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Communication and psychosis: It's good to talk, but how?

  • Rose McCabe (a1) and Stefan Priebe (a1)
Summary

Communication between clinicians and patients is at the heart of psychiatric practice and particularly challenging with psychotic patients. It may influence patient outcome indirectly or be therapeutic in its own right. Appropriate conceptual models, evidence on effective interventions and specific training are required to optimise communication in everyday routine practice.

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Copyright
Corresponding author
Dr Rose McCabe, Unit for Social and Community Psychiatry, Newham Centre for Mental Health, London E13 8SP, UK. Email: r.mccabe@qmul.ac.uk
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Declaration of interest

None. This work was, in part, supported by the Medical Research Council (grant GO401323)

Footnotes
References
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1 Cruz, M, Pincus, HA. Research on the influence that communication in psychiatric encounters has on treatment. Psychiatr Serv 2002; 53: 1253–65.
2 Castonguay, LG, Beutler, LE. Principles of Therapeutic Change That Work. Oxford University Press, 2006.
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4 Seale, C, Chaplin, R, Lelliott, P, Quirk, A. Sharing decisions in consultations involving anti-psychotic medication. A qualitative study of psychiatrists' experiences. Soc Sci Med 2006; 62: 2861–73.
5 McCabe, R, Heath, C, Burns, T, Priebe, S. Engagement of patients with psychosis in the consultation: conversation analysis study. BMJ 2002; 325: 1148–51.
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7 Hinshelwood, RD. Suffering Insanity: Psychoanalytic Essays on Psychosis. Brunner Routledge, 2004.
8 McCabe, R. Specifying interactional markers of schizophrenia in clinical consultations. In Against Theory of Mind (eds Leudar, I., Costall, A.). Palgrave Macmillan, in press.
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10 Priebe, S, McCabe, R, Bullenkamp, J, Hansson, L, Lauber, C, Martinez-Leal, R, Rössler, W, Salize, H, Svensson, B, Torres-Gonzales, F, Van Den Brink, R, Wiersma, D, Wright, DJ. Structured patient-clinician communication and 1-year outcome in community mental healthcare. Cluster randomised controlled trial. Br J Psych 2008 2007; 191: 420–6.
11 Hamann, J, Langer, B, Winkler, V, Busch, R, Cohen, R, Leucht, S, Kissling, W. Shared decision making for in-patients with schizophrenia. Acta Psychiatr Scand 2006; 114: 265–73.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Communication and psychosis: It's good to talk, but how?

  • Rose McCabe (a1) and Stefan Priebe (a1)
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