Roger Smyth’s research while affiliated with University of Edinburgh and other places

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Publications (22)


Oxford Handbook of Psychiatry
  • Book

July 2019

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1,050 Reads

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115 Citations

David Semple

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Roger Smyth

This fourth edition of what has become an indispensable pocket guide to general psychiatry and the subspecialties continues to provide portable reassurance to health professionals at all levels of experience when dealing with psychiatric issues. As well as a comprehensive overview of the common presentations in psychiatry, this handbook includes practical guidance on the principles of management for individual conditions. Subspecialties, including old age psychiatry, substance misuse, child and adolescent psychiatry, forensic psychiatry, intellectual disability, liaison psychiatry, and psychotherapy are covered in separate chapters, as are overarching considerations such as legal issues, cultural context, and therapeutics. As in previous editions, the handbook is indexed alphabetically, by ICD-10/DSM-5 codes, and by acute presentations for quick access to topics. The text is peppered with clinical observations, guidance, and commentary, reflecting the authors’ own experiences of working in psychiatry. This new edition has been thoroughly revised and updated to include the latest clinical guidelines, new licensed drug indications, changes to the legislature impacting on psychiatric practice across the United Kingdom and Ireland, the new DSM-5 classification system, and the anticipated ICD-11 changes to diagnostic coding.


Therapeutic issues

June 2019

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2 Reads

This chapter covers therapeutic issues in psychiatry, from medication adherence, off-label prescribing and associated legal considerations, negative side effects such as weight gain and sexual dysfunction in different forms of psychiatric medicines, potential interactions or contraindications for prescribing, and specific side effects. Special prescribing cases, such as psychiatric medicine in pregnancy and breastfeeding patients or those with heart, liver, or kidney disease, are explained.


Psychotherapy

June 2019

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1 Read

This chapter covers the psychotherapies, a collection of treatments for mental disorders which employ language and communication as a means of producing change. It covers assessment and selection of an appropriate method for the individual patient, a history of Freud and other pioneers of psychotherapy to provide a background context, before examining different types of therapy. Briefly explaining the theory of psychotherapy, the phases of psychosexual development, and the object relations theory, it goes into detail on behavioural therapies such as cognitive behavioural therapy, interpersonal psychotherapy, dialectical behaviour therapy, and solution therapy. Counselling methods are described to aid the reader in developing their skills.


Depressive illness

June 2019

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2 Reads

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1 Citation

This chapter covers depression. After a historical perspective, it describes the symptoms, caseness, and clinical presentations to aid in diagnosis. Epidemiology and aetiology of the disease are both covered, and specific investigations for diagnosis are outlined. The course and prognosis are discussed, and management principles are covered. Both inpatient and outpatient treatment are covered. Treatment methods for depression both with and without psychotic features are defined, and treatment-resistant depression management is also discussed. Antidepressants, including schedules for swapping or stopping drugs, are covered, including tricyclic antidepressants (TCAs), monoamine oxidase inhibitors (MAOIs), and selective serotonin reuptake inhibitors (SSRIs), as well as assorted other pharmaceutical interventions. Electroconvulsive therapy (ECT) is covered in detail.


Neuropsychiatry

June 2019

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4 Reads

This chapter covers neuropsychiatry in the medical sense (behavioural neurology and neuropsychiatry). Starting with the psychiatric presentations of organic illness and neurological examinations and investigations in psychiatry, it covers movement disorders, neurodevelopmental disorders, epilepsy, Parkinson’s disease and other related syndromes, and the psychiatric effects of central nervous system infections and human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS). Outlining both the aetiology and treatment for dementia and Alzheimer’s disease, other specific neurodegenerative conditions are also featured.


Forensic psychiatry

June 2019

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5 Reads

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1 Citation

Covering the role of the psychiatrist in forensic situations, from participation in the criminal justice system and legal definitions of crime (including homicide, violence, and sexual offences) to the relationship between mental disorders and offending, this chapter addresses secure hospitals and units, police and court liaison, and the role of the prison psychiatry. Legal provisions and how to give evidence in court are described, and an overview of pathways through the criminal health and justice system for mentally disordered offenders is provided. Fitness to plead and criminal responsibility are both explained.


Liaison psychiatry

June 2019

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2 Reads

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2 Citations

This chapter concerns liaison psychiatry and the assessment and management of psychiatric and psychological illnesses in the general medical population. It covers the 12 most common referral types, assessment of depressive and anxiety symptoms, psychotic symptoms and confusion, depression in physical illness, delirium, and management after self-harm. Focusing on capacity and consent, as well as differential diagnoses and potential management principles for medically unexplained symptoms, it covers the basis of working as a psychiatrist in a hospital.


Thinking about psychiatry

June 2019

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1 Read

This chapter introduces ways of thinking about psychiatry, from investigating the question ‘what is disease’ to techniques for diagnosis and treatment and overarching themes of the role of the psychiatrist. With a brief history and a discussion of potential future directions of the discipline, this chapter provides an overview and rationale for the subsequent content.


Sleep–wake disorders

June 2019

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1 Read

Covering sleep research, normal sleep, and then sleep–wake disorders, this chapter splits abnormal sleep into insomnia, hypersomnia, circadian rhythm disorders, and parasomnias. Individual cases, such as sleep-related epilepsy, panic attacks, and sleep-related violence, are all defined. The effects of psychiatric medication on sleep (either sedative or alerting) are defined, as well as the effects of recreational drugs. The intersection of other psychiatric disorders on the sleep schedule are described, and potential differential diagnoses listed.


Substance misuse

June 2019

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1 Read

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2 Citations

This chapter defines substance abuse. Splitting up alcohol and other drugs, although recognizing that alcohol is a drug in its own right, it covers dependence, screening, assessment, planning treatment, management of withdrawal, and plans for maintaining abstinence. Also covering tobacco, illegal drugs, and novel psychotropic substances, substitute prescribing, and legal issues, this chapter has a table of street slang associated with drug misuse to aid the reader.


Citations (8)


... The respondents' awareness of psycho c illness as a poten al long-term effect of NPS aligns with exis ng knowledge about the mental health risks associated with substance use (David Semple & Roger Smyth, 2013; First & American Psychiatric Associa on, n.d.). It is also possible that this awareness is due in part to, or reinforced by, the prevailing myth in Nigeria that drug use is the cause o f m e n t a l i l l n e s s ( A d e w u y a & Makanjuola, 2008). ...

Reference:

Assessment of Medical Doctors' Knowledge of New Psychoactive Substances and their Neurobehavioural Effects
Oxford Handbook of Psychiatry
  • Citing Article
  • February 2013

... Women who had suffered violence before or during index pregnancy were categorized into group I while group II consisted of pregnant women with no history of violence prior to or during index pregnancy. The sample size was determined by the 9 formula for comparison of groups while selection of the study population was by simple random sampling with inclusion of all consenting eligible women until the desired sample size was obtained. ...

Depressive illness
  • Citing Article
  • June 2019

... These variables were included together since these may be associated with the positive symptoms of psychosis, self-disturbance and SSDs (Dodell-Feder et al., 2020;Herniman et al., 2019;Jaya et al., 2017;Lim et al., 2018;Michael and Park, 2016). √PDI was entered in the second step, since this is a covariate which measures a positive symptom of psychosis (Semple and Smyth, 2019). ...

Schizophrenia and related psychoses
  • Citing Article
  • June 2019

... The Oxford Handbook of Psychiatry mentions that psychotic illnesses encompass schizophrenia and its related psychotic illnesses, as well as mood disorders with psychotic features. 15 Notwithstanding the variable categorisation of psychotic illnesses in textbooks, the literature consistently demonstrates that a diagnosis of a psychotic illness or bipolar affective disorder is associated with prolonged in-patient stays. 16 Psychotropic drugs or psychoactive drugs are medications that affect mental processes, for example, perception, consciousness, cognition or mood and emotions. ...

Oxford Handbook of Psychiatry
  • Citing Book
  • July 2019

... Like pain, fear is a highly stressful and unwelcome sensation, but a crucial one for human survival. Nonetheless, excess stress induces various mental disorders in humans, such as anxiety, depressive, and binge-eating disorders (Klatzkin et al., 2016;Semple and Smyth, 2013;Slavich and Irwin, 2014). Anxiolytic drugs are sometimes administered to prevent or ameliorate these diseases, and the effects of these drugs in humans can be evaluated using reliable animal models such as the elevated plus-maze, light-dark box, and open-field models (Campos et al., 2013). ...

Chapter 7. Anxiety and stress-related disorders
  • Citing Article
  • January 2005

S. Semple

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Roger Smyth

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[...]

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A. McIntosh

... [3,4]. Несмотря на указанную редкость патологии, только за последние несколько лет описано большое число клинических наблюдений энцефалопатии Вернике у пациентов, не злоупотребляющих алкоголем: при желудочно-кишечных расстройствах различного генеза (оперативные вмешательства, он ко ло ги че ские заболевания, беременность и др.), голодании или строгих диетических ограничениях (строгое соблюдение поста), гипотрофии, нервной анорексии, травме головного мозга, энцефалите с поражением базальных ядер и височных долей, отравлении угарным газом [5][6][7][8][9][10][11][12][13]. Представляют интерес наблюдения энцефалопатии Верника у пациентов, перенесших трансплантацию печени, костного мозга, гемопоэтических стволовых клеток [14][15][16]. ...

Oxford Handbook of Psychiatry – Third Edition
  • Citing Book
  • January 2013

... Berdasarkan International Classification of Diseases atau ICD-10 dan DSM-IV, gangguan kepribadian dialami dalam waktu yang panjang (umumnya dimulai sejak masa anak-anak atau remaja dan berlanjut hingga dewasa) dan menetap yang melibatkan pengalaman di dalam diri (inner experience) dan perilaku yang menyebabkan distress atau penurunan signifikan fungsi sosial pada individu. Wujud dari suatu gangguan kepribadian adalah adanya permasalahan pada kognisi (kemampuan individu untuk memahami dan memikirkan dirinya serta orang lain), emosi (intensitas dan kesesuaian respon emosi), dan perilaku (kemampuan interpersonal, fungsi sosial dan pekerjaan, serta kemampuan untuk mengontrol dorongan) yang bukan disebabkan karena kondisi lain, seperti psikosis, gangguan mood, penyalahgunaan obat-obatan, dan lain-lain (Semple & Smyth, 2009). ...

Oxford Hand Book of Psychiatry - Second Edition
  • Citing Book
  • May 2009