Suchergebnisse

All 223 psychiatric clinical tutors in the UK were surveyed on their use of DSM-111 in their postgraduate training programmes. Results indicate that DSM-III is widely used in clinical training to some extent in the majority of schemes (73%) and in the schemes where it is used it is rated as moderately useful by nearly everyone (93%). DSM-III is generally perceived to have positive effects on learning basic elements of psychopathology and in offering a common language for diagnostic discussion. Interestingly only 16% of users felt that DSM-III was so complicated that it impeded rather than facilitated the teaching of diagnosis. Few schemes provide specific teaching courses and case conferences provide the major forum for teaching DSM- III.

A descriptive and conceptual analysis of the use of the term 'borderline patient' by Scottish psychiatrists revealed that they view borderline patients as being near the psychotic end of the illness spectrum, with a marked propensity towards brief, reactive, reversible, paranoid or schizophrenic reactions. There is clear evidence that the term is not used to refer to patients who in the United States would be labelled borderline schizophrenic. Individual American diagnostic schemata would omit features held to be of major importance by Scottish psychiatrists when diagnosing borderline patients. In an earlier study, Macaskill and Macaskill (1981) found that the term 'border line patient' although not in the official nomenclature, was used by over one in four Scottish psychiatrists to delineate a syndrome which they felt should be included in contemporary diagnostic systems because of its prognostic and thera peutic implications. This study provided the first demographic information on the use of the term in the United Kingdom, but did not permit direct comparisons at conceptual and descriptive levels with studies in the United States where the term is widely used and recognised in the official nomenclature of the American Psychiatric Association's Diagnostic and Statistical Manual — III (1980). Research into the use of the term schizophrenia, for example by Cooper et al (1972), has shown that major differences in usage between the United Kingdom and the United States have occurred with serious implications for the cross-cultural valididty of research findings in schizophrenia. Without similar direct comparisons on the cross-cultural use of the term 'borderline patient' it is not possible to be certain that a similar situation does not exist with regard to this syndrome. The present study sought to address this issue by eliciting the descriptive features and conceptual meanings of the term 'borderline patient' as it is used by Scottish psychiatrists. From this it was hoped to establish the extent to which the major American diagnostic schemata of Gunderson and Kolb (1978), Kernberg (1975) and Spitzer, Endicott and Gibbon (1979) delineated the population defined as 'borderline' by Scottish psychiatrists. It was further hoped that this study could provide information to help explain the fact that Scottish psychiatrists use the term much less frequently than their American counterparts.

Intro -- AFTERMATH AND EPILOGUE -- Title Page -- Dedication -- 1 The Monument -- 2 In Search of the Revolutionary Story -- 3 A Discontented Land -- 4 The King's Birthday Riots and Other Disturbances -- 5 The Friends of the People and the Trees of Liberty -- 6 The First National Convention and Repression Unleashed -- 7 Muir and Palmer Stand Trial -- 8 The British Convention Meets and the Other Martyrs Stand Trial -- 9 A Change in Tactics and the Pike Plot -- 10 George Mealmaker and the Society of the United Scotsmen -- 11 The Militia Act Riots -- 12 The Massacre of Tranent -- 13 Foreign Armies and the Dutch Invasion -- 14 A Legacy Remains and the Fate of the Other Martyrs -- 15 Radicalism Reignited -- 16 Events in England -- 17 The 1820 Rising -- 18 Aftermath and Epilogue -- Appendices -- Bibliography -- Acknowledgements -- Index -- Copyright -- CHAPTER 1 -- 1 -- 2 -- 3 -- 4 -- 5 -- 6 -- 7 -- 8 -- 9 -- 10 -- 11 -- 12 -- 13 -- 14 -- 15 -- 16 -- 17 -- 18 -- 19 -- 20 -- 21 -- 22 -- 23 -- 24.

Title Page -- Dedication -- Contents -- Introduction -- CHAPTER ONE: Diplomatic dialogue and international intrigue -- CHAPTER TWO: The case refuses to go away -- CHAPTER THREE: From Linlithgow to Lockerbie -- CHAPTER FOUR: The decision - mine and mine alone -- CHAPTER FIVE: The fallout -- AFTERWORD: What happened next? -- Acknowledgements -- Copyright

Part 1. The letters of Robert Graham of Redgorton -- pt. 2. The journal and letters of Captain Sir John Hill, RN -- pt. 3. Petition, memorials, resolutions and reports -- pt. 4. Government correspondence and other documents -- pt. 5. Treasury minutes