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British Journal of Clinical and Social Psychiatry scp3.gif (3982 bytes)
April 1999

Vol. 10 (1999) , no.1     

Editor: Dr. D. Bhugra

Institute of Psychiatry

 

CONTENTS

FOREWORD

MICHAEL T HASLAM Chairman of the Society of Clinical Psychiatrists

A WORD OF THANKS

PETER TOMLIN Secretary of the Society’s Study Group

A STUDY OF A PSYCHIATRIC FOLLOW-UP OUT-PATIENT CLINIC

AJIT K. SHAH

A TEN-YEAR DESCRIPTIVE FOLLOW-UP STUDY OF 50 DELINQUENT BOYS

MARY KELLY,  BERNADETTE MACKEY, and MICHAEL FITZGERALD

ACUTE PANCREATITIS AND CLOZAPINE IN THE ELDERLY

K R NICHOLLS and T S ANANTHANARAYANAN

CLINICAL OPINION ON UPPER DOSE LIMITS OF ANTIPSYCHOTIC DRUGS BETWEEN 1985 & 1991

P.E. HARRISON-READ PHD FRCPSYCH, D. MARCHEVSKY MRCPSYCH and J. STEINERT

INSIDE THE MENTAL HEALTH REVIEW TRIBUNAL

P. GRAHAME WOOLF

BOOK REVIEWS


NOTICE TO AUTHORS

Two copies of the typescript of articles should be submitted, together with a disc. A summary should precede the main text, and be followed by a short list of key words. A good length for articles would be up to eight sides of double-spaced typing (A4).

The S.C.P. would be grateful if members would kindly bring the Journal to the attention of librarians.


THE SOCIETY OF CLINICAL PSYCHIATRISTS

(Chairman Dr Michael T Haslam MA MD FRCP FRCPsych)

Was founded in 1958 and is an independent group, in a sense complementary to the Royal College of Psychiatrists. Its informality is its strength and, being a non-official body, it can express the views of senior psychiatrists more freely.

The Society invites the membership of progressive, creative psychiatrists, who seek a forum for the advancement of the speciality. The strength of its overseas membership suggests that the wider psychiatric world is keenly interested in Britain's contribution to our developing area of medical practice.

Study Groups of the S.C.P. examine issues of topical interest, with the aims of reflecting and influencing psychiatric opinion. Study Group Reports are received by all members.

Meetings of the Executive Committee are held every two months, either in London or in other British centres. The agenda and minutes are sent to all members, who are encouraged to attend.

The Society produces the British Journal of Clinical & Social Psychiatry. Copies of S.C.P. Reports are available from

Dr M P K Twomey, Hon. Secretary,

Keepers Cottage, Barrock Place, Southwaite,

Carlisle CA4 0JS.

Visit The Society of Clinical Psychiatrists on the Internet at www.scpnet.com


FOREWORD by Dr Michael T Haslam, Chairman of the Society of Clinical Psychiatrists

I welcome this opportunity to introduce the relaunched journal of the Society. We have had two difficult years with the loss of our previous sponsor and a change in Editor, but are most grateful to Dinesh Bhugra for filling the editorial gap.

However, we hope now that with new production and printing arrangements we can see ahead, and I look forward to a new era in the Society’s history and a new spirit in psychiatry to take us through into the next millennium.

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A WORD OF THANKS from Dr Peter Tomlin, Secretary of the Society’s Study Group from Dr Peter Tomlin, Secretary of the Society’s Study Group from Dr Peter Tomlin, Secretary of the Society’s Study Group

The Society’s present Study Group has continued to campaign for wrongly suspended doctors and has brought their plight to widest possible notice, with notable recent success. It tries also to provide a therapeutic service for individuals when matters threaten to overwhelm them.

Emigration used to be one escape avenue previously, some of these doctors resorting to the extreme of becoming economic exiles without there having been any finding of guilt. That escape route is being lost now as the General Medical Council may refuse to give a certificate of Good Standing to anyone suspended who might be contemplating emigrating.

The stress in every case is enormous and affects all members of any suspended doctor’s family. Wives find the situation particularly hard to bear, and it has caused at least one marriage to crash.

Harry Jacobs, our late Chairman, always managed to find someone locally who could go the aid of a distressed doctor; he knew so many people around the country. Regrettably, not being a psychiatrist myself, I do not have those sort of contacts, so have relied instead upon the membership list of the Society. I would say that this has been marvellous. I have yet to encounter a situation where I have been unable to find someone who has been able to help. I would like to express my grateful thanks to all who have provided the necessary care.

What is involved substantially is listening, showing that they are not alone in the world. A key aspect, which takes it beyond the realms of simple counselling, is using the psychiatrist's professional expertise to decide if therapeutic intervention, or even admission to a place of sanctuary, is necessary. Retired psychiatrists have been of particular value, since they have been able to give their undivided attention to the doctor, whilst at the same time some find it professionally satisfying that their skills and expertise are of help to severely distressed colleagues. As always, it involves working in conjunction with the suspended doctor’s general practitioner.

It has been well worth it. My observation of the suspended doctors is that they have found it extremely beneficial. Prior to introducing this service there were a number of suicides and fatal myocardial infarcts induced by stress. Since then a number of would be suicides have been rescued and helped, and we have had no more fatalities. For that I thank you all.

 

 

 
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