Alfredo Calcedo

• Doctor of Medicine
• Complutense University of Madrid

Coercion in Mental Health is related to sociocultural contexts. The purpose of this study is to examine whether the uses and perceptions of covert coercion on the part of professionals from four Latin-culture countries (Spain, Italy, Mexico, and Chile) differ between them and from those described in the literature. We conducted a qualitative resear...

Background: Research on the decisional capacity of schizophrenia and bipolar disorder patients mostly reflects the hospital context. Aim: To describe the views of patients, psychiatrists, and caregivers on the capacity of individuals with schizophrenia and bipolar disorder to make everyday decisions on their care related to their illness. Methods:...

The aim of the study was to describe patients’ and psychiatrists’ perceptions of schizophrenia and bipolar disorder individuals’ capacity for making treatement related decisions for managing acute psychiatric symptoms in real life.

Patients', psychiatrists' and carers' views on the capacity of schizophrenia and bipolar disorder individuals for making everyday healthcare decisions.

The aim of the study was to describe patients, psychiatrists and informal carers perceptions of the most important attributes and outcomes of pharmacological treatments for schizophrenia and bipolar disorder individuals in everyday life.

Background and aim Having decision making capacity is central to the exercise of autonomy in mental health care. The objective of this scoping review is to summarize the evidence on the capacity of people with schizophrenia or bipolar disorder to make decisions about their treatment in real life to support medical practice. Methods Systematic sear...

Background: Determining the mental capacity of psychiatric patients for making healthcare related decisions is crucial in clinical practice. This meta-review of review articles comprehensively examines the current evidence on the capacity of patients with a mental illness to make medical care decisions. Methods: Systematic review of review artic...

Background Determining the mental capacity of psychiatric patients for making decisions regarding treatment acceptance or refusal is crucial in clinical practice. This meta-review of review articles comprehensively examines the current evidence on the capacity of patients with a mental illness to make well-founded medical care decisions. Methods Sy...

Purpose Whilst formal coercion in psychiatry is regulated by legislation, other interventions that are often referred to as informal coercion are less regulated. It remains unclear to what extent these interventions are, and how they are used, in mental healthcare. This paper aims to identify the attitudes and experiences of mental health professio...

PURPOSE: Whilst formal coercion in psychiatry is regulated by legislation, other interventions that are often referred to as informal coercion are less regulated. It remains unclear to what extent these interventions are, and how they are used, in mental healthcare. This paper aims to identify the attitudes and experiences of mental health professi...

Agitation is a common and costly phenomenon associated with a number of psychiatric conditions including schizophrenia and bipolar disorder. Early identification and prompt intervention to relieve the symptoms of agitation are essential to avoid symptomatic escalation and emergence of aggressive behaviour. Recent consensus guidelines emphasise the...

Introduction. In addition to compulsion (involuntary hospitalization, seclusion, restraint, etc.), there are broader forms of coercion (persuasion, interpersonal pressure, inducement or threat), called informal or covert coercion, all of which try to improve patients adherence to treatment. Objective. To analyse the use of covert coercion in menta...

Introduction: The relationship among labor difficulties and psychiatric disorders is important and bidirectional. However, current information about the influence of psychiatric disorders in temporary work disability in Spain is inconclusive. For this reason, we aimed to describe the prevalence of the conclusions of psychiatric expert’s reports in...

Whilst formal coercion in psychiatry is regulated by legislation, other interventions that are often referred to as informal coercion are less regulated. It remains unclear to what extent these interventions are, and how they are used, in mental healthcare. This paper aims to identify the attitudes and experiences of mental health professionals tow...

The Ghent Group - a group of European forensic psychiatrists - has discussed ways of informing fellow professionals and the wider public about their difficult and frequently misunderstood discipline, agreeing that the specialty may have to be 'sold' to those who pay for it and use it. Our aim was to consider the areas where this commonly occurs and...

In this paper, we analyze the concept of objectivity as it is accepted in the 'standard position' on ethical practice in forensic psychiatry and confront it with the current trends of psychiatric nosology, specially the debate that we have now regarding the theoretical orientation of DSM-5, which is intended to be more based on neuroscientific more...

En este artículo se analizan las diferentes posibilidades de reforma penal en lo relacionado con la atención de delincuentes sexuales multirreincidentes, y se critica la actitud de la clase política sobre esta cuestión en España en 2008

We review the relevant literature published in the last year on assessing the capacity of mental patients to make decisions in different areas of their lives. We have analyzed the research relating to the development of capacity assessment instruments. We examine recent studies focusing on the capacity of mental patients with mild to moderate demen...

Competency to consent to hospitalization has important clinical and ethical implications. However, there are no follow-up studies that evaluate improvement in competency during psychiatric hospitalization. The authors sought to determine whether patients admitted to a psychiatric ward as incompetent to consent to hospitalization improve their compe...

Purpose of review In this article we will review the relevant literature published in the last year on insight and on assessment of competency of patients with dementia. We have analysed the implications that recent research on insight may have for capacity assessment. Recent findings Studies that have recently been published deal with financial as...

Purpose of review: The authors review the latest publications that deal with the legal aspects of dementia. The paper is mainly focused on competence assessment to give consent for medical treatment and for participating in research. Special attention is paid to the analysis of the elements that influence the decision to participate in research, pa...

To determine the psychometric properties of the Spanish versions of the following scales for assessing PTSD patients: TQ, CAPS-DX, DTS, TOP-8, and DGRP. Data from 63 PTSD patients and 23 healthy subjects were analysed. Internal consistency and test-retest reliability (after 15 days) were calculated. Convergent validity was analysed by correlating s...

Aim: to determine the psychometric propel ties of the Spanish versions of the following scales for assessing PTSD patients: TQ, CAPS-DX, DTS, TOP-8, and DGRP. Methods: data from 63 PTSD patients and 23 healthy subjects were analysed. Internal consistency and test-retest reliability (after 15 days) were calculated. Convergent validity was analysed b...

Traditionally assessment of cognitive function has not been employed adequately in our medical community. In the last two decades the neuropsychological assessment has experimented an evolution in order to improvement in specificity and sensitivity. In this paper we present a compendium of neuropsychological test that could be evaluate cognitive fu...

Alzheimer's family caregivers suffer from psychological and physical morbidity associated with the care of the Alzheimer's patient. The objectives of the study were to compare stress and psychological morbidity between family caregivers of Alzheimer's disease patients and family caregivers of aged non-demented chronically ill patients and to explor...

Accurate evaluations of the dangers posed by psychiatric inpatients are necessary, although a number of studies have questioned the accuracy of violence prediction. In this prospective study, we evaluated several variables in the prediction of violence in 63 inpatients with a DSM-IV diagnosis of schizophrenia or schizoaffective disorder. Nurses rat...

The authors analyzed the incidence of sexual dysfunction (SD) with different selective serotonin reuptake inhibitors (SSRIs; fluoxetine, fluvoxamine, paroxetine, and sertraline) and hence the qualitative and quantitative changes in SD throughout time in a prospective and multicenter study. Outpatients (192 women and 152 men; age = 39.6 +/- 11.4 yea...

Unlabelled: The authors analyze the incidence of sexual dysfunction (SD) with different SSRIs (Fluoxetine, Fluvoxamine, Paroxetine and Sertraline) and hence the qualitative and quantitative changes in SD throughout time 308 outpatients (169 women, 139 men; mean +/- SD age = 41 +/- 7) under treatment with SSRIs were interviewed with an SD questionn...

The authors analyze the incidence of sexual dysfunction (SD) with different SSRIs (Fluoxetine, Fluvoxamine, Paroxetine and Sertraline) and hence the qualitative and quantitative changes in SD throughout time. 308 outpatients (169 women, 139 men; mean ± SD age=41±7) under treatment with SSRIs were interviewed with an SD questionnaire designed for th...

In a consequent analysis of the results obtained in the previous study, we have considered to develop a predictive model using a multivariate analysis. We have selected those variables that presented the best correlation with violent behavior and we have performed a discriminant analysis. With this methodology we have developed a model with which w...

We present a study where we analyze the variables involved the appearance of violent behavior in patients diagnosed of suffering paranoid schizophrenia. We have studied a sample of 58 patients that completed the DSM-III-R criteria of paranoid schizophrenia who were evaluated in the 48 hours after admission in an acute inpatient unit. Surprisingly,...

The interest for the misidentification syndromes has increased significantly in the last fifteen years specially in english speaking literature. It is surprising the fact that these syndromes which were discovered at the first quarter of the century have been forgotten in research for such a long time. In this article we present three cases in whic...