An integrated model for teaching psychiatry in the community.
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Attitude of Health Personnel↗
Biomedical subjects
M Buszewicz
Publications and source records attributed to M Buszewicz.
General practitioner psychological management of common emotional problems (I): Definitions and literature review.
General practitioners' (GPs') treatment of patients with common emotional problems often includes some form of psychological management within the consultation. Such psychological management may be limited to listening and discussion or may also include more specific psychological approaches, such as use of counselling, problem-solving, or cognitive-behavioural techniques. This paper defines GP psychological management and reviews what is known about its frequency and effectiveness. MEDLINE and PsychLIT searches were undertaken of empirical studies of the psychological management of emotional problems by GPs in routine consultations published up to 1998. Thirty-six studies were identified. Most lacked details of the nature of the psychological management reported, making it difficult to compare studies. The frequency of use of psychological management by GPs was found to be generally less when rated by external observers than when assessed by GP self-report. There is preliminary evidence from a few studies of the clinical effectiveness of GP psychological management in routine consultations.
Affective Symptoms↗
General practitioner psychological management of common emotional problems (II): A research agenda for the development of evidence-based practice.
The majority of patients with common emotional or psychological problems are treated solely by general practitioners (GPs). Such treatment frequently includes some form of psychological management within the consultation, whether limited to listening and discussion or involving more specific techniques. This paper sets out a research agenda for the development of effective approaches to GP psychological management. Evidence is reviewed on three core components of all psychological treatments: establishing a positive therapeutic relationship, developing a shared understanding of the problem, and promoting change in behaviour, thoughts or emotions. The application of these components in GP psychological management is outlined and methodological issues in the development and evaluation of GP management approaches are discussed. Since the number of patients with emotional problems seen by each GP is so large, the population effects of even small improvements in psychological management would be sizeable.
Affective Symptoms↗
Schizophrenia and the environment.
Schizophrenia is more prevalent in urban than rural areas. For a generation this difference was thought to be due to the downward social drift of affected individuals. Recent research suggests that being born and brought up in an inner-city area increases the risk of developing the illness, and brings into question the role of environmental hazards and social factors.
Environmental Health↗