Skip to main content
×
×
Home

The most important things I have learnt in my career as a psychiatrist

  • Julian Leff (a1)
Summary

This paper is something of a patchwork, incorporating many issues that have intrigued me during 34 years of research. I have included the importance of maintaining a solid base in clinical work, alongside research activities, and being alert to the possibility of a somatic condition contributing to psychiatric symptoms. I stress the value of careful observation of patients, their response to treatments and reasons for dropping out. In addition, I have included 14 more lessons, learned from my experience of research, which I hope will be of use to those readers who aspire to become researchers.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      The most important things I have learnt in my career as a psychiatrist
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      The most important things I have learnt in my career as a psychiatrist
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      The most important things I have learnt in my career as a psychiatrist
      Available formats
      ×
Copyright
This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence to Julian Leff (julian.leff@kcl.ac.uk)
Footnotes
Hide All

Declaration of interest

None.

Footnotes
References
Hide All
1 Leff, J, Williams, G, Huckvale, M, Arbuthnot, M, Leff, AP. Avatar therapy for persecutory auditory hallucinations: what is it and how does it work? Psychosis 2014; 6: 166–76.
2 Craig, TK, Rus-Calafell, M, Ward, T, Fornells-Ambrojo, M, McCrone, P, Emsley, R, et al. The effects of an Audio Visual Assisted Therapy Aid for Refractory auditory hallucinations (AVATAR therapy): study protocol for a randomised controlled trial. Trials 2015; 16: 349.
3 Brown, GW, Birley, JL, Wing, JK. Influence of family life on the course of schizophrenic disorders: a replication. Br J Psychiatry 1972; 121: 241–58.
4 Hooley, JM, Orley, J, Teasdale, JD. Levels of expressed emotion and relapse in depressed patients. Br J Psychiatry 1986; 148: 642–7.
5 Leff, J, Kuipers, L, Berkowitz, R, Eberlein-Vries, R, Sturgeon, D. A controlled trial of social intervention in the families of schizophrenic patients. Br J Psychiatry 1982; 141: 121–34.
6 Von Bertalanffy, L. General System Theory: Foundations, Development, Applications. George Braziller, 1968.
7 Bateson, G. From Versailles to Cybernetics in Steps to an Ecology of Mind. University of Chicago Press, 1972.
8 Dubin, R. Causality and social systems analysis. Int J Gen Syst 1975; 2: 107–13.
9 Leff, J, Trieman, N. Long-stay patients discharged from psychiatric hospitals. Social and clinical outcomes after five years in the community. The TAPS Project 46. Br J Psychiatry 2000; 176: 217–23.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 2056-4694
  • EISSN: 2056-4708
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 33 *
Loading metrics...

Abstract views

Total abstract views: 58 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 26th May 2018. This data will be updated every 24 hours.

The most important things I have learnt in my career as a psychiatrist

  • Julian Leff (a1)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *