scholarly journals Roles of psychiatrists and other professionals in mental healthcare

2005 ◽  
Vol 187 (2) ◽  
pp. 173-179 ◽  
Author(s):  
Giel Hutschemaekers ◽  
Bea Tiemens ◽  
Ad Kaasenbrood

BackgroundProfessional boundaries between psychiatrists and other mental health professionals are difficult to set. Empirical evidence for the distribution of diagnostic and treatment tasks among professionals is lacking.AimsThis study examines the ‘collective sense of the profession’ about the relationship between patient characteristics and the contribution of tasks by disciplines.MethodAn adapted RAND appropriateness method was used. Eighty-six professionals judged 77 case descriptions of psychiatric patients on the contribution to diagnostic and treatment tasks of eight selected disciplines.ResultsIn two multi-level models the variance explained by the judges' characteristics was 3.7% for diagnostic tasks and 4.5% for treatment tasks. The variance explained by the patient characteristics was zero for diagnostic and 0.5% for treatment tasks. The variance explained by the indicated disciplines was 36.8% for diagnostic and 12.6% for treatment tasks.ConclusionsThe collective sense of the profession on the contribution of psychiatrists to mental healthcare is unambiguous but not related to patient characteristics. It seems to be based on an apriori ranking order of disciplines.

2017 ◽  
Vol 41 (S1) ◽  
pp. s843-s843
Author(s):  
K. Vaiphei ◽  
P. Sreedaran ◽  
V. Sathyanarayanan

AimsStudies investigating attitudes of people with mental illness are scarce. The aim of the present study was to investigate person living with psychosis on their attitudes and perception towards the mental health professionals in contact with mental health services.MethodsAn in-depth interview was used to explore their lived experiences and attitude towards mental health professionals.ResultsBoth negative and positive attitudes were prevalent among the patients. Most negative attitudes concerned on not giving time, the MHPs are most interested in financial gains. They felt attitude changes according to diagnosis, psychosis perceived as diagnosis with violence; they are more interested in protecting themselves, perception that treating symptoms and not cause of illness. On the contrary, they felt positive on the relationship and time given to them.Discussion and conclusions The PLWI's attitude to MHPs could be a product of the type of admission (forced upon), symptoms related or on the type of service settings. The present study is purely qualitative, single settings, could not be generalised. However it points on the need for sensitization of MHPs and relationship building oriented intervention.Disclosure of interestThe authors have not supplied their declaration of competing interest.


1984 ◽  
Vol 54 (2) ◽  
pp. 475-481 ◽  
Author(s):  
Elizabeth V. Swenson ◽  
Ruth Ragucci

Research and theoretical notions on the relationship between mental health and androgyny have yielded contradictory statements. In the present study 42 practicing psychotherapists were asked to rate the mentally healthy person (sex unspecified), man, and woman on the Bem Sex-role Inventory. Analysis showed that masculine was the preferred category for the person, with androgynous more often used to describe the man and undifferentiated, the woman. Male and female ratees differed significantly in masculinity and femininity in the expected direction with the person midway between. Sex-role stereotyping remains prevalent among mental health professionals.


2014 ◽  
Vol 19 (1) ◽  
Author(s):  
Mosidi B. Serobatse ◽  
Emmerentia Du Plessis ◽  
Magdalena P. Koen

Background: Non-compliance to treatment remains one of the greatest challenges in mental healthcare services, and how to improve this remains a problem.Aim: The aim of this study was to critically synthesise the best available evidence from literature regarding interventions to promote psychiatric patients’ compliance to mental health treatment. The interventions can be made available for mental health professionals to use in clinical practice.Method: A systematic review was chosen as a design to identify primary studies that answered the following research question: What is the current evidence on interventions to promote psychiatric patients’ compliance to mental health treatment? Selected electronic databases were thoroughly searched. Studies were critically appraised and identifid as answeringthe research questions. Evidence extraction, analysis and synthesis were then conducted by means of evidence class rating and grading of strength prescribed in the American Dietetic Association’s manual.Results: The systematic review identifid several interventions that can improve patients’ compliance in mental health treatment, for example adherence therapy and motivational interviewing techniques during in-hospital stay.Conclusions: Conclusions were drawn and recommendations formulated for nursing practice, education and research.Agtergrond: Geen-samewerking met behandeling bly steeds een van die grootste uitdagings in geestesgesondheidsorgdienste, en genoegsame kennis oor hoe om dit te verbeter, is steeds ’n probleem.Doelwit: Die doel van hierdie studie was om die beskikbare bewyse vanuit literatuur aangaande intervensies ter bevordering van psigiatriese pasiënte se samewerking met geestesgesondheidsbehandeling krities te sintetiseer. Hierdie intervensies kan aan professionele gesondheidsorgpersoneel beskikbaar gestel word ter bevordering van psigiatriese pasiënte se samewerking met geestesgesondheidsbehandeling.Metode: ’n Sistematiese literatuuroorsig is gekies as die ontwerp om primêre studieste identifieer wat die volgende navorsingsvraag beantwoord: Wat is die huidige kennis ten opsigte van intervensies wat psigiatriese pasiënte se samewerking met geestesgesondheidsbehandeling bevorder?Resultate: Studies is ingesluit vir kritiese gehalte-beoordeling ten opsigte van metodologie, en is uiteindelik geïdentifieer as bronne van bewyse wat die literatuuroorsigvraag toepaslik beantwoord. Bewysonttrekking, -analise en -sintese is gedoen deur middel van die beoordeling van bewysklas en -gradering van bewyssterkte, soos voorgeskryf in die American Dietetic Association se handleiding. Die sistemiese literatuuroorsig het aangedui datdaar heelparty intervensies is wat psigiatriese pasiënte se samewerking met behandeling kan verbeter, byvoorbeeld samewerkingsterapie en motiveringsonderhoudstegnieke.Gevolgtrekking: Gevolgtrekkings is gemaak en aanbevelings is geformuleer vir die verpleegpraktyk, verpleegonderrig en navorsing in verpleging.


1992 ◽  
Vol 20 (3) ◽  
pp. 201-205 ◽  
Author(s):  
George K. Ganaway

The author reviews and comments on three articles (Shaffer & Cozolino, Gould & Cozolino, and Friesen) featured in the Journal of Psychology & Theology, 1992, 20(3) special issue on satanic ritual abuse. Issues explored include approaches to the factual validity of patient experiences; the diagnosis and treatment of the emotional sequelae of SRA; the existence of criminal satanic cults; basic premises on which observations and hypotheses about SRA are founded; the difficulty in extrapolating MPD data to SRA memories; the possibility of iatrogenic implantation of SRA “memories” through techniques of hypnotic interrogation; and the part transference issues and resistance may play in personality “splits.” The author affirms the importance of raising questions about the nature of the relationship between patients and therapists during psychotherapy, as well as the need for closer scrutiny of the various techniques being used to uncover and explore alleged trauma memories. The vulnerability of dissociative disorder patients to exploitation suggests the need to carefully review the standards of practice of mental health professionals, whatever their level of education and theoretical/technical persuasion.


2019 ◽  
Vol 109 ◽  
pp. 126-132 ◽  
Author(s):  
Leonie Hendrikoff ◽  
Lana Kambeitz-Ilankovic ◽  
Rüdiger Pryss ◽  
Fanny Senner ◽  
Peter Falkai ◽  
...  

2005 ◽  
Vol 32 (6) ◽  
pp. 591-611 ◽  
Author(s):  
Holly A. Miller

The Miller-Forensic Assessment of Symptoms Test (M-FAST) was developed to provide clinicians with a reliable and valid screen for malingered mental illness. Previous studies have demonstrated the development and initial validation of the M-FAST. The current analyses extend the M-FAST generalizability across literacy status and race and compare predictive utility with clinical opinion. Study 1 includes a sample of 280 forensic male psychiatric patients, 5 psychiatrists, and 8 psychologists. The psychiatric participants were administered the SIRS, M-FAST item pool, M Test, and MMPI-2. Study 2 includes an independent sample of 50 male forensic psychiatric participants and the 13 mental health professionals. Results provide evidence of generalizability of the M-FAST across literacy and racial groups. Results also indicate that the M-FAST produced higher classification accuracy than the M Test and clinical opinion, significantly reducing the number off alse negatives at the screening stage of malingering assessment.


2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Carlos De las Cuevas ◽  
Amado Rivero-Santana ◽  
Lilisbeth Perestelo-Pérez ◽  
Jeanette Pérez-Ramos ◽  
Pedro Serrano-Aguilar

2005 ◽  
Vol 29 (9) ◽  
pp. 327-329 ◽  
Author(s):  
Tayyeb A. Tahir ◽  
Jonathan I. Bisson ◽  
Jodie Wilcox

Aims and MethodTo assess the views of patients and mental health professionals on the practice of copying clinical letters to patients. Patients and professionals from local community mental health teams were asked to complete a questionnaire regarding their views.ResultsThe questionnaires were completed by 51 patients and 40 mental health professionals. Significantly more patients (83%) than staff (37%) thought that copying letters to patients was a good idea (OR=14.56, 95% CI 4.674 –45.158). Many staff appeared concerned that copying letters to patients could result in breakdown of the therapeutic relationship, causing distress and anxiety.Clinical ImplicationsConsiderable work is needed for clinicians to feel comfortable in copying letters to patients. The creation of working groups, including users, carers, managers and clinicians working in the field of mental health, would facilitate the development of guidelines for this practice.


1995 ◽  
Vol 23 (3) ◽  
pp. 151-160 ◽  
Author(s):  
Jeffrey H. Boyd

Theologians generally avoid the word soul, because of an anti-Plato battle that occurred between 1926 and 1958, leaving the word discredited. Searching for a substitute, most evangelical theologians use the word spirit instead, meaning the anthropological spirit. This article proposes that the word soul cannot be omitted from the theological vocabulary without leaving a vacuum. While soul and spirit are synonyms in the Bible, they are not complete synonyms. Soul emphasizes the earthly, carnal, and uniquely individual aspects of the inner person. When that word is omitted, theologians have a semantic blind-spot with regard to human psychology. It provides no theological vocabulary for discussing the relationship between psychology and theology. “Psyche” is the Greek word for soul, and secular psychotherapists routinely treat the soul, but not the spirit. The word ‘soul’ refers to the inner or subjective person in the natural state (whether saved or unsaved).


Sign in / Sign up

Export Citation Format

Share Document