Hostname: page-component-8448b6f56d-xtgtn Total loading time: 0 Render date: 2024-04-20T05:28:26.941Z Has data issue: false hasContentIssue false
  • English
  • Français

A Study of One Hundred Chronic Psychiatric Patients Identified in General Practice

Published online by Cambridge University Press:  29 January 2018

Brian Cooper
Brian Cooper*
Affiliation:
Institute of Psychiatry, London, S.E.5
Get access Rights & Permissions [Opens in a new window]

Extract

It has long been recognized as a shortcoming of much of the psychiatric literature that it is based on the study of highly selected case-material, drawn from hospital and private consultant practice. This criticism, which has important implications for the interpretation of hospital statistics (Cooper, 1965), may be of equal relevance in the field of clinical description. Studies undertaken in general practice (Shepherd et al., 1959; Ryle, 1959) point to the existence in the community of large numbers of cases of minor psychiatric disturbance of a kind which is clinically identifiable, but which for the most part does not come under the scrutiny of trained psychiatrists. Whether such cases conform to the standard text-book descriptions of psychiatric illness, or can be incorporated into the existing nosology, is very much open to question. There seems little doubt that clinical studies in general practice are of great potential value in the study of mental disorder, and in particular that they may help to throw new light on the natural history of this group of affections.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 111 , Issue 476 , July 1965 , pp. 595 - 605
Copyright
Copyright © Royal College of Psychiatrists, 1965 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Brodman, K., Erdmann, A. J., Lorge, I., Gerlenson, C. P., and Wolff, H. G. (1952). “C.M.I.: IV. Recognition of emotional disturbances in a general hospital.” J. Clin. Psychol., 8, 289–293.Google Scholar
Brown, A. C., and Fry, J. (1962). “The Cornell Medical Index Health Questionnaire in the identification of neurotic patients in general practice.” J. Psychosom. Res., 6, 185–190.Google Scholar
Cooper, B. (1965). “Psychiatric illness in hospital and general practice.” Psychiatry Digest [in the press].Google Scholar
Culpan, R. H., Davies, B. M., and Oppenhem, A. N. (1960). “Incidence of psychiatric illness among hospital out-patients.” Brit. med. J., i, 855–857.Google Scholar
Hamilton, M., Pond, D. A., and Ryle, A. (1962). “Relation of C.M.I. responses to some social and psychological factors.” J. Psychosom. Res., 6, 157–165.Google Scholar
Pond, D. A., Ryle, A., and Hamilton, M. (1963). “Social factors and neurosis in a working-class population.” Brit. J. Psychiat., 109, 587–591.Google Scholar
Ryle, A. (1959). “A general practice study of neurosis.” D.M. Thesis, Oxford.Google Scholar
Shepherd, M., Fisher, M., Stein, L., and Kessel, W. I. N. (1959). “Psychiatric morbidity in an urban group practice.” Proc. Roy. Soc. Med., 52, 269–274.Google Scholar
Shepherd, M., Cooper, B., Brown, A. C., and Kalton, G. W. (1964). “Minor mental illness in London.” Brit. med. J., ii, 1359–1363.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.