Dinesh Bhugra – författare

Medical students are the medical workforce of the future, responsible for both individual and population health. With an ageing global population, changes brought about by the COVID-19 pandemic, and the increased computerisation and roboticization of medicine, doctors will require ever more flexibility, foresight, and courage going forward. It is crucial that their training equips them for the challenges ahead. However, recent research has found worryingly high levels of stress and burnout amongst these individuals, leading to more students dropping out or leaving the profession early. This volume presents research findings on the rates of burnout in medical students from around the world and provides ideas for a model of care to help educators and individuals take steps towards better student wellbeing. The first section covers the development of medical teaching, likely future directions of healthcare and the role of doctors, the current global situation in high-, middle-, and low- income countries, and how we measure and define burnout. The second section analyses case studies from countries across the globe, reviewing regional themes of burnout, mental health symptoms, and stressors. The third section hears from the medical students themselves, considers circumstances such as studying abroad, or studying with health conditions, and looks at potential interventions and good practice for the future, including the role of the universities and institutions, and advice to medical students on how to look after themselves.A truly international collaboration with a focus on medical student mental health and wellbeing, this book will be of interest to medical education professionals, occupational health physicians, and medical practitioners, as well as researchers, medical students, and trainees.

Over the past decade, cultural psychiatry has become an increasingly important branch of psychiatric research. From the impact of cultural factors on causation, expression, and management of mental health disorders to the development and acceptance of cultural formulation in recent research, it is evident that cultures play a major role in both the genesis and management of psychiatric symptoms.Practical Cultural Psychiatry is a succinct, practical handbook focusing on the clinical impact culture has on mental health disorders worldwide. Covering key topics on migration, racism, self-identity, and social networks, this resource offers practical advice on assessing, investigating, and managing psychiatric conditions. The authors place particular focus on how clinicians can approach patients from different cultural backgrounds than their own to promote pathways to care and patient experience. Written by leading voices in this expanding field, Practical Cultural Psychiatry is a useful tool for all mental health clinicians wishing to improve their approach to multiculturalism and cultural identity in daily practice.

Psychiatry in Practice: Education, Experience, and Expertise provides detailed advice and useful tips for early career psychiatrists, and all others who wish to enhance their practical psychiatry skills.Each chapter is written by prominent early career psychiatrists from around the world, offering relevant and timely advice to those who are newly qualified, as well as a global perspective on the practical issues faced today. Covering a variety of topics from 'Psychiatric Emergencies' to 'Ethics and clinical practice in psychiatry', chapters include vignettes of scenarios that may be encountered, making this book pertinent and easily applicable to many early career situations. Skills related to personal management and managing resources are often not taught during training but are key to establishing a career in psychiatry - this book will help the new clinician to develop professionally. The emphasis on practicality ensures psychiatrists are prepared for the needs of the modern health service and society at large, and ensures patients across the world experience the best treatment available.

Prevention of mental illness and mental health promotion have often been ignored in the past, both in undergraduate and postgraduate curricula. Recently, however, there has been a clear shift towards public mental health, as a result of increasing scientific evidence that both these actions have a serious potential to reduce the onset of illness and subsequent burden as a result of mental illness and related social, economic and political costs. A clear distinction between prevention of mental illness and mental health promotion is critical. Selective prevention, both at societal and individual level, is an important way forward. The Oxford Textbook of Public Mental Health brings together the increasing interest in public mental health and the growing emphasis on the prevention of mental ill health and promotion of well-being into a single comprehensive textbook. Comprising international experiences of mental health promotion and mental well-being, chapters are supplemented with practical examples and illustrations to provide the most relevant information succinctly. This book will serve as an essential resource for mental and public health professionals, as well as for commissioners of services, nurses and community health visitors.

Over the past fifty years we have seen an enormous demographic shift in the number of people migrating to urban areas, proliferated by factors such as industrialisation and globalisation. Urban migration has led to numerous societal stressors such as pollution, overcrowding, unemployment, and resource, which in turn has contributed to psychiatric disorders within urban spaces. Rates of mental illness, addictions, and violence are higher in urban areas and changes in social network systems and support have increased levels of social isolation and lack of social support. Part of the Oxford Cultural Psychiatry series, Urban Mental Health brings together international perspectives on urbanisation, its impacts on mental health, the nature of the built environment, and the dynamic nature of social engagement. Containing 24 chapters on key topics such as research challenges, adolescent mental health, and suicides in cities, this resource provides a refreshing look at the challenges faced by clinicians and mental health care professionals today. Emphasis is placed on findings from low- and middle-income countries where expansion is rapid and resources limited bridging the gap in research findings.

Evidence indicates a correlation between early intervention and improved response in psychiatric disorders. Yet the majority of evidence is from high-income countries, and there is a lack of evidence and resources on the impact of early intervention across cultures and in low- and middle-income countries. Early Intervention in Psychiatric Disorders across Cultures aims to bridge this gap by focusing on the evidence and methods of intervention in less affluent countries. It covers mood disorders, personality disorders, addictions, and other psychiatric conditions, whilst most research has focused on psychoses and bipolar disorder. Over 17 chapters, this resource guides the reader through an array of approaches to early intervention, from brain imaging and available care pathways, to cultural and societal factors. Part of the Oxford Cultural Psychiatry series, this resource offers readers a picture of the current health care pathways available as well as social, cultural, and ethical considerations to apply in practice.

Migrant psychiatry is an evolving subdiscipline within cultural psychiatry that deals with the impact of migration on the mental health of those who have migrated and those who work with these groups and provide services to them. Stress related to migration affects migrants and their extended families either directly or indirectly. The process of migration is not just a phase, but leads on to a series of adjustments, including acculturation, which may occur across generations. Factors such as changes in diet, attitudes and beliefs, and overall adjustment are important in settling down and making the individuals feel secure. This period of adjustment will depend upon the individual migrant's pre-migration experiences, migration process and post-migration experiences, but also upon an individual's personality, social support and emotional response to migration. Socio-demographic factors, such as age, gender, educational, and economic status will all play a role in post-migration adjustment. In order to understand the impact on individuals, not only the type of migration and different stressors, but also the types of psychological mechanisms at a personal level and the resources and processes at a societal level need to be explored. Despite the number of refugees and asylum seekers around the world increasing at an astonishing rate, the mental health needs of migrants are often ignored by policy makers and clinicians. The Oxford Textbook of Migrant Psychiatry is designed to serve as the comprehensive reference resource on the mental health of migrants, bringing together both theoretical and practical aspects of the mental health needs of refugees and asylum seekers for researchers and professionals. Individual chapters summarise theoretical constructs related to theories of migration, the impact of migration on mental health and adjustment, collective trauma, individual identity and diagnostic fallacies. The book also covers the practical aspects of patient management including cultural factors, ethnopsychopharmacology, therapeutic interaction and therapeutic expectation, and psychotherapy. Finally, the book will examine special clinical problems and special patient groups.Part of the authoritative Oxford Textbooks in Psychiatry series, this resource will serve as an essential reference for psychiatrists, mental health professionals, general practitioners/primary care physicians, social workers, policy makers and voluntary agencies dealing with refugees and asylum seekers.

Whilst the number of people currently experiencing homelessness cannot be precisely estimated due to varying definitions across countries and cultures, the link between homelessness and mental health disorders is undeniable. Both are strongly affected by social and economic determinants such as poverty, migration, unemployment, access to healthcare, and urbanization and, as a result, providing optimal care in the community requires understanding of the cultural context. Part of the Oxford Cultural Psychiatry series, this unique resource provides an overview of the connection between homelessness and mental health around the globe. Over 27 chapters it offers up-to-date research and policy evidence with an emphasis on developing models of social care and rehabilitation at a local level that enable easy access to mental health services. Written and edited by experts drawn from different cultural and geographical perspectives, this unique resource covers key topics such as COVID-19, dental issues, and chronic pain, the experiences of specific vulnerable groups, as well as case studies from specific countries.

Religiosity and spirituality (R/S) represent a very important factor of daily life for many individuals across different cultures and contexts. It is associated with lower rates of depression, suicide, mortality, and substance abuse, and is positively correlated with well-being and quality of life. Despite growing academic recognition and scientific literature on these connections this knowledge has not been translated into clinical practice.Part of the expanding Oxford Cultural Psychiatry series, Spirituality and Mental Health Across Cultures is a timely exploration of the implications of R/S on mental health. Written and edited by 38 experts in the fields of spirituality and mental health from 11 countries, covering a wide range of cultural and geographical perspectives, this unique resource assesses how mental health relates to world religions, agnosticism, atheism, and spiritualism unaffiliated with organised religion, with a practical touch.Across 25 chapters, this resource provides readers with a succinct and trustworthy review of the latest research and how this can be applied to clinical care. The first section covers the principles and fundamental questions that relate science, history, philosophy, neuroscience, religion, and spirituality with mental health. The second section discusses the main beliefs and practices related to world religions and their implications to mental health. The third reviews the impact of R/S on specific clinical situations and offers practical guidance on how to handle these appropriately, such as practical suggestions for assessing and integrating R/S in personal history anamnesis or psychotherapy.

Over the past 70 years or so, psychiatry has come out of the shadows. With it, has come the truly exceptional leaders that have spearheaded the investigations, interventions, medications, and developments in new therapies, that have contributed to this change and helped shape psychiatry as a discipline. These legendary personalities have helped develop entirely new schools of thought as well as challenge both dogma and stigma that have hounded psychiatry and psychiatrists. They've had a profound impact on policies and have been mentors, supervisors, and role models to new generations of young psychiatrists, creating an environment and the foundations for further developments of the discipline.Comprising 26 unique interviews, the conversations in this fascinating book tell of numerous personal and professional challenges on multiple fronts, and how these have been overcome. Their stories of achievements, struggles, and leadership are truly exceptional sources of inspiration for generations to come. Capturing the compelling personal experiences and views of some of the great thought leaders in psychiatry, the insights in this book will appeal to future generations of academics, clinicians, health care professionals, as well as anyone with an appetite for a diverse array of life stories.

The Oxford Textbook of Social Psychiatry serves as a comprehensive reference to the historical, theoretical, and practical aspects of social psychiatry, and its role in the management of psychiatric disorders. Written and edited by leading experts and rising stars in the field of social psychiatry, this textbook provides an authoritative and global look at social psychiatry, covering a wealth of topics and up-to-date research in 79 chapters.Divided into eight sections, this resource covers an overview of the history and development of social psychiatry, as well as the social world of families, culture, and identity, focusing on key issues such as globalisation, pandemics, trauma, spirituality, and gender. Clinical conditions and special vulnerable groups are also explored, with topics such as the mental health of prisoners, somatisation, and eating disorders. Case studies of specific geographical locations provide a critical overview of global mental health today and the challenges faced in different setting, such as low- and middle-income countries.

As people across all nations around the world are beginning to live longer, the World Health Organization estimates the number of older adults will double to 1.5 billion by 2050. This presents visible increases in older adult mental health issues, and it is therefore vital that we understand the cross-cultural impact of social determinants of health in psychiatric illness and care in aging adults.As part of the Oxford Cultural Psychiatry series, Mental Health in Older People Across Cultures provides a detailed overview of the diverse factors, including socioeconomic and systemic factors within and across countries that impact the process of ageing, mental health and illnesses of older adults, and their care. This unique resource provides a necessary clinical understanding of factors on ageing, and the varied roles that families and caregivers have on the ageing process, with an emphasis on highlighting similarities and differences across cultures. The second half of the book then focuses on specific disorders in older adults across the globe affected by these factors, the nuances impacting diagnosis and treatment of these disorders, as well as research and development of healthcare policy.Written by experts in the field from across the world, this comprehensive book will be of great interest to a diversity of readers, from psychiatrists to trainees, general practitioners to social workers, and many other mental health providers. From epidemiology to economics and substance use disorders, and from East Asia, to Africa, and the Americas, this valuable addition to the field of mental health in older adults provides a world of fascinating insight.

Thoughout the world the number of refugees and asylum seekers continues to increase at an astonishing rate. Given that most will have left their country due to persecution, war, or appalling violations of their human rights, many will have specific mental health needs. Cultural and socioeconomic factors play a major role in expressions of distress, help seeking, pathways into care, and acceptance or rejection of treatments. Being a refugee or asylum seeker raises questions about an individual's self respect and altered identity. Too often though, the needs of this population are ignored by policy makers and clinicians, and these people are left to fend for themselves.Mental Health of Refugees and Asylum Seekers presents both the theoretical and practical aspects of the mental health needs of refugees and asylum seekers. It looks at the impact of migration on mental health and adjustment, collective trauma, individual identity, and diagnostic fallacies. A practical section highlights cultural factors, ethnopsychopharmacology, therapeutic interaction, therapeutic expectation and psychotherapy. The final part of the book focuses on special problems - such as bereavement, sexual violence, and post traumatic stress disorders, as well as considering mental health problems in special groups, such as child refugees.This book will be an essential resource for all mental health professionals- helping them better understand the needs of refugees and asylum seekers, how their problems can be managed, and how they can best be helped.

The development of the internet has brought about a seachange in the traditional doctor-patient relationship. No longer is the patient entirely at the mercy of their doctor to tell them about their problems. Via the internet they can now access vast repositories of information, about even the most obscure disorder - not all of it accurate, not all of it safe. This has changed society's attitudes to medicine generally, and certainly affected the way it views the field of psychiatry. The situation has hardly been helped by a series of well publicised scandals over the past 25 years. There are also issues regarding changing social attitudes to psychiatry, and the stigma of mental illness.This book presents a timely appraisal of the status of psychiatry and its relationship with society in the second decade of this century. It brings together an international team of specialists who review critical issues such as training, professionalism, regulation, ethics, and economics. Together, it constitutes a far-reaching document that considers the status of psychiatry now, and how it should develop in the coming years. A publication of great significance, this book will be of interest to all practising psychiatrists and mental health professionals, as well as policy makers, and those involved in patient groups.

Models and theories of psychopathology and their associated clinical practice do not represent scientific fact so much as a variation in perspective within psychopathology itself. Several favoured models exist within any society at a given time, and as well as changing historically over time, they also differ culturally between societies. This book examines:. the similarities, differences and points of integration in the main models of psychopathology. how the theoretical conceptualizations underpinning these models are reflected in the theory and the clinical practice of different schools of psychotherapy. how various models are used in everyday practice . whether clinicians adhere to the rules of a given model or whether, in fact, there is more integration in practice than there appears to be in theoretical conceptualizations.Models of Psychopathology is aimed at advanced undergraduates and postgraduate students of clinical psychology, counselling psychology, psychotherapy and counselling. It will also be of interest to therapy students in professional training courses and experienced clinicians who want to know more about this aspect of psychotherapy.

Geographically and demographically Asia is a huge region with a large number of societies and cultures, each affected by their own unique problems including over-population, major natural disasters, poverty and changing social and economic factors. Inevitably this means that different mental health needs have developed across the region. Colonialism, globalization, industrialization and urbanization have brought major demographic and cultural shifts in the region but clinical mental health practices and services and societal attitudes to mental health issues vary enormously. This handbook surveys the state of the current psychiatric care field across the whole Asia-Pacific region. Focusing on individual countries, each chapter will include: A summary of factors affecting the practice and provision of psychiatric care, including cultural attitudes to mental health issues Coverage of the conceptualisation, causation and prevalence of mental health issues in society An overview of mental health care services and systems available and workforce training Coverage of country specific innovative practices and folk therapies As the first major reference work on psychiatric care in Asia this book is an essential resource for scholars and students researching mental health in Asia as well as psychiatrists and other mental health professionals working in the region.

The argument of this book is that the divide between psychiatry and religion is an artificial one and that there is much room for understanding the same phenomena from different perspectives. In it thirteen senior mental health professionals and pastoral workers come together to explore what their different philosophies have to offer each other for the benefit of the individuals in their care. The book as a whole:* sets the relationship between psychiatry and religion in historical context* provides detailed information about specific religions and the significance of their belief systems for mental health management* examines the relationship between psychopathology, psychiatry and religion.

Geographically and demographically Asia is a huge region with a large number of societies and cultures, each affected by their own unique problems including over-population, major natural disasters, poverty and changing social and economic factors. Inevitably this means that different mental health needs have developed across the region. Colonialism, globalization, industrialization and urbanization have brought major demographic and cultural shifts in the region but clinical mental health practices and services and societal attitudes to mental health issues vary enormously. This handbook surveys the state of the current psychiatric care field across the whole Asia-Pacific region. Focusing on individual countries, each chapter will include: A summary of factors affecting the practice and provision of psychiatric care, including cultural attitudes to mental health issues Coverage of the conceptualisation, causation and prevalence of mental health issues in society An overview of mental health care services and systems available and workforce training Coverage of country specific innovative practices and folk therapies As the first major reference work on psychiatric care in Asia this book is an essential resource for scholars and students researching mental health in Asia as well as psychiatrists and other mental health professionals working in the region.

Social psychiatry is concerned with the effects of the social environment on the mental health of the individual, and with the effects of the person with a mental disorder on his/her social environment. The field encompasses social interventions, prevention and the promotion of mental health. This new edition of Principles of Social Psychiatry provides a broad overview of current thinking in this expanding field and will be a source of ideas both in research and for the management of mental disorder. It opens by putting social psychiatry in perspective, within both psychiatry and the social sciences. From the patient's perspective, the outermost influence is the culture in which they live, followed by their neighbourhoods, workmates, and friends and family. The next section considers how we conceptualize the social world, from families through cultural identify and ethnicity to the wider social environment. The book reviews the social determinants and consequences of the major mental disorders before considering interventions and service delivery at various levels to mitigate these. It closes with a review of the social impact of mental illness around the world and a thoughtful essay by the editors on the current state of social psychiatry and where it is heading.

As homelessness becomes an increasingly visible problem, the health care of homeless people is beginning to appear on the agenda of politicians, health care workers, and policy makers. In contrast with the popular stereotype of elderly alcoholic males or bag ladies which the word homeless tends to trigger, homelessness affects families as well as young single people. The health needs of these various groups are not homogeneous. This book brings together the experience of mental health care teams around the world in addressing the problems of mental illness in the homeless. The difficulties in assessment and service delivery are discussed at length with an emphasis on application of existing knowledge in health care. In addressing social policy implications as well as clinical management, models, and definitions of homelessness in different cultures, this volume will offer a practical support for all those working with the homeless on a day-to-day basis.

In mental health, as in other medical disciplines, the role of the professional is changing. The availability of information, enhanced roles of other healthcare professionals and changes in training have altered the doctor-patient relationship and left professionals accountable to the needs of clients, politicians, policy makers and funding agencies. This book seeks to redefine the professional role of the specialist mental health worker by bringing perspectives from leading experts from both developed and developing countries, and also from a wide range of professionals in the field of law, medical ethics, education and medical leadership. Uniquely, it also looks at the views of patients and next-generation psychiatrists. It will be of interest to those involved in providing mental healthcare as well as those responsible for health policy initiatives and training.

In psychiatry, as in many other medical disciplines, training is shifting from an emphasis on testing factual knowledge towards a system based on continuing assessment and the acquisition of practical skills and competencies. Workplace Based Assessments in Psychiatric Training describes current approaches to these new assessment systems around the world, provides practical advice regarding their implementation and makes recommendations for future developments. The book opens with an overview and analysis of methods of workplace based assessments, followed by a review of the trainee assessment from the patient perspective. Chapters contain in-depth, detailed discussion of recent developments in Canada, Denmark, India, the UK and the USA. The book reviews both technical developments in assessment tools and techniques and the socio-political context within which these have taken place. With a practical focus and unique global perspective, this is a 'must buy' for anyone responsible for the supervision of psychiatric trainees.

Human migration is a global phenomenon and is on the increase. It occurs as a result of 'push' factors (asylum, natural disaster), or as a result of 'pull' factors (seeking economic or educational improvement). Whatever the cause of the relocation, the outcome requires individuals to adjust to their new surroundings and cope with the stresses involved, and as a result, there is considerable potential for disruption to mental health. This volume explores all aspects of migration, on all scales, and its effect on mental health. It covers migration in the widest sense and does not limit itself to refugee studies. It covers issues specific to the elderly and the young, as well as providing practical tips for clinicians on how to improve their own cultural competence in the work setting. The book will be of interest to all mental health professionals and those involved in establishing health and social policy.

Social Justice, Social Discrimination, and Mental Health explores the theory and background of social justice in the context of mental health of individuals, cultures, and communities.This ground-breaking book is a comprehensive text which defines what the ‘social justice agenda’ in therapeutic fields is and provides concrete and innovative descriptions of social justice in practice. With case studies and examples of real-life practice from a team of international contributors, it covers the full range of activities that mental health professionals need to deliver their services.This text will be essential reading for students, early career professionals, and those training in psychiatry, psychotherapy, clinical, counselling, and community psychology, as well as senior practitioners.

Social Justice, Social Discrimination, and Mental Health explores the theory and background of social justice in the context of mental health of individuals, cultures, and communities.This ground-breaking book is a comprehensive text which defines what the ‘social justice agenda’ in therapeutic fields is and provides concrete and innovative descriptions of social justice in practice. With case studies and examples of real-life practice from a team of international contributors, it covers the full range of activities that mental health professionals need to deliver their services.This text will be essential reading for students, early career professionals, and those training in psychiatry, psychotherapy, clinical, counselling, and community psychology, as well as senior practitioners.

As the National Health Service celebrates 75 years, this book reflects not only on its successes but also on its challenges. Society, medicine and technology have all changed considerably since its founding in 1948 so what can, and should, the NHS do to adapt to remain fit for purpose?This thought-provoking book is made up of interviews with healthcare leaders, policymakers and practitioners, journalists and patient representatives. Bookended with chapters linking the interviews with the history and the future of the NHS, the book addresses questions such as: What are the NHS’s strengths and weaknesses? How could the NHS be adapted and how should it be set up if founded today? How should the NHS recognised the relationship between physical health, mental health, social care and public health? How should the NHS be funded? How do we understand the social contract between patients, medical and allied professions and the government? How can we manage workforce development? How should the NHS address issues around social justice and equity of access? Timely and important, this book promotes debate and critique around key issues in managing healthcare. Relevant to all those working in the NHS, it is also a valuable contribution for healthcare professionals undertaking further study on management and leadership.All royalties from this book are being donated to The Patients Association.

As the National Health Service celebrates 75 years, this book reflects not only on its successes but also on its challenges. Society, medicine and technology have all changed considerably since its founding in 1948 so what can, and should, the NHS do to adapt to remain fit for purpose?This thought-provoking book is made up of interviews with healthcare leaders, policymakers and practitioners, journalists and patient representatives. Bookended with chapters linking the interviews with the history and the future of the NHS, the book addresses questions such as: What are the NHS’s strengths and weaknesses? How could the NHS be adapted and how should it be set up if founded today? How should the NHS recognised the relationship between physical health, mental health, social care and public health? How should the NHS be funded? How do we understand the social contract between patients, medical and allied professions and the government? How can we manage workforce development? How should the NHS address issues around social justice and equity of access? Timely and important, this book promotes debate and critique around key issues in managing healthcare. Relevant to all those working in the NHS, it is also a valuable contribution for healthcare professionals undertaking further study on management and leadership.All royalties from this book are being donated to The Patients Association.

The psychiatric profession must ensure that its next generation of leaders has the appropriate skills to provide mental health services in the face of globalization and urbanization, new technologies, and competing demands for shrinking resources. Developing leadership skills and leaders is critical in order to optimise the use of resources, their application, service planning and delivery of services for patients and their families.This is the first book on leadership (rather than management skills) to focus on psychiatry and mental health care. Contributions from international experts with clinical and non-clinical backgrounds pull together the theories and practical skills required to be a successful leader. The aim is to guide mental health professionals in general and psychiatrists in particular on how to gain the relevant skills and on how to utilise these skills and training to take on leadership roles in clinical and organisational settings.The book covers the role of the leader and the skills required for leadership, including chapters on communication, decision-making, team development, mentoring, gender issues in leadership, burnout and more. It includes a section on assessment tools and learning material. Essential reading for all those who aspire to lead in psychiatry!