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Neuropsychiatry in the UK: planning the service provision for the 21st century

  • Niruj Agrawal (a1), Simon Fleminger (a2), Howard Ring (a3) and Shoumitro Deb (a4)
Extract

Some believe that Cartesian dualism of mind and body in the 19th century and the rise of psychoanalysis by the turn of the 20th century was what led to the separation of neurology and psychiatry. More recently, conceptualisations of the mind/brain paradigm have helped rediscover the relationship between the mind and the brain, bringing renewed synergy between neurology and psychiatry (Cunningham et al, 2006). However, division is still apparent in current service planning and provision in the UK for individuals whose presentation lies in the no-man's-land between these two historical domains.

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This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Neuropsychiatry in the UK: planning the service provision for the 21st century

  • Niruj Agrawal (a1), Simon Fleminger (a2), Howard Ring (a3) and Shoumitro Deb (a4)
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eLetters

Are we ready for the change?

Raghavendar Baburaj, ST4 Learning Disabilties Swansea
18 August 2008

The authors have made a very good effort highlighting the dearth of neuropsychiatric facilties in the UK. Is it a wake up call for the Royal College Of Psychiatrists to impart a level of training that would include training for psychiatrists in neurology? I believe that without a firm foundation in neurological examinations andtraining in interpretating CT and MRI scans it would be dificult to relate to the complex interface between the specialties.

This knowledge could increase confidence among psychiatrists for leading such teams and thereby mushroom services across the country.

We often hear of one discipline taking over the comfort zones of another. There is a need to acknoweldge this in our specialty and minimisesome of the barriers between psychiatry and neurology . Are we ready for this change yet?

References

AGRAWAL, N., FLEMINGER, S., RING, H., et al (2008) Neuropsychiatry inthe UK: national survey of existing service provision. Psychiatric Bulletin, 32, 288 –291

MITCHELL, A. J. & AGRAWAL, N. (2005) Training in neuropsychiatry:is it time to reintegrate into mainstream psychiatry? Psychiatric Bulletin, 29, 361 –364
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