Dinesh Bhugra’s research while affiliated with Imperial College London and other places

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Publications (716)


The Humanitarian Emergency in the Gaza Strip: Urgent Actions for Advocacy in Mental Healthcare Management
  • Article
  • Full-text available

December 2024

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37 Reads

Indian Journal of Psychological Medicine

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Dinesh Bhugra

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The Israel–Gaza conflict traces back to the 1948 Arab-Israeli War, which left Gaza under Egyptian control and home to many Palestinian refugees. In 1967, Israel captured Gaza during the Six-Day War, initiating decades of occupation. The Oslo Accords of the 1990s granted limited Palestinian self-governance, but tensions escalated after Hamas took control of Gaza in 2007, leading to Israeli blockades and recurring cycles of violence. Recent attacks stem from longstanding grievances, including Gaza’s blockade, disputes over Jerusalem, and Israeli settlements in the West Bank, coupled with Hamas’ militant actions and Israel’s retaliatory strikes. These events highlight unresolved territorial, political, and humanitarian issues fueling the conflict.

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Somatization Across Cultures

December 2024

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48 Reads

The body is a cultural vessel, giving voice to the unspoken words of the soul and transforming the nuances of distress into a script of symptoms that echoes across diverse cultural landscapes. Within the intricate tapestry of human experience, certain threads stand out, weaving a story that defies boundaries and spans the globe. Somatization Across Cultures unfurls these threads, illuminating the diverse landscape of somatization disorders and their interplay with culture, identity, and healing practices. As you embark on this literary voyage, prepare to traverse continents and minds, exploring the profound connection between the physical and the psychological, the cultural and the clinical. Part of the Oxford Cultural Psychiatry series, this volume brings together the various somatization syndromes: their description, presentation, assessment, and management in one place. It is a fascinating read for any psychiatrist, physician, clinical psychologist, public health specialist, nurse and other healthcare professional, as well as any sociologist, anthropologist, and policymaker, and anyone else interested in this area of psychiatry.


A cross-sectional study of policies from American medical organizations about public communications from physicians in the digital age

November 2024

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5 Reads

As a professional duty, physicians are often required to publicly comment on health-related topics. However, ethical complexities can arise during discussions about high-profile individuals or events, especially in an era of rapid news cycles and digital media. The American Medical Association (AMA) has policies concerning physician commentary and media interactions, as does the American Psychiatric Association (i.e., the Goldwater Rule). Nevertheless, the extent to which other United States medical associations have adopted similar protocols remains underexplored. Focusing on non-psychiatric members of the AMA’s policymaking body, the Federation of Medicine (FMMs), this study sought to analyze cross-speciality perspectives. Between January-March 2024, online resources for N = 122 FMMs were reviewed (e.g., professional codes and position statements), followed by email outreach to verify positions and garner further insights. n = 47 FMMs provided sufficient information for inclusion, cumulatively representing approximately 950,000 members. n = 16 FMMs (34%) had guidelines or policies regarding public commentary, generally emphasizing accuracy, consent, and confidentiality. Yet, for the majority of FMMs (n = 31/66%), no specific regulations were identified; these organizations did not cite any proprietary statutes or deferred to AMA materials. Moreover, existing FMM policies largely overlooked the impact of Artificial Intelligence and digital misinformation, warranting cross-specialty exchanges to uphold credible discourse amid societal and technological shifts. Supplementary Information The online version contains supplementary material available at 10.1038/s41598-024-81176-6.





Determinants of brain drain among physicians in Turkey: Findings from a national exploratory study

October 2024

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18 Reads

Background The shortage of physicians in Turkey is a highly critical emergency. In fact, physicians’ migration to developing or high-income countries, defined as brain drain, threatens the sustainability of the national healthcare system. Aims This study explored the driving factors associated with Turkish Physicians’ brain drain, including high-economic inflation, social-politics, poor-living, equity, violence, and the desire to practice medical activity abroad. Methods A cross-sectional survey of 1,861 Turkish physicians aged 25 to 65 years old was conducted employing the Brain Drain questionnaire, the Depression Anxiety Stress Scale (DASS-21), the Patient Health Questionnaire 9 (PHQ-9), and the Fatigue Assessment Scale (FAS). Results Significant differences were observed among physicians staying in Turkey versus considering migration to Western countries, regarding their age, gender, marital status, educational level, occupational status, work years, hospital night shifts, income, and cigarette/nargileh smoking habits ( all p ⩽ .018). The main reasons for brain drain included transport problems, harassment, low salary, malpractice, bad environment, job insecurity, workload, burnout, treating difficult patients, inadequate postgraduate systems, peer-pressure, health safety concerns, and favoritism in the workplace, as well as stress and depression caused by work overload. In fact, depression, anxiety, stress, fatigue, and burnout varied significantly among the different groups of physicians (all p ⩽ .013). Additionally, key predictors of brain drain were better job opportunities, poor hospital management (in Turkey), job-related stress, dealing with difficult patients, research deficiencies, workload, burnout, transportation issues, short consultation time, low salary, and fatigue. Among the general factors contributing to the brain drain in the Turkish Health System, we identified significant issues related to research deficiencies, compulsory working duties, poor quality of postgraduate, inadequate medical-schools, poor hospital management, and shortage of consultants. Conclusion Physicians’ migration is a major global public health concern, leading to substantial risks for healthcare services, especially in Turkey. Many physicians decide to migrate to work in Western countries.


Fig. 1 Google search volumes for "Cancer symptoms" in the United Kingdom 29.01.2024-12.02.2024
Speculation fit for a king? Medical announcements from the British royal family and the recurring ethical complexities of personal privacy and public commentary from physicians

October 2024

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12 Reads

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1 Citation

BMC Medical Ethics



Final Introduction RT DB book

September 2024

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1 Read

The term social justice has become frequently used in recent times, becoming what might be defined as a buzz word but it is often misunderstood and misused in mental health and therapeutic settings. This ground-breaking book (as briefly detailed in this chapter) is a comprehensive text which we hope will help define what the ‘social justice agenda’ in therapeutic fields and mental health is. It contains concrete and innovative descriptions of social justice in practice. It clearly illustrates the principles of social justice as integral to the practice of psychiatry, psychology, psychotherapy, mental health, social work, and related disciplines which all come in many guises. It provides detailed discussions of theoretical perspectives, as well as case studies and examples of real-life practice. Authors are from different branches of applied psychology, medicine, psychiatry, psychotherapy, research and service user/ expert by experience backgrounds and come from a range of countries.


Citations (50)


... To that end, we sought to assess the policy landscape from members of the Federation of Medicine 26,27 (FMMs). Given the potential complexities when medical and clinical perspectives are publicly communicated, these insights may be particularly timely, with crossjurisdictional debates and contexts of practice continuing to evolve [2][3][4][5][6]9,19,20,31 . ...

Reference:

A cross-sectional study of policies from American medical organizations about public communications from physicians in the digital age
Speculation fit for a king? Medical announcements from the British royal family and the recurring ethical complexities of personal privacy and public commentary from physicians

BMC Medical Ethics

... Suicidal thoughts and intentional self-harm can be influenced by cultural norms and beliefs. Understanding cultural influences and how they may contribute to suicide is essential for clinical evaluations and treatment (Watson et al., 2024) [22]. The cultural context a person is exposed to has an impact on their suicidal thoughts and attempts. ...

Cultural factors in suicide
  • Citing Chapter
  • September 2024

... These micro-identities include gender, religion, sexual orientation, profession, etc. These have been called a mosaic of identities (Bhugra & Ventriglio, 2024) and, depending upon where the light shines on the mosaic, one or more aspects of identities come into focus or become visible or shared with others whereas the rest of the time these aspects remain hidden. In addition, our cultural, political, social, and personal identities also play a role in helping us form who we are. ...

Others, othering, otherism and social psychiatry
  • Citing Article
  • July 2024

... We are pleased that this Research Topic amplifies the voices of our researcher and practitioner colleagues in SIDS, whose scholarship demonstrates the importance of transdisciplinary and ecological frameworks for understanding the interrelationships among climate phenomena, socioeconomic factors, place, and mental health outcomes. This broader conceptualization is reflected in the emerging field of geopsychiatry, which emphasizes the intersections of mental health, economics, geography, climate change, migration, and geopolitics (10,11). These themes feature heavily in this Research Topic, and we suggest that this integrated lens is useful for operationalizing future research as SIDS confront complex and escalating threats to physical and mental health. ...

Geopsychiatry: Climate change, migration, and mental health

Industrial Psychiatry Journal

... Nonetheless, the number of mental health workers favorable to the use of technology may be limited (Jones et al., 2014). Nevertheless, the growing use of chatbots in mental health has led to calls to name them 'the future of therapy' , although there is a lack of education on this topic as well as a lack of consensus on the recognition of psychiatric chatbots and their role in care pathways (Engberg, 2017;Bhugra et al., 2024). In fact, further research is needed to define their therapeutic effects as these technologies develop. ...

World Psychiatric Association - Asian Journal of Psychiatry Commission on Public Mental Health
  • Citing Article
  • June 2024

Asian Journal of Psychiatry

... Some novel methods used internationally to resolve forensic issues from a psychological as well as legal standpoint during martial law are following practices aimed at balancing both the provision of solid mental support and legal security. In both the UK and the Netherlands cognitive behavioural therapy (CBT), dialectical behavioural therapy (DBT) have been put in place in programs to reduce aggression,and support the re-integration of patients housed within forensic settings (Smith, et al, 2024). Those approaches are specifically on the ground of minimizing risk of re-offending and managing the psychological state of those who go through trial or are imprisoned. ...

Mental health and justice beyond borders: Global crises, sociopolitical determinants, and contemporary practices in forensic psychiatry

International Review of Psychiatry

... Найбільш затребуваний результат цієї взаємодії -це збільшення тривалості життя населення та покращення якості життя. Як наслідок, зросла епідеміологія вікових нозологій, прогноз яких, у свою чергу, значно посилює тяжку коморбідну патологію [1,2]. Одним із таких захворювань у до-рослих хворих є дегенеративний аортальний стеноз (АС) [3,4]. ...

Disease, illness, phenomenology and narratives
  • Citing Article
  • April 2024

... ' [31] This is of particular importance when considering what may be appropriate content to include in undergraduate and postgraduate curricula with respect to required cultural and spiritual competencies of candidates, as well as of what constitutes appropriate and ethical psychiatric and psychotherapeutic practice, within professional boundaries. [32] To further illustrate these practical implications is the debate on whether traditional health practice, which is imbedded in African cultural beliefs, [33] should be regarded as a psychotherapeutic modality, [34][35][36] or as a religion and spiritual practice. [37][38][39] ...

Culture, Mental Health and Mental Illnesses
  • Citing Chapter
  • April 2024

... This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution and reproduction in any medium provided the original author and source are credited Religion: Spirituality and religion shapes compassionate behaviours through their narratives and teachings by religious leaders. The Arts and Humanities: Increasingly utilized to foster empathy and compassion in healthcare professionals (13,14). Evidence suggests that exposure to the arts and humanities during medical education and training effectively shapes empathetic and compassionate physicians (13,14). ...

The arts and humanities are fundamental to health professions education
  • Citing Article
  • February 2024

International Review of Psychiatry

... To that end, we sought to assess the policy landscape from members of the Federation of Medicine 26,27 (FMMs). Given the potential complexities when medical and clinical perspectives are publicly communicated, these insights may be particularly timely, with crossjurisdictional debates and contexts of practice continuing to evolve [2][3][4][5][6]9,19,20,31 . ...

Ethics and disinformation on the campaign trail: psychiatry, the Goldwater Rule, and the 2024 United States presidential election

The Lancet Regional Health - Americas