 2009) which aimed to assess how women with BPD engage with their 12–18 month-old infants in separation-reunion episodes. More...
6/7/2010 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Academic,Clinical
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Autism has been the subject of intense public and professional attention in recent years. One of the biggest questions is what causes it. Like the discoveries made about schizophrenia in the late 20th century, we are learning that autism too has genetic and environmental determinants. Here Dr Daphne Keen discusses her paper (Keen et al, 2010) which attempts to answer the question of whether maternal immigration and ethnicity, together or in tandem, are implicated as being risk factors in young children who develop autism. More...
5/30/2010 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Academic
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In this podcast, Dr Kamran Ahmed talks to Professor Klaus Lieb about the Cochrane review conducted by his team on trials of pharmacological treatments for borderline personality disorder (Lieb et al, 2010). The findings of the review and their implications are discussed. More...
3/25/2010 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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The notion that genius and madness are closely related can be found in the writings of Aristotle, Plato and Socrates. There is some modest, mostly historically collected scientific evidence for this. See, for example Post, 1996. In this podcast, Dr Ovais Badat speaks to Dr James MacCabe about his latest article in the British Journal of Psychiatry (MacCabe et al, 2010), where he explored the link between school performance and bipolar disorder in later life. This is a retrospective cohort study of nearly one million people in Sweden, with some very striking results. More...
3/12/2010 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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There is increasing interest and public concern about the relationship between diet and physical health. There has been less focus on the relationship between diet and behaviour and mental health. Despite this, there is some evidence of a relationship between breast feeding and cognitive development, which may be genetically mediated (Caspi et al 2007) and between hyperactivity and diet (Schab and Trin, 2004). In this podcast, Dr Margaret Murphy talks to Dr Simon Moore about the present study (Moore et al, 2009) which uses a longitudinal design to explore the relationship between confectionary consumption in childhood and adult aggression. More...
1/15/2010 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Academic,Clinical
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In this podcast, Professor Simon Gowers gives an overview of the different psychological therapies available for children and adolescents with eating disorders, discussing in some detail family therapy, interpersonal therapy and cognitive behavioural therapy. More...
9/7/2009 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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Professor Shôn Lewis discusses the latest on prodromal psychosis. More...
8/27/2009 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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In this telephone interview, Dr David Klonsky discusses self-harm; non-suicidal self-injury, outlining what we mean by self-harm, its prevalence and discussing ways of making an assessment and assessing severity. More...
6/9/2009 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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In this podcast, Professor Michael King describes the first risk algorithm for major depression that he and colleagues have recently developed, modelled along the lines of risk algorithms for cardiac disease and other illnesses. More...
5/15/2009 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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In this telephone interview, Dr Rose McCabe discusses the importance of communication for the therapeutic relationship, the role of communication among non-specific effects and she describes how we can go about improving communication in the therapeutic setting as a means to improving patient outcome. More...
3/27/2009 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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Dr Amy Iversen talks on the topical subject of mentoring, highlighting the value it can bring to both mentee and mentor. Speaking from personal experience, she advises on the issues to bear in mind when setting up a mentoring programme; highlights qualities which make for a good mentor; and describes typical problems to occur. Discussing evidence to support mentoring she also emphasises the need for further research if we are to take mentoring forward in medicine. More...
3/23/2009 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Professional
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In this podcast, Dr Daniel Freeman gives an introduction to the cognitive behavioural approach for dealing with paranoid thoughts. More...
2/11/2009 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Academic,Clinical
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In this telephone interview, Dr Matthew Nock discusses the clinical assessment of suicide ideation and behaviour, and raises some of the problems faced by clinicians in this challenging field. He discusses in detail the development of a test known as the implicit association test which may be used in the future to help measure suicide risk without the need to rely on a patient’s self report. Talking about the common mistakes made by clinicians during clinical interview he also flags the importance of understanding a patient’s motivation and the need for clinicians to continue to develop predictive skills in assessing what is otherwise considered relatively unpredictable behaviour. More...
1/12/2009 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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In this podcast Martin Bohus gives an overview of Borderline Personality Disorder (BPD), explaining the condition in terms of its features and symptoms, and describing a number of psychological treatments available including that of his own specialty, Dialectical Behavioural Therapy. He also addresses the limited evidence for medical treatments. He discusses theories of aetiology including links with genetics and childhood physical traumatisation. More...
12/10/2008 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Academic,Clinical
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Vikram Patel gives an illuminating account of the practice of psychiatry in extreme low resource environments. He talks about the steps necessary to establish effective mental health care, describing first the assessment of needs, the importance of measuring the types of illness, prevalence and impact on daily life and the importance of efficient resourcing when planning. Whilst talking about the problems associated with institutions that still exist in some parts, he also talks about the beneficial work being carried out by other mental health care organisations. He is encouraging of the contribution that psychiatrists from more developed areas can make by working in these low resource environments. More...
10/29/2008 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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In this podcast, Dr Gerald Rosen talks about malingering and the motivations that can lead to simulated psychiatric disorder. He explains how to deal with a suspected case and how to achieve the best outcome whilst maintaining the therapeutic relationship, providing case examples and advice from his own wealth of clinical experience. More...
9/30/2008 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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Jean Théberge talks about the glutamatergic hypothesis of schizophrenia and discusses in some detail his study on longitudinal grey-matter and glutamatergic losses in first-episode schizophrenia (Théberge et al, 2007). More...
8/31/2008 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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Approximately 2-5% of children suffer from ADHD and in this podcast, Dr Katia Rubia begins by answering the question What is ADHD?, addressing the triad of symptoms – age inappropriate inattention, hyperactivity, impulsiveness – and raising some diagnostic and cultural issues. She then goes on to discuss in detail brain development and the neurobiological implications. More...
8/20/2008 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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Robert Schug, based at the University of Southern California, talks about the neuropsychology of schizophrenia. In particular he discusses the approach in relation to those schizophrenics who go on to develop personality disorder problems of the antisocial type. More...
7/18/2008 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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In this podcast Dr Gareth Owen gives an overview of phenomenology in psychiatry, discussing some of the historical background to the development of the discipline, some of the problems and how it relates in comparison with other disciplines such as a biological or psychological approach to a psychiatric disorder. He also touches on how we can bring a phenomenological undestanding into our daily practice. More...
6/4/2008 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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Approximately one in ten children suffer from anxiety disorders, and in this podcast Professor Ronald Rapee gives a broad overview of the different kinds of anxiety disorders common in children. He also discusses how anxiety disorders in children compare with those in adults, and highlights the nature of findings from epidemiological studies. He talks about some of the steps in diagnosis, and the aetiology behind anxiety disorders, including genetic and behavioural factors. Treatment is also touched on as well as some of the pitfalls to beware of when diagnosing and treating anxiety in children. More...
5/29/2008 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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In this podcast, Professor Jim van Os discusses the importance of gene-environment interactions in the understanding of the aetiology of psychiatric disorders. He talks about the influence of environmental factors as the causes of psychiatric disorders as well as the genetic basis for psychiatric disorder, and discusses significant laboratory research findings as evidence for their interactions. More...
5/15/2008 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Academic
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Professor Gerald Russell explores the issues surrounding the diagnosis and management of Eating Disorders. Outlining the different kinds of eating disorders that occur he also highlights the limitations of current classifications. He explores how psychiatrists make diagnoses and the factors that may make a diagnosis difficult. He goes on to discuss the important steps to take when planning the treatment and effective management of Eating Disorders. More...
4/1/2008 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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Mr Robert Young explores the issue of deliberate self-harm including suicide and attempted suicide. He discusses the epidemiology and risk factors involved and some of the psychiatric theories behind self-harm. He also talks about the kind of evidence base and psychiatric research available and identifies the reseach needs that would benefit the field, particularly with respect to psychiatric treatments, interventions and towards tackling the causes of self-harm. More...
3/25/2008 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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Professor Hamid Ghodse discusses the history of legally available amphetamine-type drugs and the staggering rise in their use, showing how mental health professionals need to be aware of the societal trends and professional attitudes that can lead to over-prescription and its damaging effects. More...
3/1/2008 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Academic,Clinical
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In this telephone interview, Dr Stephen Elsom talks from Australia on the topical issue of seclusion as an intervention for containing uncontrolled, disturbed behaviour of psychiatric patients. He discusses the research evidence regarding the use of seclusion and current thinking surrounding this practice. He also talks about methods that can be helpful to reduce the rate of seclusion used as an intervention. More...
1/8/2008 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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Dr Gerard Leavey explores some of the myths and truths surrounding the relationship between psychiatry and the clergy, looking at ways in which they can work together more effectively. More...
12/17/2007 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical,Professional
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Dr Niall Crumlish talks about his experience of cross-cultural research in Malawi, providing valuable advice to anyone considering how to go about planning and conducting such research. He discusses the implications and practicalities of working in an area where psychiatric health is under-studied, some of the limitations, as well as the many rewards. More...
12/12/2007 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Academic
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Dr Steven Marwaha discusses some of the issues surrounding the topic of employment and schizophrenia, including different kinds of employment services and support available to those with schizophrenia, and also rates and correlates of employment for people with the illness. More...
12/11/2007 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Academic,Professional
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Dr Lisa Page discusses the provision of public health services in the UK and the implications of environmental hazards and incidents on psychiatry and psychogenic illness. More...
11/27/2007 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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Professor Peter Woodruff discusses the latest research findings and neuroimaging techniques which uncover the underlying neurobiological processes behind auditory hallucinations. More...
7/27/2007 | Download
Minimum recommended time: 45 minutes | Credits: 0.75 | CPD Domains: Academic,Clinical
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Dr Frank Holloway discusses his new book “Enabling Recovery: The Principles and Practice of Rehabilitation Psychiatry”, which focuses on the patient-centred approach and emphasises the importance of incorporating the medical model of psychiatry with a more socio-psychological model. More...
7/25/2007 | Download
Minimum recommended time: 60 minutes | Credits: 1 | CPD Domains: Clinical,Professional
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Dr Helen Minnis discusses the issue of attachment in psychiatry and the importance of attunement in the caregiving relationship, taking a look at the current controversies over child care and giving guidance for psychiatrists on how to work with attachment difficulties. More...
7/25/2007 | Download
Minimum recommended time: 45 minutes | Credits: 0.75 | CPD Domains: Academic
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Professor Graham Thornicroft discusses the issue of stigma, looking at the current research and asking what can be done at local and national levels as well as by psychiatrists themselves to combat the stigmatisation of people with mental illness. More...
7/5/2007 | Download
Minimum recommended time: 45 minutes | Credits: 0.75 | CPD Domains: Clinical,Professional
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Professor Matthew Hotopf discusses how to minimise bias in case-control studies and looks at solutions to the problems of recruiting, how many subjects to use and why it is important to report recruitment methods. More...
5/18/2007 | Download
Minimum recommended time: 30 minutes | Credits: .5 | CPD Domains: Academic,Clinical
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Professor Anthony David talks about the associations between insight and mental disorders, particularly schizophrenia. More...
4/23/2007 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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Vanessa Pinfold discusses the importance of sharing service user information with carers, giving pointers on how to do this without breaking patient confidentiality. She emphasises the importance of professional judgement in decisions over what information to share or withhold and suggests strategies for improving current practices. More...
2/26/2007 | Download
Minimum recommended time: 45 minutes | Credits: 0.75 | CPD Domains: Clinical,Professional
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Dr Paul Allen challenges current thinking on the aetiology of auditory verbal hallucinations, describing how current cognitive and physiological models may be insufficient to account for these internal experiences. More...
2/26/2007 | Download
Minimum recommended time: 45 minutes | Credits: 0.75 | CPD Domains: Academic,Clinical
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Professor John Gunn challenges some common notions of the relationship between mental illness and homicide, taking a detailed look at the possible contributing factors towards violent behaviour in people with schizophrenia. Some questions posed are: Who is most at risk of attack? What happens in court? What should consultants consider in the management of patients with schizophrenia who may become violent? More...
1/23/2007 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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Dr Leonie Boeing talks about her recent study and its findings,
discussing some common problems experienced by adolescents with psychosis, management of their needs and current shortcomings in care provision. More...
1/23/2007 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Academic,Clinical
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Dr Quinton Deeley talks about the skills and abilities involved in empathy and which psychiatric disorders are most closely linked to it. More...
12/19/2006 | Download
Minimum recommended time: 45 minutes | Credits: 0.75 | CPD Domains: Academic,Clinical
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Dr Mike Doyle discusses the main approaches to assessing risk for violence and critiques how clinicians communicate risk judgements. More...
12/22/2006 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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In this podcast, we have combined two recordings: the second recording follows on immediately from the first. When you have finished listening, you can take the module test to gain CPD accreditation. More...
11/20/2006 | Download
Minimum recommended time: 60 minutes | Credits: 1 | CPD Domains: Academic,Clinical
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In this podcast we have combined two recordings: the second recording follows on immediately from the first. When you have finished listening, you can take the module test to gain CPD accreditation. More...
11/22/2006 | Download
Minimum recommended time: 60 minutes | Credits: 1 | CPD Domains: Clinical
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This podcast takes a look at the recovery focus system and discusses the role of mental health professionals within the Recovery Model. More...
10/24/2006 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical,Professional
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In this podcast Professor Ming T. Tsuang talks to Dr Persaud about family constellation patterns for schizophrenia and how we can tease out the differences between environmental and genetic factors. More...
10/24/2006 | Download
Minimum recommended time: 30 minutes | Credits: 0.5 | CPD Domains: Clinical
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