As the National Health Service celebrates 75 years, this book reflects not only on its successes but also on its challenges. Society, medicine and technology have all changed considerably since its founding in 1948 so what can, and should, the NHS do to adapt to remain fit for purpose? This thought-provoking book is made up of interviews with healthcare leaders, policymakers and practitioners, journalists and patient representatives. Bookended with chapters linking the interviews with the history and the future of the NHS, the book addresses questions such as: What are the NHS’s strengths and weaknesses? How could the NHS be adapted and how should it be set up if founded today? How should the NHS recognised the relationship between physical health, mental health, social care and public health? How should the NHS be funded? How do we understand the social contract between patients, medical and allied professions and the government? How can we manage workforce development? How should the NHS address issues around social justice and equity of access? Timely and important, this book promotes debate and critique around key issues in managing healthcare. Relevant to all those working in the NHS, it is also a valuable contribution for healthcare professionals undertaking further study on management and leadership. All royalties from this book are being donated to The Patients Association.

Geographically and demographically Asia is a huge region with a large number of societies and cultures, each affected by their own unique problems including over-population, major natural disasters, poverty and changing social and economic factors. Inevitably this means that different mental health needs have developed across the region. Colonialism, globalization, industrialization and urbanization have brought major demographic and cultural shifts in the region but clinical mental health practices and services and societal attitudes to mental health issues vary enormously. This handbook surveys the state of the current psychiatric care field across the whole Asia-Pacific region. Focusing on individual countries, each chapter will include: A summary of factors affecting the practice and provision of psychiatric care, including cultural attitudes to mental health issues Coverage of the conceptualisation, causation and prevalence of mental health issues in society An overview of mental health care services and systems available and workforce training Coverage of country specific innovative practices and folk therapies As the first major reference work on psychiatric care in Asia this book is an essential resource for scholars and students researching mental health in Asia as well as psychiatrists and other mental health professionals working in the region.

Dinesh Bhugra is president elect of the British Medical Association and the World Psychiatric Association.

Attempted suicide is a matter of serious public health concern. Culture and Self-Harm considers the factors that may contribute to this increased rate of self-harm and suicide among south Asians in London, which cannot be blamed on migration alone. Cultural pressures that dictate the way stress is dealt with are examined and the effects of cultural conflict and changes in an individual's cultural identity are considered. Culture and Self-Harm offers a new preventative strategy that will be of theoretical and clinical interest to all mental health professionals, social workers, voluntary and primary care workers. It will help them understand significant factors that play a key role in the lives of south Asians who attempt suicide and what lessons can be learnt for dealing with other ethnic groups with the same problems.

This is the first book to investigate how mental illness is portrayed in Hindi cinema. It examines attitudes towards mental illness in Indian culture, how they are reflected in Hindi films, and how culture has influenced the portrayal of the psychoses. Dinesh Bhugra guides the reader through the history of Indian cinema, covering developments from the idealism of the 1950s to the stalking, jealousy and psychopathy that characterises the films of the 1990s. Critiques of individual films demonstrate the culture's approach towards mental illness and reflect the impact of culture on films and vice versa. Subjects covered include: cinema and emotion; attitudes towards mental illness; socio-economic factors and cinema in India; Indian personality, villany and history; and psychoanalysis in the films of the 60s. Mad Tales from Bollywood will be of interest to psychiatrists, mental health professionals, students of media and cultural studies and those with an interest in Indian culture.

Attempted suicide is a matter of serious public health concern. Culture and Self-Harm considers the factors that may contribute to this increased rate of self-harm and suicide among south Asians in London, which cannot be blamed on migration alone. Cultural pressures that dictate the way stress is dealt with are examined and the effects of cultural conflict and changes in an individual's cultural identity are considered.
Culture and Self-Harm offers a new preventative strategy that will be of theoretical and clinical interest to all mental health professionals, social workers, voluntary and primary care workers. It will help them understand significant factors that play a key role in the lives of south Asians who attempt suicide and what lessons can be learnt for dealing with other ethnic groups with the same problems.

'This book can be recommended to all those wishing to learn more about religion and its relationship to psychiatric practice.' - The British Medical Journal
Psychiatry and Religion brings together fifteen senior mental health practitioners and pastoral workers to explore what their different philosophies have to offer to the individuals in their care. The book attempts to narrow the gulf between spiritual and psychological welfare and promote greater understanding of the relationship between the two.
A variety of denominational perspectives are covered including Christianity, Judaism, Hinduism and Islam, as well as newer religions. The book examines the positive and negative effects that strict moral codes and religious rituals can produce and shows how awareness of these effects is crucial to treatment of the patient.

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As the National Health Service celebrates 75 years, this book reflects not only on its successes but also on its challenges. Society, medicine and technology have all changed considerably since its founding in 1948 so what can, and should, the NHS do to adapt to remain fit for purpose? This thought-provoking book is made up of interviews with healthcare leaders, policymakers and practitioners, journalists and patient representatives. Bookended with chapters linking the interviews with the history and the future of the NHS, the book addresses questions such as: What are the NHS’s strengths and weaknesses? How could the NHS be adapted and how should it be set up if founded today? How should the NHS recognised the relationship between physical health, mental health, social care and public health? How should the NHS be funded? How do we understand the social contract between patients, medical and allied professions and the government? How can we manage workforce development? How should the NHS address issues around social justice and equity of access? Timely and important, this book promotes debate and critique around key issues in managing healthcare. Relevant to all those working in the NHS, it is also a valuable contribution for healthcare professionals undertaking further study on management and leadership. All royalties from this book are being donated to The Patients Association.

This is the first book to investigate how mental illness is portrayed in Hindi cinema. It examines attitudes towards mental illness in Indian culture, how they are reflected in Hindi films, and how culture has influenced the portrayal of the psychoses. Dinesh Bhugra guides the reader through the history of Indian cinema, covering developments from the idealism of the 1950s to the stalking, jealousy and psychopathy that characterises the films of the 1990s. Critiques of individual films demonstrate the culture's approach towards mental illness and reflect the impact of culture on films and vice versa. Subjects covered include: Cinema and emotion Attitudes towards mental illness Socio-economic factors and cinema in India Indian personality, villainy and history Psychoanalysis in the films of the 60s. Mad Tales from Bollywood will be of interest to psychiatrists, mental health professionals, students of media and cultural studies and anyone with an interest in Indian culture.

Geographically and demographically Asia is a huge region with a large number of societies and cultures, each affected by their own unique problems including over-population, major natural disasters, poverty and changing social and economic factors. Inevitably this means that different mental health needs have developed across the region. Colonialism, globalization, industrialization and urbanization have brought major demographic and cultural shifts in the region but clinical mental health practices and services and societal attitudes to mental health issues vary enormously.

This handbook surveys the state of the current psychiatric care field across the whole Asia-Pacific region. Focusing on individual countries, each chapter will include:

• A summary of factors affecting the practice and provision of psychiatric care, including cultural attitudes to mental health issues
• Coverage of the conceptualisation, causation and prevalence of mental health issues in society
• An overview of mental health care services and systems available and workforce training
• Coverage of country specific innovative practices and folk therapies

As the first major reference work on psychiatric care in Asia this book is an essential resource for scholars and students researching mental health in Asia as well as psychiatrists and other mental health professionals working in the region.

Significant changes were made to the way psychiatric trainees' skills are assessed for the MRCPsych examinations in 2007. Much teaching, learning and assessment now occurs in the workplace in real clinical situations, with the emphasis being on outcome as reflected by the performance of the doctor. This book outlines the workplace-based assessments (WPBAs) that are required by the current competency-based psychiatry curriculum. It has been updated, taking into account the experience gained since these assessments began. The authors explore the theory and practice of different assessment methods such as case-based discussion, long-case evaluation and directly observed practice, changes in the MRCPsych examinations and multi-source feedback. The second edition includes new chapters on Direct Observation of Non-Clinical Skills (DONCS), educational supervisor reports, the new online portfolio for trainees, workplace-based assessments in psychotherapy and views from trainees themselves. This book is essential reading for psychiatric trainers and trainees.

In psychiatry, as in many other medical disciplines, training is shifting from an emphasis on testing factual knowledge towards a system based on continuing assessment and the acquisition of practical skills and competencies. Workplace Based Assessments in Psychiatric Training describes current approaches to these new assessment systems around the world, provides practical advice regarding their implementation and makes recommendations for future developments. The book opens with an overview and analysis of methods of workplace-based assessments, followed by a review of the trainee assessment from the patient perspective. Chapters contain in-depth, detailed discussion of recent developments in Canada, Denmark, India, the UK and the USA. The book reviews both technical developments in assessment tools and techniques and the socio-political context within which these have taken place. With a practical focus and unique global perspective, this is a 'must buy' for anyone responsible for the supervision of psychiatric trainees.

Human migration is a global phenomenon and is on the increase. It occurs as a result of 'push' factors (asylum, natural disaster), or as a result of 'pull' factors (seeking economic or educational improvement). Whatever the cause of the relocation, the outcome requires individuals to adjust to their new surroundings and cope with the stresses involved, and as a result, there is considerable potential for disruption to mental health. This volume explores all aspects of migration, on all scales, and its effect on mental health. It covers migration in the widest sense and does not limit itself to refugee studies. It covers issues specific to the elderly and the young, as well as providing practical tips for clinicians on how to improve their own cultural competence in the work setting. The book will be of interest to all mental health professionals and those involved in establishing health and social policy.

The recent transformation of postgraduate medical education has changed the landscape of psychiatric training. This handbook is a must for anyone trying to navigate the terrain. It covers a wide range of topics, from ethical reasoning in psychiatry to more practical aspects of coping at a personal level. It informs trainees about liaison with key players in their training and provides an overview of virtually every aspect of the trainee's professional life. The book will be invaluable for psychiatric trainees and trainers. Those who are interested in choosing psychiatry as a career will find it a useful introduction to the subject and to what psychiatrists do. This essential guide to postgraduate training in psychiatry is written and edited by opinion leaders in medical education and by doctors who have recently completed training. It takes a practical and accessible approach, focusing on personal development and well-being, as well as educational achievement.

As homelessness becomes an increasingly visible problem, the health care of homeless people is beginning to appear on the agenda of politicians, health care workers, and policy makers. In contrast with the popular stereotype of elderly alcoholic males or bag ladies which the word homeless tends to trigger, homelessness affects families as well as young single people. The health needs of these various groups are not homogeneous. This book brings together the experience of mental health care teams around the world in addressing the problems of mental illness in the homeless. The difficulties in assessment and service delivery are discussed at length with an emphasis on application of existing knowledge in health care. In addressing social policy implications as well as clinical management, models, and definitions of homelessness in different cultures, this volume will offer a practical support for all those working with the homeless on a day-to-day basis.

Dinesh Bhugra is president elect of the British Medical Association and the World Psychiatric Association.

Over the past fifty years we have seen an enormous demographic shift in the number of people migrating to urban areas, proliferated by factors such as industrialisation and globalisation. Urban migration has led to numerous societal stressors such as pollution, overcrowding, unemployment, and resource, which in turn has contributed to psychiatric disorders within urban spaces. Rates of mental illness, addictions, and violence are higher in urban areas and changes in social network systems and support have increased levels of social isolation and lack of social support. Part of the Oxford Cultural Psychiatry series, Urban Mental Health brings together international perspectives on urbanisation, its impacts on mental health, the nature of the built environment, and the dynamic nature of social engagement. Containing 24 chapters on key topics such as research challenges, adolescent mental health, and suicides in cities, this resource provides a refreshing look at the challenges faced by clinicians and mental health care professionals today. Emphasis is placed on findings from low- and middle-income countries where expansion is rapid and resources limited bridging the gap in research findings.

Over the past 70 years or so, psychiatry has come out of the shadows. With it, has come the truly exceptional leaders that have spearheaded the investigations, interventions, medications, and developments in new therapies, that have contributed to this change and helped shape psychiatry as a discipline. These legendary personalities have helped develop entirely new schools of thought as well as challenge both dogma and stigma that have hounded psychiatry and psychiatrists. They've had a profound impact on policies and have been mentors, supervisors, and role models to new generations of young psychiatrists, creating an environment and the foundations for further developments of the discipline. Comprising 26 unique interviews, the conversations in this fascinating book tell of numerous personal and professional challenges on multiple fronts, and how these have been overcome. Their stories of achievements, struggles, and leadership are truly exceptional sources of inspiration for generations to come. Capturing the compelling personal experiences and views of some of the great thought leaders in psychiatry, the insights in this book will appeal to future generations of academics, clinicians, health care professionals, as well as anyone with an appetite for a diverse array of life stories.

Evidence indicates a correlation between early intervention and improved response in psychiatric disorders. Yet the majority of evidence is from high-income countries, and there is a lack of evidence and resources on the impact of early intervention across cultures and in low- and middle-income countries. Early Intervention in Psychiatric Disorders across Cultures aims to bridge this gap by focusing on the evidence and methods of intervention in less affluent countries. It covers mood disorders, personality disorders, addictions, and other psychiatric conditions, whilst most research has focused on psychoses and bipolar disorder. Over 17 chapters, this resource guides the reader through an array of approaches to early intervention, from brain imaging and available care pathways, to cultural and societal factors. Part of the Oxford Cultural Psychiatry series, this resource offers readers a picture of the current health care pathways available as well as social, cultural, and ethical considerations to apply in practice.

Religiosity and spirituality (R/S) represent a very important factor of daily life for many individuals across different cultures and contexts. It is associated with lower rates of depression, suicide, mortality, and substance abuse, and is positively correlated with well-being and quality of life. Despite growing academic recognition and scientific literature on these connections this knowledge has not been translated into clinical practice. Part of the expanding Oxford Cultural Psychiatry series, Spirituality and Mental Health Across Cultures is a timely exploration of the implications of R/S on mental health. Written and edited by 38 experts in the fields of spirituality and mental health from 11 countries, covering a wide range of cultural and geographical perspectives, this unique resource assesses how mental health relates to world religions, agnosticism, atheism, and spiritualism unaffiliated with organised religion, with a practical touch. Across 25 chapters, this resource provides readers with a succinct and trustworthy review of the latest research and how this can be applied to clinical care. The first section covers the principles and fundamental questions that relate science, history, philosophy, neuroscience, religion, and spirituality with mental health. The second section discusses the main beliefs and practices related to world religions and their implications to mental health. The third reviews the impact of R/S on specific clinical situations and offers practical guidance on how to handle these appropriately, such as practical suggestions for assessing and integrating R/S in personal history anamnesis or psychotherapy.

Cultural psychiatry deals with the impact of culture on causation, perpetuation and treatment of patients suffering with mental illness. The role of culture in mental illness is increasingly being recognised, and the misconceptions that can occur as a result of cultural differences can lead to misdiagnoses, under or over-diagnosis. This second edition of the Textbook of Cultural Psychiatry has been completely updated with additional new chapters on globalisation and mental health, social media and tele-psychiatry. Written by world-leading experts in the field, this new edition provides a framework for the provision of mental health care in an increasingly globalised world. The first edition of the Textbook of Cultural Psychiatry was commended in the BMA Book Awards in 2008 and was the recipient of the 2012 Creative Scholarship Award from the Society for the Study of Psychiatry and Culture.

Migrant psychiatry is an evolving subdiscipline within cultural psychiatry that deals with the impact of migration on the mental health of those who have migrated and those who work with these groups and provide services to them. Stress related to migration affects migrants and their extended families either directly or indirectly. The process of migration is not just a phase, but leads on to a series of adjustments, including acculturation, which may occur across generations. Factors such as changes in diet, attitudes and beliefs, and overall adjustment are important in settling down and making the individuals feel secure. This period of adjustment will depend upon the individual migrant's pre-migration experiences, migration process and post-migration experiences, but also upon an individual's personality, social support and emotional response to migration. Socio-demographic factors, such as age, gender, educational, and economic status will all play a role in post-migration adjustment. In order to understand the impact on individuals, not only the type of migration and different stressors, but also the types of psychological mechanisms at a personal level and the resources and processes at a societal level need to be explored. Despite the number of refugees and asylum seekers around the world increasing at an astonishing rate, the mental health needs of migrants are often ignored by policy makers and clinicians. The Oxford Textbook of Migrant Psychiatry is designed to serve as the comprehensive reference resource on the mental health of migrants, bringing together both theoretical and practical aspects of the mental health needs of refugees and asylum seekers for researchers and professionals. Individual chapters summarise theoretical constructs related to theories of migration, the impact of migration on mental health and adjustment, collective trauma, individual identity and diagnostic fallacies. The book also covers the practical aspects of patient management including cultural factors, ethnopsychopharmacology, therapeutic interaction and therapeutic expectation, and psychotherapy. Finally, the book will examine special clinical problems and special patient groups. Part of the authoritative Oxford Textbooks in Psychiatry series, this resource will serve as an essential reference for psychiatrists, mental health professionals, general practitioners/primary care physicians, social workers, policy makers and voluntary agencies dealing with refugees and asylum seekers.

Prevention of mental illness and mental health promotion have often been ignored in the past, both in undergraduate and postgraduate curricula. Recently, however, there has been a clear shift towards public mental health, as a result of increasing scientific evidence that both these actions have a serious potential to reduce the onset of illness and subsequent burden as a result of mental illness and related social, economic and political costs. A clear distinction between prevention of mental illness and mental health promotion is critical. Selective prevention, both at societal and individual level, is an important way forward. The Oxford Textbook of Public Mental Health brings together the increasing interest in public mental health and the growing emphasis on the prevention of mental ill health and promotion of well-being into a single comprehensive textbook. Comprising international experiences of mental health promotion and mental well-being, chapters are supplemented with practical examples and illustrations to provide the most relevant information succinctly. This book will serve as an essential resource for mental and public health professionals, as well as for commissioners of services, nurses and community health visitors.

In recent years, mental illness has been frequently discussed in relation to radicalization, violence, and terrorism, yet there are few resources that explore the broad range of interconnecting factors that lead to this complex behavioural phenomenon. Terrorism, Violent Radicalization and Mental Health brings together distinct disciplinary and ideological narratives on the political, social, economic, and cultural aspects of radicalisation and terrorism today. Across 18 chapters, it assesses a wide range of groups and types of extremism and terrorism from around the world, as well as key topics such as technology, social and international policies, ethics and cultural competency, and the role psychiatrists and mental health professionals play in treatment, management, and prevention. Written and edited by a multidisciplinary team of mental health professionals, researchers, and legal experts from around the world, this resource bringing together theoretical and evidence-based perspectives, as well as practical real-life cases and first-person accounts, and suggestions for future interventions.

Thoughout the world the number of refugees and asylum seekers continues to increase at an astonishing rate. Given that most will have left their country due to persecution, war, or appalling violations of their human rights, many will have specific mental health needs. Cultural and socioeconomic factors play a major role in expressions of distress, help seeking, pathways into care, and acceptance or rejection of treatments. Being a refugee or asylum seeker raises questions about an individual's self respect and altered identity. Too often though, the needs of this population are ignored by policy makers and clinicians, and these people are left to fend for themselves.
Mental Health of Refugees and Asylum Seekers presents both the theoretical and practical aspects of the mental health needs of refugees and asylum seekers. It looks at the impact of migration on mental health and adjustment, collective trauma, individual identity, and diagnostic fallacies. A practical section highlights cultural factors, ethnopsychopharmacology, therapeutic interaction, therapeutic expectation and psychotherapy. The final part of the book focuses on special problems - such as bereavement, sexual violence, and post traumatic stress disorders, as well as considering mental health problems in special groups, such as child refugees.
This book will be an essential resource for all mental health professionals- helping them better understand the needs of refugees and asylum seekers, how their problems can be managed, and how they can best be helped.