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Duncan Double
Works at Norfolk & Suffolk NHS Foundation Trust
Lives in Norwich
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Duncan Double

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Patient-centred psychiatry
I was pleased to hear from Anna Ludvigsen that the Royal College of Psychiatrists has a scoping group to look at how to make training more patient-centred. Believe it or not, medicine hasn't always been patient-centred. Historically, clinical training has e...
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Duncan Double

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Biopsychosocial formulation
There is an  article in Lancet Psychiatry about rethinking biosychosocial formulation. I think the article is a little unfair on George Engel but I do understand what it means about the eclectic way in which the biopsychosocial model is implemented. It wasn...
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Out of hospital care can learn from mental health services
Great Yarmouth and Waveney CCG (Health East), in whose area I work, have a public consultation (read the consultation document ) on introducing out of hospital teams and closing GP community hospitals. This follows a pilot in the Lowestoft area which reduce...
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Functional and organic psychiatry
Alwyn Lishman (see interview in The Psychiatrist ), the author of the classic book  Organic Psychiatry ,  knows more about neuropsychiatry than most people, so when he says that Wilhelm Griesinger was too narrow in his approach to psychiatry, this needs to ...
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Psychiatric research folly
A perspective in  Science by  Thomas Insel & Bruce Cuthbert should make american psychiatry fearful about the scientific credibility of its NIMH director. He's gone completely 'over the top' in his speculation about RDoC and precision medicine (see previous...
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Being explicit about the nature of mental illness
I am not sure why Ketan Jethwa has moved to a core training post in medicine from an academic psychiatry training post. Could it reflect his disillusionment with psychiatry or is he wanting to ensure  an adequate medical foundation for his psychiatric caree...
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Duncan Double

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Need to integrate mental and brain activities
Following my previous post , Ed Pinkney @mwproject sent a tweet asking me to elaborate on what I meant by the "need to integrate mental and brain activities" and I said I would. Psychiatry functions within the mind-brain philosophical problem. Psychiatrists...
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Psychiatry's 'nemesis'
I don't want to make a habit of commenting on trainees' articles when they get them published in Royal College of Psychiatrists' journals (see previous posts -  Neurology-psychiatry integration and Being explicit about the nature of mental illness ), but I ...
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Neurology-psychiatry integration
I've hesitated before (see previous post ) in case I undermine an enthusiastic psychiatric trainee, who has just been successful in getting a journal paper published. In the same issue of BJPsych Bulletin , mentioned in my previous post , Thomas Reilly has ...
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Renewing mental health practice
I have been re-reading the final chapter of my edited book Critical psychiatry: The limits of madness . Next year will be 10 years since the book was published. The first chapter  outlines the various chapters written by the contributors. It's also more tha...
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The people didn't bother if the Tories won
Only Norwich South (where I live) and Cambridge (where I used to live) are labour in a sea of blue in the east of England (although North Norfolk stayed with Norman Lamb and Clacton with Douglas Carswell). Even Great Yarmouth is a natural Tory seat with aff...
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Madness in civilisation
I'm not sure if it really works, as I did in my previous post , collecting together tweets of quotes or amended quotes from a book which I've sent when I'm reading it. Another book I've recently read is Andrew Scull's  Madness in civilization: A cultural hi...
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Have him in circles
58 people
Christine O Donoghue's profile photo
Gino Risoli's profile photo
Kevin Zdaniecki's profile photo
david Powell's profile photo
adrian knott's profile photo
Tania Tirraoro's profile photo
Dobroski Belirsiz's profile photo
John Wade's profile photo
Jan Cameron's profile photo
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Currently
Norwich
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Consultant Psychiatrist
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  • Norfolk & Suffolk NHS Foundation Trust
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Male