Böcker av Peter Tyrer

This new book, drawing on the author's distinguished career in front-line psychiatric practice, describes how to bring patient and prescriber together in an active partnership whereby there is better understanding of the positive and negative elements of drug prescription. At present there is a gap between expectations, with doctors not always able to admit their ignorance of some aspects of drug action, and patients kept unaware of these uncertainties. Balanced decision-making with joint involvement is needed to separate those drugs that are needed regularly to maintain health, those that are only needed when required, and those that are mere fashion accessories. Greater care is needed over the explanation of the first prescription, the expected duration of treatment and the plans for eventual withdrawal. The consequence of a better partnership will be less over-prescribing, a reduction of polypharmacy and a lessened need for deprescribing, the planned systematic reduction of drug treatment that has got completely out of control.

THIS IS THE 6th Edition. This is the most recent edition available. Always educational, if sometimes polemical, this clearly written and entertaining book captures the various models of mental illness currently circulating in mental health. Using plain and accessible language, with a sharp and witty glossary to help, four models - disease, psychodynamic, cognitive behavioural and social - are given a fair chance from a sympathetic pen. And then, like a cold shower in the morning, painfully opening your eyes and shocking your mind into gear, Tyrer dismembers them all in a coruscating analysis of their inadequacies and excesses. He then reconstructs them pragmatically in a universal "conjugal" model. At a time when new models of community mental health are being developed throughout the world and mental health is becoming increasingly important, especially in England, anyone working in mental health or using services will find this book is a must! Tim Kendall, National Clinical Director for Mental Health, NHS England

"Introduction Neurosis is passâe, Neurosis belongs to history, Neurosis is dead. So why am I writing this book? The reason is that we need to be aware, even if we do not embrace, information that suggests the way we now look at common mental illness is not necessarily the most accurate or productive way of understanding, and more importantly, treating it. I also introduce this book with the foreword to its predecessor (Tyrer, 1989), written by the late Robert Kendell, and this also explains why I am publishing at this time. Robert, whom I will refer to as Bob from now on, was a stickler for accuracy and rarely wrote anything down that he could not defend with facts. His foreword was written 32 years ago but is just as apposite today - he actually could have written it today with the same wording, and this in itself reflects the poverty of attention that this subject has received since 1989. His statement 'new concepts should not be adopted until they have been validated by long-term follow-up studies, and the patients with a fluctuating mâelange of depressive, anxious and obsessional symptoms are so common that the term 'general neurotic syndrome' must be retained to describe them', is the keynote to this book. The central part of this book presents the results of a long-term follow-up study of the general neurotic syndrome, and even allowing for my prejudices (as Bob K rightly points out) it is difficult to ignore the findings that support it"--

Millie and Oscar are ordinary children, but it all changes when they are introduced to Mr Wallatt, an eccentric scientist. They and their friend Derek, learn that Mr Wallatt is an eco-warrior and a hoarder, who believes that everything should be recycled so the planet is deeply cherished...

It is 1967. A mysterious disease appears in an English town. People fall down suddenly, poleaxed, and many die. Is it caused by a bacterium, a virus, a poison? Nobody knows.

This is a book of psychiatry at its most practical level. It answers the sorts of questions psychiatrists ask on a daily basis. What treatments are available for the condition this patient has? What is the evidence for the effectiveness of each of these treatments? Is there any value in combinations of treatment? And, can I be sure that the evidence and recommendations are free from bias? This handy pocket reference summarises the key elements of the Cambridge Textbook of Effective Treatments in Psychiatry. The text has been revised to provide the most up-to-date evidence for treatment decisions, with an accompanying summary table for each chapter to reinforce the recommendations. It is an essential guide for mental health professionals of all disciplines as well as medical students and trainees.

This booklet will help guide readers through the crucial process of selecting the rating scales to use in research. Crucially, each scale is listed with its citation rate as a guide to its popularity among the research community and the potential comparability of results.