© 2004 The Royal College of Psychiatrists
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THIS MONTH'S ISSUE - FAMILIAR FACES
Paul Mullen, in his effortlessly entertaining account of ten books (pp. 179-182), points out the value of a medical journal to the student. He writes that ‘reading a good journal regularly is like watching a soap opera; the same characters keep reappearing’. The same applies to this issue, and although the cynic may interpret the simile as evidence that research yields nothing new, the characters in a good soap opera both stay the same and develop. So we have Mrs Grumble with her frequent visits to the doctor with different complaints that to some all seem the same (Wessely & White, pp. 95-96), Mr Micawber whose life oscillates from one major event to another affecting both his mood and his family dramatically (Hillegers et al, pp. 97-101; Kapur et al, pp. 134-139), ‘General’ Jackson whose performance with the military both explains and compensates for his odd behaviour (Larsen et al, pp. 108-115; Ikin et al, 116-126), and the ubiquitous Mrs Mopp, who likes telling all her neighbours what's needed all the time but finds it makes no difference (Marshall et al, pp. 163-168). Apart from the appearance of the regulars we have a special little cameo piece about Uncle Sam who has been in hospital for years but has suddenly got better and has been discharged after a new treatment (Shapiro & Teasell, pp. 140-146). Nobody is quite sure what the treatment is but, as he keeps saying triumphantly ‘I told them I was ill’, they know it must have been touch and go.
SOMETHING ABOUT STATISTICS
Most psychiatrists are still a little puzzled by statisticians, who seem to have a range of skills which are necessary but completely removed from those of clinical practice. We also have an element of blind reassurance in their handling of our data. ‘It's all been explained in the analysis’ satisfies most of our critics even if we do not fully understand why. It may therefore come as a surprise to know that statisticians them-selves have a collective noun for their group; it is a variance. They disagree much more often that we would care to believe. Readers should therefore be aware of an argument over the standard way of analysing data sets, taking the information as a whole and looking for homogeneous factors. The late Alvan Feinstein introduced the science of clinimetrics to improve the identification of core elements of clinical data that could be separated from the dross and show sensitivity to change. For those who would like to know more they could begin with a special issue of Psychotherapy and Psychosomatics in which Fava et al (Psychotherapy and Psychosomatics (2004), 73, 145-148) set the scene.
DOGGEREL OF THE MONTH
It is fortunate for those born in the UK and other English-speaking countries that the language of scientific discourse is English, but we sometimes take this too much for granted. One of my German patients has informed me that English people are never to be trusted because their language is so deceitful; it can be interpreted in so many different ways. German, on the other hand, whatever you think about its tendency for multiple polysyllables and verb placement in sentences, is absolutely straight and un-equivocal. I therefore find it difficult as an editor to have to advise contributors to improve their English style when making revisions. How does one do this with such an imprecise language?
‘Pay attention to the English’Is the phrase that's illustrative
The language of William Shakespeare
Troubles those who are not native
Declensions odd, words in strange order
All signs, perhaps, of thought disorder
And whilst upon this subject dwelling
Can you make sense of their crazy spelling?
So why on earth is English chosen
To express facts with due precision
No answer comes, none can be given
It's just a reason for derision
Each word we use is just a code
Keen observers quickly gleaning
That every phrase in English
Has a double meaning
So what is both is and is not
And now we've really gone to pot
Related articles in BJP:
- Premorbid adjustment in first-episode non-affective psychosis: distinct patterns of pre-onset course
- TOR K. LARSEN, SVEIN FRIIS, ULRIK HAAHR, JAN OLAV JOHANNESSEN, INGRID MELLE, STEIN OPJORDSMOEN, BJØRN RISHOVD RUND, ERIK SIMONSEN, PER VAGLUM VAGLUM, and THOMAS H. McGLASHAN
BJP 2004 185: 108-115.[Abstract] [Full Text] - Childhood experience and health care use in adulthood: Nested case—control study
- NAVNEET KAPUR, ISABELLE HUNT, GARY MACFARLANE, JOHN McBETH, and FRANCIS CREED
BJP 2004 185: 134-139.[Abstract] [Full Text] - Behavioural interventions in the rehabilitation of acute v. chronic non-organic (conversion/factitious) motor disorders
- ALLAN P. SHAPIRO and ROBERT W. TEASELL
BJP 2004 185: 140-146.[Abstract] [Full Text] - Systematic assessments of need and care planning in severe mental illness: Cluster randomised controlled trial
- M. MARSHALL, A. LOCKWOOD, G. GREEN, G. ZAJAC-ROLES, C. ROBERTS, and G. HARRISON
BJP 2004 185: 163-168.[Abstract] [Full Text] - Paul E. Mullen
BJP 2004 185: 179-182.[Full Text] - There is only one functional somatic syndrome
- Simon Wessely and Peter D. White
BJP 2004 185: 95-96.[Full Text] - Impact of stressful life events, familial loading and their interaction on the onset of mood disorders: Study in a high-risk cohort of adolescent offspring of parents with bipolar disorder
- MANON H. J. HILLEGERS, HUIBERT BURGER, MARJOLEIN WALS, CATRIEN G. REICHART, FRANK C. VERHULST, WILLEM A. NOLEN, and JOHAN ORMEL
BJP 2004 185: 97-101.[Abstract] [Full Text]
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