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.

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.

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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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.

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.

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.

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.

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.

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.

In mental health, as in other medical disciplines, the role of the professional is changing. The availability of information, enhanced roles of other healthcare professionals and changes in training have altered the doctor-patient relationship and left professionals accountable to the needs of clients, politicians, policy makers and funding agencies. This book seeks to redefine the professional role of the specialist mental health worker by bringing perspectives from leading experts from both developed and developing countries, and also from a wide range of professionals in the field of law, medical ethics, education and medical leadership. Uniquely, it also looks at the views of patients and next-generation psychiatrists. It will be of interest to those involved in providing mental healthcare as well as those responsible for health policy initiatives and training.

A sound practical guide to the complex world of management in psychiatric practice. It gives a theoretical overview of the management, structure, funding and politics of the NHS and focuses on both the various skills necessary for running services and personal development skills, with an emphasis on leadership and medical management skills.

Models and theories of psychopathology and their associated clinical practice do not represent scientific fact so much as a variation in perspective within psychopathology itself. Several favoured models exist within any society at a given time, and as well as changing historically over time, they also differ culturally between societies. This book examines: . the similarities, differences and points of integration in the main models of psychopathology . how the theoretical conceptualizations underpinning these models are reflected in the theory and the clinical practice of different schools of psychotherapy . how various models are used in everyday practice . whether clinicians adhere to the rules of a given model or whether, in fact, there is more integration in practice than there appears to be in theoretical conceptualizations. Models of Psychopathology is aimed at advanced undergraduates and postgraduate students of clinical psychology, counselling psychology, psychotherapy and counselling. It will also be of interest to therapy students in professional training courses and experienced clinicians who want to know more about this aspect of psychotherapy.

`The book will be of interest, and easily read by anyone working with a multi-ethnic clientele and should be required reading for anyone in the field of mental health' -Journal of the Canadian Academy of Child and Adolescent Psychiatry `I recommend this book as an important addition to the literature on mental health and on racism...this is a book well worth readying and studying.' - Transcultural Psychiatry Sept 2005 `Kam Bhui makes a valuable and important contribution to our understanding of culture and ethnicity. I strongly advise all psychiatrists, both consultants and trainees, to read this book and to respond honestly to the challenges it presents. It demonstrates the value of political and social analyses of our work in the training of psychiatrists. But for me, its greatest value is in the way it shows how we must acknowledge the influence of our own histories and cultural backgrounds on the way we approach our work and those we struggle to help. The Other will cease to be an Other only when we accept the Other in ourselves.' -British Journal of Psychiatry `This is a refreshing addition to the growing body of literature on racism and mental health. Bhui draws together personal and professional experiences with current research evidence to provide a cogent analysis of the relationship between racism and mental health from both theoretical and experiential perspectives. The particular strength of this model is that it is anchored in the lived experiences of black service users...[It] should be a call to action for all mental health practitioners.' -Mental Health today `The book provides an excellent illustration of the extent of institutional racism, not just in mental health, but within the NHS as a whole and should be widely used particularly in education institutions and medical schools.' - community practitioner This thought-provoking book investigates the impact of racism (both conscious and unconscious) in mental health settings, covering individual clinical encounters and the broader picture of service provision. The authors offer insights into manifestations of racism in contemporary Britain; racial and cultural identity and the significance of these in psychotherapy; and the inequalities in provision of mental health services to minority ethnic communities. They consider the problems of racism and mental health, not in isolation but in the larger context of cultural difference and social inequalities, and also on the level of human relationships. Bringing together the experiences of mental health professionals and incorporating a service user's perspective, this book provides many practical strategies for addressing racism and dealing with its effects in psychiatric work, and will prove useful and informative to practitioners in many areas of mental health work.

Written predominantly for those working in the mental health services, this book aims to extend the theory and practice of psychiatry. The chapters explore the culture of psychiatry as well as seeking to reaffirm the importance of anthropology for understanding psychiatric practice and psychological disorders in both socio-historical and individual contexts. The development and use of psychiatric diagnostic categories, the nature of expressed emotion within cross-cultural contexts and the religious context of perceptions of pathological behaviour are all refracted through an anthropological perspective. The second part of this book focuses clinical applications.

This book unravels the mental health challenges of the migrants and the socio economic and cultural conditions that bear on the mental well being. In addition, it covers the measures of intervention that can help the migrants maintain or restore their mental well being. Research included in the book is timely given that there is ever increasing mobility of people which on one hand has led to better livelihoods, but on the other has created conditions of stress for the migrants and their families. As migrants are often found to be hesitant of using the health care facilities in the new place which may be due to the lack of awareness, this book elaborates on the health care facilities, cost issues, stigma, and several other factors.