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Introduction
Skills and Expertise
Publications
Publications (55)
In the light of the increasing recognition of the relevance of spirituality in person‐centred, holistic care, this study examines the attitudes of a convenience sample of mental health practitioners, including nurses, to the concepts of spirituality in general and in clinical practice. A series of 5‐point Likert‐style items assessed two key domains...
https://brill.com/abstract/book/edcoll/9789004410497/BP000023.xml
Goal: New edited multi-author book due out at the end of June will look at how Spiritually Competent Practice can be developed and sustained in Health Care. It will also examine how different environments can facilitate (or obstruct ) this care, examine related cultural issues and consider how professionals can be prepared to deliver this care and...
The inspiration for this book came from the Spirituality Special Interest Group in the School of Human and Health Sciences at the University of Huddersfield. The concept of the book is rooted in the research findings and discussions we have shared as a group. These focused not only on specific research areas but also on the more general issue of ho...
This chapter explores issues around Spirituality and Spiritually Competent Practice and outlines the contents of the book.
Key points:
According to the GMC, attention to spiritual issues is expected as part of a medical assessment.
1. Spirituality is hard to define precisely but it can be understood as what gives meaning and
purpose and a sense of connectedness to life.
2. Religion and spirituality overlap but are distinct and there are non-religious as well as religio...
This chapter uses fictionalised narratives derived from the clinical experiences of members of the Spirituality Special Interest Group at the university of Huddersfield to explore the spiritual issues inherent in the ill health and losses faced by older people.
In Germany first contact is usually with a primary care physician, who rarely refer patients with dementia to psychiatrists or neurologists and only 15% of dementia patients receive anti-dementia medication. Geriatric day care is an important part of services but not many patients access them. Special dementia care in nursing homes is either a segr...
The treatment of depression in older people needs an integrated approach with pharmacological and psychosocial approaches working together. Within secondary mental health services there are patients with severe depression who are often at a significant risk. There is evidence to suggest the older antidepressants are over prescribed to the elderly i...
Aims: The objective of the study was to provide observational clinical data on psychotropic drugs used in older people with mental illness. Method: This was an observational, single-centre, one-week prevalence study of psychiatric symptoms, disorders and psychotropic/ antidepressant drug use in older people with mental illness cared for by the Sout...
This chapter presents the comparative studies on the use of hypnosedatives and anxiolytics. The anxiolytic buspirone in therapeutic doses appears to have less detectable deleterious effects on cognition when given acutely. Intravenous sodium valproate has been compared with an infusion of diazepam for control of refractory status epilepticus in an...
Background. A pilot study using a mixed methodology was used to evaluate the effects of travelling on NHS Patient Transport Service ambulances on the experience of patients with dementia. The study assessed the feasibility of using Dementia Care Mapping in this setting and looked at the effects of the presence of designated staff teams on journeys,...
This chapter presents the study results on hypnosedatives and anxiolytics. In a randomized open study of the control of nausea and vomiting in 19 patients with operable breast cancer, granisetron alone was compared with granisetron plus alprazolam. Alprazolam increased the efficacy of granisetron. The addition of alprazolam did not increase the inc...
The development of effective medication for the treatment of Alzheimer's disease led to an expansion in the use of memory clinics ther clinic-based services for the delivery and monitoring of the drugs. In contrast, there is an increased emphasis on providing home and community based service delivery for a range of illnesses including dementia.
Thi...
Aims The objective of the study was to provide observational clinical data on psychotropic drugs and especially hypnotics used in older people with mental illness. Method This was an observational, single-centre, one-week prevalence study of psychiatric symptoms, disorders and psychotropic/hypnotic drug use in older people with mental illness cared...
In the light of recent National Institute for Clinical Excellence (NICE) and Committee for the Safety of Medicines (CSM) guidance we discuss the importance of the diagnosis of depression in old age and review pharmacological interventions. An introductory section is followed by sections on each of the main antidepressant groups. This briefly descri...
Behavioural and psychological symptoms in patients with dementia are common, distressing and often difficult to manage. This review evaluates a range of drugs commonly used to manage these symptoms including antipsychotics, anticonvulsants, antidementia drugs and antidepressants.
The risks and benefits of individual treatments are discussed and the...
The objective of the study was to provide observational clinical data on psychotropic drugs used in older people with mental illness.
This was an observational, single-centre, one-week prevalence study of psychiatric symptoms, disorders and psychotropic drug use in older with mental illness cared for by the South West people Yorkshire Mental Health...
Critical Flicker Fusion Threshold (CFFT) is a psychophysical threshold and in psychological terms is regarded as a measure of information processing capacity. The test has previously been shown to be a valid and reliable measure of CNS functioning in patients with Alzheimer's disease and may be a useful as a screening measure for the early detectio...
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Antipsychotic medications have made a significant contribution to the care of the mentally ill people over the past 50 years, with good evidence that both typical and atypical agents are effective in the treatment of schizophrenia and related conditions. In addition they are widely used to good effect in other disorders including psychotic depressi...
Antipsychotic drugs have made a significant contribution to the treatment of schizophrenia but the older drugs in particular have significant side-effects. The newer atypical drugs are effective for the treatment of both positive and negative symptoms and they also have significantly fewer serious side-effects. However, these drugs are considerably...
There have been a number of randomised, placebo-controlled trials of donepezil in the treatment of mild-moderate Alzheimer's disease and these report significant benefits for a proportion of patients. Little is known about the use of donepezil in routine clinical practice. The aims of this study were to examine the use of donepezil in routine clini...
Critical Flicker Fusion Threshold (CFFT) is a psychophysical threshold and, in psychological terms, it is regarded as a measure of information processing capacity. CFFT has previously been shown to be a valid and reliable measure in young healthy volunteers and it also has a long history of use as a psychopharmacological measure in this group. Furt...
Critical Flicker Fusion Threshold (CFFT) is now a well established measure in psychopharmacological research in both volunteer and patient populations. This paper examines some of the theoretical aspects of CFFT which investigators should be aware of, and the role of CFFT in psychopharmacological research. It also explores the anatomical and neurop...
A large number of experimental compounds are being developed for the treatment of patients with Alzheimer's disease (AD). As different compounds may have different effects on CNS function, depending on which neurotransmitters they affect, adequate profiling will require the use of several tests. The difficulties facing the psychopharmacologist in a...
Examined the interrater reliability of critical flicker fusion threshold (CFFT) measurement and its subcomponents, flicker and fusion thresholds, in 15 female and 6 male patients (aged 67–89 yrs) with primary degenerative dementia of the Alzheimer type (PDDAT). Diagnosis of PDDAT was based on Diagnostic and Statistical Manual of Mental Disorders-II...
The concurrent validity of critical flicker fusion threshold (CFFT) and flicker threshold measurement was examined in 23 female and three male patients with primary degenerative dementia of the Alzheimer type (PDDAT). Patients had a mean age of 81.7 ± 6.05 years (range 67–89). Diagnosis of PDDAT was based on the DSM-III-R classification. Both the C...
Psychopharmacologists are interested in measuring psychoactive drug-induced changes in cognitive and/or psychological behavior (Hindmarch and Stonier, 1987; 1989; Hindmarch et al., 1988). The number of tests included in a test battery should be kept to a minimum to avoid identifying significant results by chance, and individual tests should be appr...
1. The pharmacodynamic effects of buspirone and clobazam were compared in two volunteer studies. Acute doses of buspirone 5 mg, 10 mg and clobazam 10 mg were contrasted with placebo and a verum (lorazepam 1 mg), in a repeated measures design with 10 subjects assessed on a battery of psychometric tests at 1.5, 3.5, and 5.5 h post dose. For the combi...
The possible central nervous system effects of topical administration of levocabastine, a new H1-antagonist, were investigated in a double-blind, placebo-controlled, crossover study using a battery of objective and subjective tests. These were carried out in 12 volunteers up to five hours postapplication. Neither the recommended (0.5 mg/mL) nor the...
The test-retest and split-half reliability of flicker threshold measurement was determined in 23 female and three male patients with primary degenerative dementia of the Alzheimer's type (PDDAT). Patients had a mean age of 81.7 ± 6.05 years (range 67–89). Diagnosis of PDDAT was based on DSM-IIIR criteria. The psychophysical method of limits was use...
Critical Flicker Fusion Threshold (CFFT) and the difference between fusion and flicker thresholds were examined in 23 female and three male patients with Primary Degenerative Dementia of the Alzheimer’s type (PDDAT). The control group consisted of age, sex, and occupational class-matched, normal volunteers. Patients had a mean age of 81.7 years ±6....
Critical Flicker Fusion Thresholds (CFFTs) were measured in 644 elderly people identified from community-based general practice
records, and the relationship of CFFT with age was investigated. The CFFT was measured using the method of limits with mean
scores for three ascending (flicker/fusion) and three descending (fusion/flicker) presentations be...
12 female patients (68–88 yrs old) with primary degenerative dementia (PPD) and 12 matched controls were administered a choice reaction time (RT) task that involved identifying and extinguishing 1 of 6 red lights that appeared at random. Total RT was clearly able to differentiate between PPD Ss and controls. Although total RT increased with age in...
Antihistamines may or may not affect performance on psychological tasks depending on a series of variables. When conducting psychopharmacological studies, it is important to recognize these to optimize the study design and to provide a sound basis for the interpretation of the results. The authors discuss materials and methods of testing, including...
An acute dose investigation compared the psychometric effects of buspirone 5 and 10 mg; clobazam 10 mg; and a verum (lorazepam 1 mg) with placebo. Ten female volunteers received each of the treatments in a double-blind, balanced order design with 6 days between treatments. Assessments included critical flicker fusion, choice reaction time and a sho...
The present study was devised to investigate different H1-antagonists, using a subjective and an objective measure. In addition, a histamine wheal and flare test was used to explore the relationship between peripheral activity and central effects.
Projects
Projects (4)
Approaching Wisdom from multiple perspectives to promote authentic leadership and practice.
New edited multi-author book published 2017 looks at how Spiritually Competent Practice can be developed and sustained in Health Care. It will also examine how different environments can facilitate (or obstruct ) this care, examine related cultural issues and consider how professionals can be prepared to deliver this care and sustained in doing so. Some of the contents will be based on the work of members of the Spirituality Special Interest Group at the University of Huddersfield. Details of the book can be found at: https://www.crcpress.com/Spiritually-Competent-Practice-in-Health-Care/Wattis-Curran-Rogers/p/book/9781138739116 and it was launched at a conference on Spirituality, Compassion and Mental Health on the 11th July 2017 at Huddersfield.
