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“Nobody ever expects the Spanish Inquisition” (Python, 1991)

  • C. Adams (a1) and S. Gilbody (a2)
Extract

Guidelines are systematically developed statements designed to help practitioners and patients make decisions about appropriate health care for specific circumstances (Jackson & Feder, 1998). ‘Help’ is an important word. Guidelines/guides, in most instances, may suggest a road to take in order to travel from A to B, and make explicit why those suggestions have been made. Provision of this information respects the traveller's ability to assimilate the information, and make decisions on applicability. The traveller is then not constrained by information but helped by it. At the end of the day, for clear reasons, a different road may be chosen.

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Copyright
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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ADAMS, C. & NHS Centre for Reviews And Disseminations (1999) Drug treatments for schizophrenia. Effective Health Care Bulletin, 5, No 6.
Grahame-Smith, D. (1995) Evidence based medicine: Socratic dissent. BMJ, 310, 11261127.
Jackson, R. & Feder, G. (1998) Guidelines for clinical guidelines. BMJ, 317, 427428.
Molesworth, N. (1998) Down with EBM! British Medical Journal, 317, 17201721.
Python, M. (1991) Monty Python's Big Red Book. Dublin: Mandarin.
Royal College of Psychiatrists (2001) Management of Schizophrenia, Part I: Pharmacological Treatments. Occasional Paper OP51. London: Royal College of Psychiatrists, in press.
Sackett, D. L., Rosenberg, W. M., Gray, J. A., et al (1996) Evidence based medicine: what it is and what it isn't. BMJ, 312, 7172.
Secretary of State for Health (1998) A First Class Service: Quality in the New National Health Service. London: HMSO.
Thompson, C., Kinmonth, A. L., Stevens, L., et al (2000) Effects of a clinical-practice guideline and practice-based education on detection and outcome of depression in primary care: Hampshire Depression Project randomised controlled trial. Lancet, 355, 185191.
Thornley, B. & Adams, C. E. (1998) Content and quality of 2000 controlled trials in schizophrenia over 50 years. BMJ, 317, 11811184.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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“Nobody ever expects the Spanish Inquisition” (Python, 1991)

  • C. Adams (a1) and S. Gilbody (a2)
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