Royal College of Psychiatrists Profile picture
Jun 24, 2021 12 tweets 15 min read Read on X
Hope everyone had a good lunch! Now we look at the lessons we can learn from the 'asylum era', chaired by @DianeGoslar, an expert by experience. We'll also hear from @PeterNaxos, @claire_hilton6 and Dr Allan Beveridge. #RCPsychIC
@DianeGoslar @PeterNaxos @claire_hilton6 Change is desperately needed – such as the total dismantling of stigma – but we have evidence change can happen, says @DianeGoslar. One example of change is that Diane, a patient, is chairing this session. #RCPsychIC
@DianeGoslar @PeterNaxos @claire_hilton6 The first story comes from @PeterNaxos, who speaks of Henrietta, a patient in Kingston Asylum, in 1859. She found within herself a resolve she was never aware of, which enabled her to survive a situation which was totally at odds with anything she'd experienced before. #RCPsychIC
@DianeGoslar @PeterNaxos @claire_hilton6 "There is a very contemporary resonance in a mixed race women examining a situation with entrenched positions of power" @peternaxos suggests that the overall message is never to write-off or underestimate the strengths of patients, even in the midst of their suffering. #RCPsychIC
@DianeGoslar @PeterNaxos @claire_hilton6 There's a lot that may strike us today both as rather distant as well as being disturbingly present about Henrietta's story. She was a remarkable woman 'telling the truth from below'. #RCPsychIC
@DianeGoslar @PeterNaxos @claire_hilton6 Now we have Dr Allan Beveridge talking about the Royal Edinburgh Asylum. Unlike English asylums, Scottish asylums had private and pauper patients in the same building. #RCPsychIC
@DianeGoslar @PeterNaxos @claire_hilton6 Clouston's regime aimed to 'bring order to the disordered mind' - in his view, insanity represented a 'loss of control', explains Dr Beveridge at #RCPsychIC
@DianeGoslar @PeterNaxos @claire_hilton6 Patients would write a great deal, for many reasons (listed below). They'd wrote on whatever was available, even on toilet paper if that was all that was available. #RCPsychIC
@DianeGoslar @PeterNaxos @claire_hilton6 Many patients felt they were misinformed about their admittance to the Asylum. Tricked, lied to - some were physically manhandled, explains Dr Beveridge at #RCPsychIC
@DianeGoslar @PeterNaxos @claire_hilton6 Some of the insight from the patients included below. Some reference Clouston's 'gospel of fatness', the belief that overfeeding patients would help them. #RCPsychIC
@DianeGoslar @PeterNaxos @claire_hilton6 Other patients would appeal to friends and loved ones to help get them out - some powerful stuff in the comments below. #RCPsychIC
@DianeGoslar @PeterNaxos @claire_hilton6 Apologies for the technical issues that meant we missed @claire_hilton6's talk! We're now talking about the present day – how much do investigations really reflect the needs/wellbeing of patients? They've been criticised for only investigating what they want to. #RCPsychIC

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More from @rcpsych

Jul 13, 2023
Next up at #RCPsychIC is session S40 on ‘The placebo effect: insights for translational research and clinical practice’.

This will be chaired by Professor Samuele Cortese (@CorteseSamuele).
The first speaker in this session is Dr Nathan Huneke (@NathanHuneke) who will be talking about ‘Current knowledge of the placebo effect in anxiety disorders and future directions’ Image
Nathan begins by highlighting 50 years of drug trials for anxiety disorders.

Very few have been successful because we don’t understand the neurobiology and there has been poor validity of pre-clinical trials.

But placebo response is also a factor.
Read 18 tweets
Jun 23, 2022
Session S39 at #RCPsychIC is on ‘Precision medicine and personalised healthcare in psychiatry’ and is chaired by @RachelUTG.

This topic is the subject of a (free-to-view) @TheBJPsych themed issue:

cambridge.org/core/journals/…
First up in this session is Dr Rajeev Krishnadas (@WalkKD) from University of Glasgo. He was a guest editor for the BJPsych Special Issue and is talking about five points to consider when reading a translational machine learning paper.

#RCPsychIC Image
Starts off with explaining what ‘machine learning’ is with a definition of:

“Set of approaches that estimate the best mathematical/statistical model that explain or predict the relationship between ‘variables’”

#RCPsychIC
Read 25 tweets
Jun 24, 2021
Join us now in the auditorium of Virtual Congress to see one of our last talks of the day: "How to work with homeless people" #RCPsychIC
The agenda on today's talk is "Making services work for homeless people" with Dr Philip Timms @philip_timms a Consultant psychiatrist at the National Psychosis Service #RCPsychIC
After that, we have "Trauma-focussed practice with homeless people" with Dr Peter Cockersell @petercockersell the Chief Executive at Community Housing and Therapy #RCPsychIC
Read 17 tweets
Jun 24, 2021
Our final session of #RCPsychC virtual Congress we are talking about Religious Delusions and Hallucinations: Significance, meaning, and narrative with Dr Alison J Gray @revdraligray, Professor Christopher C.H. Cook @cchcook and Dr Angela Woods @literarti
Book: Hearing voices, demonic and divine

#RCPsychIC
Respondents: hearing voices

#RCPsychIC
Read 16 tweets
Jun 24, 2021
In one of our final split session talks of #RCPsychIC 2021, we'll be hearing from @RachelUTG, @PsychMarwaha and @sameerjauhar, chaired by Professor Allan Young: Care of Adult Mental Ill-Health: Getting it right from the start.
@RachelUTG @PsychMarwaha @sameerjauhar The first talk comes from @RachelUTG. Interesting findings regarding clozapine in treating first episode psychosis. #RCPsychIC
@RachelUTG @PsychMarwaha @sameerjauhar "Can we use anti-depression medication in a more thoughtful way?" asks @RachelUTG at #RCPsychIC
Read 10 tweets
Jun 24, 2021
So -we're nearly at the end of our first virtual #RCPsychIC - but there's one more set of split sessions to go! On this thread you can follow the 57th split session of this amazing event, which is about Dual Diagnosis from the public, clinical + academic perspective.
Our first speaker is Caroline Turiff, who has been diagnosed with a range of conditions inc OCD and PTSD, and is an award winning investigative broadcast journalist. #RCPsychIC
I've read 70% of people with drug dependency who have a dual diagnosis so it is the norm for them, she says. #RCPsychIC
Read 22 tweets

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