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Volume 182 - January 2003

Contents

Page 1 of 12

Editorial

  • Ramifications of personality disorder in clinical practice

  • Peter Tyrer, Conor Duggan, Jeremy Coid
  • Published online by Cambridge University Press:
    02 January 2018, pp. s1-s2
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Editorial

  • Editorial Board

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    02 January 2018, p. A21
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Other

  • Editorial Board

  • Published online by Cambridge University Press:
    02 January 2018, p. A5
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  • Editorial board

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    02 January 2018, p. A9
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Editorial

  • Editorial Board

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    02 January 2018, p. A17
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Introduction

  • IGDA. Introduction

  • IGDA Workgroup, WPA
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    02 January 2018, pp. s37-s39
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Editorial

  • Editorial Board

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    02 January 2018, p. A13
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Other

  • Editorial board

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    02 January 2018, p. A1
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  • Psychiatry in pictures

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    02 January 2018, p. A22
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  • Psychiatry in pictures

  • Robert Howard
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    02 January 2018, p. A10
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Research Article

  • IGDA. 1: Conceptual bases – historical, cultural and clinical perspectives

  • IGDA Workgroup, WPA
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    02 January 2018, pp. s40-s41
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  • Diagnostic assessment is the process of appraising a patient's condition. It involves effectively engaging the patient in order to obtain accurate information relevant to understanding health problems (mental and general medical disorders), their context (psychosocial and environmental problems) and their impact on adaptive functioning and participation in society (disablements). A comprehensive diagnostic formulation represents a summary of the clinician's judgement about the overall condition of the patient, obtained as much as possible with the latter's collaboration. The main purpose of diagnosis is to serve as the basis for clinical care. Further objectives include to communicate concisely and reliably information on health problems, to understand their biopsychosocial pathogenesis and the interaction of internal and contextual factors, to enhance training and research, and – last but not least – to inform a collaborative process of care aimed at the restoration and promotion of health, functioning and quality of life (Fig. 1.1).

Other

  • Psychiatry in pictures

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    02 January 2018, p. A14
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  • Psychiatry in pictures

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    02 January 2018, p. A18
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Papers

  • Epidemiology, public health and the problem of personality disorder

  • Jeremy Coid
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    02 January 2018, pp. s3-s10
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  • Background

    The public health problem-solving paradigm is a comprehensive method not previously applied to preventive interventions for personality disorder.

    Aims

    To present an overview for clinical psychiatrists.

    Method

    Review of epidemiological research into DSM–IV Axis II disorders and application to the paradigm.

    Results

    Personality disorder affects a substantial proportion of the population. Burdens on health care, social and criminal justice agencies have yet to be accurately quantified. Debates continue over case definition, but there is increasing information on prevalence using ‘broad’ definitions and aetiology. A conceptual framework, based on development, suggests preventive interventions should be targeted in childhood. The public health approach also requires monitoring of risk factors operating at the population level.

    Conclusions

    Services in England and Wales for persons with personality disorder are currently inadequate. The problem-solving paradigm suggests new preventive interventions. Psychiatrists should renegotiate their relationship with policy-makers and reconsider their preventive role.

Other

  • Psychiatry in pictures

  • Robert Howard
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    02 January 2018, p. A6
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  • Psychiatry in pictures

  • Robert Howard
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    02 January 2018, p. A2
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Research Article

  • IGDA. 2: Interviewing the patient

  • IGDA Workgroup, WPA
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    02 January 2018, pp. s42-s43
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  • An appropriate setting for the psychiatric interview should be selected or arranged within the circumstances available. It should be as comfortable as possible for both patient and interviewer, protect privacy, and minimise external distractions.

Other

  • Highlights of this issue

  • Sukhi Shergill
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    02 January 2018, p. A11
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  • Highlights of this issue

  • Elizabeth Walsh
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    02 January 2018, p. A7
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  • Highlights of this issue

  • Elizabeth Walsh
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    02 January 2018, p. A15
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Page 1 of 12