A General Hospital Patient is Not a NUT

1979 ◽  
Vol 9 (1-2) ◽  
pp. 67-74 ◽  
Author(s):  
D.J.W. Striimpfer
Keyword(s):  
General Hospital ◽  
Physical Illness ◽  
Psychological Problems ◽  
Physical Disorder ◽  
Academic Training ◽  
Psychological Disturbance ◽  
Affective Distress ◽  
Psychological Reactions ◽  
Adaptive Value ◽  
Hospital Patients

Psychological problems of general hospital patients are related to physical illness and disability, and/or physical disorder produced by affective distress. The typical emphasis on psychopathology during academic training, and the orientation towards psychiatry during internships maladapt clinical psychologists for work with such patients. This argument is supported by diverse illustrations: psychological disturbance in pregnant women, psychological problems of patients in intensive care units, the inappropriateness of a psychopathological approach to the psychological aspects of coronary heart disease, and the adaptive value of denial in some instances of physical illness. Psychological reactions to medical conditions can be understood better in terms of developmental crisis. Implications for training are mentioned.

scholarly journals Origins of a Section: liaison psychiatry in the College

2001 ◽  
Vol 25 (8) ◽  
pp. 313-315 ◽  
Author(s):  
Geoffrey G. Lloyd
Keyword(s):  
Psychiatric Disorder ◽  
General Hospital ◽  
Psychological Problems ◽  
Surgical Patients ◽  
Liaison Psychiatry ◽  
High Prevalence ◽  
Abundant Evidence ◽  
Hospital Patients ◽  
The Uk

Why has liaison psychiatry been slow to develop in the UK? The asylum mentality and the current flight into the community have focused psychiatric resources on chronic psychotic illnesses, neglecting the psychological problems of general hospital patients. Nevertheless, there is abundant evidence that medical and surgical patients have a high prevalence of psychiatric disorder that can be effectively treated with psychological or pharmacological methods.

Staff confidence, morale and attitudes in a specialist unit for general hospital patients with dementia and delirium-a qualitative study

2014 ◽  
Vol 29 (12) ◽  
pp. 1315-1317 ◽  
Author(s):  
Karen Spencer ◽  
Pippa E. R. Foster ◽  
Kathy H. Whittamore ◽  
Sarah E. Goldberg ◽  
Rowan H. Harwood
Keyword(s):  
Qualitative Study ◽  
General Hospital ◽  
Hospital Patients

Physical Disorder Among Day Hospital Patients

1978 ◽  
Vol 133 (1) ◽  
pp. 22-27 ◽  
Author(s):  
Aggrey W. Burke
Keyword(s):  
Psychiatric Diagnosis ◽  
Neurological Disorder ◽  
Folate Deficiency ◽  
Brain Disease ◽  
Physical Disorder ◽  
Day Hospital ◽  
Hospital Patients ◽  
Organic Brain Disease ◽  
Organic Brain ◽  
Routine Investigations

SummaryDuring a six-month period, physical disorder was found among 50 per cent of the 133 patients at a day hospital. Few of these cases (5) had organic brain syndromes. Among the remainder (62) physical disorder was not associated with sex, formal psychiatric diagnosis or time of referral to the hospital; of those 33 patients with a neurological disorder, one-third had previously been diagnosed to be hysterical. For this ‘hysterical’ group, however, associations with folate deficiency, organic brain disease, and depression were noted. The need is demonstrated for routine investigations among day hospital patients with particular attention for those with atypical features.

scholarly journals The present state of consultation and liaison psychiatry

1990 ◽  
Vol 14 (6) ◽  
pp. 321-325 ◽  
Author(s):  
Richard Mayou ◽  
Helen Anderson ◽  
Charlotte Feinmann ◽  
Gail Hodgson ◽  
Peter L. Jenkins
Keyword(s):  
General Hospital ◽  
Psychiatric Care ◽  
Community Care ◽  
Psychiatric Morbidity ◽  
Liaison Psychiatry ◽  
Major Pathway ◽  
Lower Priority ◽  
Strategic Plans ◽  
Hospital Patients ◽  
Hospital Doctors

Although referral by general hospital doctors is a major pathway to specialist psychiatric care, and there is known to be much clinically unrecognised psychiatric morbidity among general hospital patients, consultation and liaison services have received much less emphasis than community care. A 1984 survey found that consultation liaison services were haphazard (Mayou & Lloyd, 1985). Despite recent evidence of increasing clinical and academic interest, few local strategic plans refer to consultation and liaison services; even when mentioned they are given a lower priority than community developments (Kingdon, 1989).

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