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History of Psychiatry

South West Peninsula MRCPsych Course . History of Psychiatry . Friday 17/9/10 Timetable . 10:00 am: History of Psychiatry 11:30 am: Coffee Break 11:45 am-12:45 pm: Film documentary on History of Psychiatry “Shell-shock syndrome”

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History of Psychiatry

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  1. South West Peninsula MRCPsych Course History of Psychiatry

  2. Friday 17/9/10 Timetable 10:00 am: History of Psychiatry 11:30 am: Coffee Break 11:45 am-12:45 pm: Film documentary on History of Psychiatry “Shell-shock syndrome” 1:30 pm-2:30pm : Overview of Core Psychiatry Training in SWP. -MRCPsych Examinations (Paper 1, 2, 3 and CASC) -WPBA -Electronic Portfolio -ARCP THANK YOU

  3. Brief Information on Paper 1 of the MRCPsych General Adult History and mental state examination Cognitive assessment Neurological examination Assessment Aetiology Diagnosis Classification Basic Psychopharmacology Basic psychological processes Human psychological development Social psychology Description and measurement Basic psychological treatments Prevention of psychiatric disorder Descriptive psychopathology Dynamic psychopathology  **History of psychiatry** Basic ethics and philosophy of psychiatry Stigma and culture

  4. Paper 1 The MRCPsych Paper 1 will be 3 hours long, containing 200 questions. The paper will include both ‘best answer 1 of 5’ style MCQs and EMIs.  Approximately one third of the paper will be the EMI component.

  5. Recommended Bibliography Hilgard’s Introduction to Psychology By Rita Atkinson et al Symptoms in the Mind by Andrew Sims (Psychopathology) Fish’s Psychopathology: Sings and Symptoms in Psychiatry by Casey & Kelly Medical Ethics by Alastair Campbell et al Psychiatric Ethic by Sydney Block Every family in the land: understanding prejudice and discrimination against people with mental illness. (Arthur Crisp) Sociology as applied to medicine, Graham Sandler Revision Notes in Psychiatry, Basant Oxford Handbook of Psychiatry (David Semple)

  6. Resources for Paper 1 MRCPsych revision www.trickcyclists.co.uk (Free site, allows you access to true false questions) www.mrcpsych.com (free but not updated to new format) www.xamcram.com (free but you have to sign on) Online and Weekend / classroom revision courses Super Ego Café Course The Manchester Course The Birmingham Course The Oxford Course SPMM course The Cambridge Course

  7. History of Psychiatry South West Peninsula MRCPsych Course

  8. Ancient Treatments of “Mental Illness” • 10 000 BC onwards : Trepanation • 15 00 BC Ebers Pyparus (Egyptians): Described illness like Dementia Depression and Schizophrenia. • 14 00 BC Atharva Veda (ancient Indian test) • 1000 BC The Yellow Emperor Classic of Internal Medicine. • 450 BC Hippocratic Test: Moved a way from supernatural to rational explanation of causation (quoted depression, mania, hysteria and dementia) • 280 BC Theophrastus: 28 types of personalities or temperaments • 270 BC First Psychiatric Hospital (Bagdad) • 1247 Bethlam Hospital Funded (First Psych patient in 1930) today is part of SLAM

  9. Psychiatry Timeline • 1637 Decartes “Discourse de la Methode” body is something different from the mind • 1650—1950: The Asylum Era • 1667 Thomas Willis • 1792 Philippe Pinel (improving asylums and classifications). William Tuke took these Ideas to the UK York retreat. • 1845 Lunacy Act in the Asylum Era, replacing private madhouse. • 1852 Morel (France) makes referene to Dementia Praecox. • 1863 Kahlbaum described hebephrenia • 1869 Beard described Neuroasthenia • 1895 Freud and Breuer published Studies on Hysteria • 1899 Emil Kraepelin established nosology which dominate XIX century

  10. Psychiatry Timeline • 1907 Alzheimer’s • Eugene Bleuler’s group of scizophrenia • Karl Jasper General Psychopathology • 1914-1918 WW1 “Shell-shock Syndrome” • 1880 Johann Christian Reil quoted the term Psychiatry. • 1841 Association of Medical Officers for Asylums and Hospital for the insane • 1866 Medical Psychological Associations • 1971 became the RCPsych

  11. Asylum the Good Bad and Ugly

  12. Publications on Psychiatry

  13. The Road to Modern Psychopharmacology

  14. 2WW 1WW Lunacy Acts 1890 Clunis Report Years

  15. Psychiatry History in the Cinema Witch finder General (1968 Michael Reeves) Freud (1962 John Huston) The Snake Pit (1948 Anatole Litav) One Flew over the Cuckoo’s nest (1975 Milos Forman) Family Life (1971 Ken Loach)

  16. Core Training

  17. WPBA minimum required per year from CT1-CT3 • ACE 2 for CT1 and 3 for other CT • mini-ACE 4 • CbD 4 • mini-PAT 2 • SAPE 1 • CBOGA 2 • DONCS • WPBA Recommended number per year • CP 1 • JCP 1 • DOPS As the opportunity arises • AoT A the opportunity arises

  18. WPBA Undertaken by • ST1-3 trainees can be assessed by: • ST4-6 trainees • SpRs • Associate Specialists • Consultants • Band 7 nurses or psychologists or the equivalent

  19. Portfolio • Details of individual posts held including  job plan, timetable, learning objectives, and progress towards achieving objectives • Log or record of clinical activity (type and number of clinical contacts) • Record of psychotherapy experience and supervision • All workplace based assessments including observed clinical practice and any other clinical review data • List of competencies relevant to ST level • Audit reports/records • Reflective notes (e.g. consideration of significant events) • Record of teaching activity including feedback or other assessment data • Records of clinical and educational supervision • Declaration of interests

  20. Portfolio (continuation) • Note of any health concerns • Management activity (e.g. committee or project work) • Research activity including supervision record, ethical committee application/approval, presentations, publications • Record of posters and presentations (e.g. at College Divisional or Faculty meetings) • Examinations taken and results • Copies of important documents such as GMC registration, membership certificates • Copies of NHS appraisal sign off • Structured reports from supervisors and tutors

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