Hostname: page-component-8448b6f56d-gtxcr Total loading time: 0 Render date: 2024-04-18T14:12:08.069Z Has data issue: false hasContentIssue false
  • English
  • Français

Working with General Practitioners

Published online by Cambridge University Press:  02 January 2018

John Horder
John Horder*
Affiliation:
Department of Clinical Epidemiology and General Practice, Royal Free Hospital, Pond Street, London NW3 3PF, UK
Get access Rights & Permissions [Opens in a new window]

Abstract

Psychiatrists and general practitioners have found new ways of working together in the last ten years, but there have also been separate activities which could develop into rivalry. These opportunities and dangers are the central theme of this paper. Ways are considered in which the psychiatry of general practice differs from the experience of psychiatrists. Forms of help are suggested which general practitioners need from psychiatrists, whether in clinical practice or education.

Type
Lecture
Information
The British Journal of Psychiatry , Volume 153 , Issue 4 , October 1988 , pp. 513 - 520
Copyright
Copyright © Royal College of Psychiatrists, 1988 

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

Ashcroft, et al (1987) Consensus statement: panic disorder. British Journal of Psychiatry, 150, 557–558.Google Scholar
Balint, M. (1964) The Doctor, His Patient and the Illness (2nd edn). London: Pitman Medical Publishing Co.Google Scholar
Becker, M. H. (1974) The health belief and sick-role behaviour. Health Education Monographs, 2, 409–419.Google Scholar
Birmingham Research Unit of the Royal College of General Practitioners (1980) Second National Morbidity Survey. Journal of the Royal College of General Practitioners, 30, 547–550.Google Scholar
Boardman, A. P. & Bouras, N. (1988) Mental health advice centre in Lewisham. Health Trends, 20, 59–63.Google ScholarPubMed
Brodaty, H. & Andrews, G. (1983) Brief psychotherapy in family practice. A controlled prospective intervention trial. British Journal of Psychiatry, 143, 11–19.CrossRefGoogle ScholarPubMed
Brook, A. (1967) An experiment in GP/psychiatrist co-operation. Journal of the Royal College of General Practitoners, 13, 127–131.Google Scholar
Cartwright, A. & Anderson, R. (1981) General Practice Revisited. London: Tavistock Publications.Google Scholar
Catalan, J., Gath, G., Edmonds, G., Bond, A., Martin, P. & Ennis, J. (1984) The effects of non-prescribing of anxiolytics in general practice. 1. Controlled evaluation of psychiatric and social outcome. 2. Factors associated with outcome. British Journal of Psychiatry, 144, 593–610.Google Scholar
Cawley, R. (1970) Editorial. Evaluation of psychotherapy. Psychological Medicine, 1, 101–103.Google Scholar
Davenport, S., Goldberg, D. & Millar, T. (1987) How psychiatric disorders are missed during medical consultations. The Lancet, ii, 439–440.Google Scholar
Dilling, H. & Weyerer, S. (1984) Prevalence of mental disorders in the small-town-rural region Traunstein (Upper Bavaria). Acta Psychiatrica Scandinavica, 69, 60–79.Google Scholar
Dowie, R. (1983) Trends in domiciliary consultations. British Medical Journal, 286, 819–822.Google Scholar
Ettlinger, P. R. A. & Freeman, G. K. (1981) General practice compliance study; is it worth being a personal doctor? British Medical Journal, 282, 1192–1194.Google Scholar
Gibson, R., Forbes, J. M., Stoddart, I. W., Cooke, J. J., Jenkins, W. & McKeith, S. A. (1966) Psychiatric care in general practice; an experiment in collaboration. British Medical Journal, 1, 1287–1289.Google Scholar
Goldberg, D. & Huxley, P. (1980) Mental Illness in the Community. The Pathway to Psychiatric Care. London: Tavistock Publications.Google Scholar
Goldberg, R. L., Haas, M. R., Eaton, J. S. & Grubbs, J. H. (1976) Psychiatry and the primary care physician. Journal of the American Medical Association, 236, 944–945.Google Scholar
Harris, R., Linn, M. W. & Linn, B. (1981) Psychotropic drugs in the ambulatory care of elderly males. Medical Care, 19, 930–937.Google Scholar
Henderson, S. (1981) Social relationships, adversity and neurosis: an analysis of prospective observations. British Journal of Psychiatry, 138, 391–398.CrossRefGoogle ScholarPubMed
Horder, J. P. (1964) The general practitioner in Yugoslavia, Czechoslovakia and Israel. Part 2. Psychological medicine. WHO Fellowship Report (available at the Royal College of General Practitioners, London).Google Scholar
Horder, J. P., Bosanquet, N. & Stocking, B. (1986) Ways of influencing the behaviour of general practitioners. Journal of the Royal College of General Practitioners, 36, 517–521.Google ScholarPubMed
Ingham, J. & Miller, P. (1982) Consulting with mild symptoms in general practice. Social Psychiatry, 17, 77–88.Google Scholar
Johnson, D. A. W. (1981) Depression. Treatment compliance in general practice. Acta Psychiatrica Scandinavica, 63 (Suppl. 290), 447–453.Google Scholar
Johnstone, A. & Goldberg, D. (1976) Psychiatric screening in general practice. A controlled trial. The Lancet, i, 605–608.Google Scholar
Katon, W. (1982) Depression: somatic symptoms and medical disorders in primary care. Comprehensive Psychiatry, 23, 274–287.Google Scholar
Logan, W. P. D. & Cushion, A. A. (1958) Morbidity statistics from general practice. Studies on Medical and Population Subjects No. 14. London: HMSO.Google Scholar
Lyons, H. A. (1969) Joint psychiatric consultation. Journal of the Royal College of General Practitioners, 18, 125–127.Google Scholar
Marks, I. (1985) Controlled trial of psychiatric nurse therapists in primary care. British Medical Journal, 290, 1181–118.Google Scholar
Martin, E. (1985) Counselling in general practice. Journal of the Royal College of Medicine, 78, 186–188.Google Scholar
Mitchell, A. R. K. (1983) Liaison psychiatry in general practice. British Journal of Hospital Medicine, 30, 100–106.Google Scholar
Morrell, D. C., Evans, M. E., Morris, R. W. & Roland, M. O. (1986) The ‘five minute’ consultation: effect of time constraint on clinical content and patient satisfaction. British Medical Journal, 292, 870–873.Google Scholar
National Unit for Psychiatric Research and Development (1988) The co-ordination of care for people disabled by long-term mental illness. Working group report (to be published).Google Scholar
NOP Survey (1982) The Public's Use of and Attitudes Towards GPs. London: NOP Market Research Limited.Google Scholar
Office of Population Censuses and Surveys (1974) Morbidity statistics from general practice. Second national study 1970–71. Studies on Medical and Population Subjects No. 26. London: HMSO.Google Scholar
Patrick, D. L., Eagle, J. & Coleman, J. V. (1978) Primary care treatment of emotional problems in an HMO. Medical Care, 16, 47–60.Google Scholar
Paykel, E. S., Mangen, S. P., Griffith, J. H. & Burns, T. P. (1982) Community psychiatric nursing for neurotic patients: a controlled trial. British Journal of Psychiatry, 140, 573–581.CrossRefGoogle ScholarPubMed
Porter, R. (1984) Psychotherapy: physiological measures and intrapsychic events. Journal of the Royal Society of Medicine, 79, 257–261.Google Scholar
Primrose, E. J. R. (1962) Psychological Illness. A Community Study. London: Tavistock Publications.Google Scholar
Pullen, I., Yellowlees, A. J. (1985) Is communication improving between general practitioners and psychiatrists? British Medical Journal, 290, 31–33.Google Scholar
Regier, D. A., Goldberg, I. D., Burns, B. J., Henken, J., Hoeper, E. W. & Nucz, G. R. (1982) Specialist/generalist division of responsibility for patients with mental disorders. Archives of General Psychiatry, 39, 219–224.Google Scholar
Robertson, N. C. (1979) Variations in referral patterns to the psychiatric services by general practitioners. Psychological Medicine, 9, 355–364.Google Scholar
Roland, M. O., Bartholomew, J., Courtenay, M. J. F., Morris, R. W. & Morrell, D. C. (1986) The ‘five-minute’ consultation: effect of time constraint on verbal communication. British Medical Journal, 292, 874–876.Google Scholar
Royal College of General Practitioners (1984) Combined reports on prevention. Reports from General Practice, 18–21. London: London Royal College of General Practitioners.Google Scholar
Royal Office of Population Censuses and Surveys & Department of Health and Social Security (1986) Morbidity Statistics from General Practice. Third national study 1981–82. London: HMSO.Google Scholar
Shepherd, M., Cooper, B., Brown, A. C. & Kalton, G. (1966) Psychiatric Illness in General Practice. Oxford: Oxford University Press.Google Scholar
Shepherd, M., Cooper, B., Brown, A. C., & Kalton, G. & Clare, A. (1981) Psychiatric Illness in General Practice (2nd edn). Oxford: Oxford University Press.Google Scholar
Strathdee, G. (1987) Primary care – psychiatry interaction: a British perspective. General Hospital Psychiatry, 9, 69–77.Google Scholar
Strathdee, G., Williams, P. (1983) A survey of psychiatrists in primary care: the silent growth of a new service. Journal of the Royal College of General Practitioners, 34, 615–618.Google Scholar
Thomas, K. B. (1987) General practice consultations: is there a point in being positive? British Medical Journal, 294, 1200–1202.Google Scholar
Thomson, J., Rankin, H., Ashcroft, G. W., Yates, C. M., McQueen, J. K. & Cummings, S. W. (1982) The treatment of depression in general practice: a comparison of l-tryptophan amitryptiline and a combination of l-tryptophan and amitryptiline and placebo. Psychological Medicine, 12, 741–751.Google Scholar
Tuckett, D., Boulton, M., Olson, C. & Williams, A. (1985) Meetings Between Experts. London: Tavistock Publications.Google Scholar
Tyrer, P., Seivewright, N. & Wollerton, S. (1984) General practice psychiatric clinics. Impact on psychiatric services. British Journal of Psychiatry, 145, 15–19.Google Scholar
Walton, H. J. & Carstairs, N. (1966) Differences between physically-minded and psychologically-minded medical practitioners. British Journal of Psychiatry, 112, 1097–1102.Google Scholar
Watts, C. A. H. (1966) Depressive Disorders in the Community. Bristol: John Wright & Co.Google Scholar
Weissman, M. M., Myers, J. K. (1978) Affective disorders in a US urban community. Archives of General Psychiatry, 35, 1304–1311.Google Scholar
Weyerer, S., Dilling, H., Kohl, R. & Martens, H. (1982) Social class and mental disorders. A study of the use of medical services. Social Psychiatry, 17, 133–141.Google Scholar
Widmer, R. B. & Cadoret, R. J. (1979) Depression in family practice: changes in pattern of patient visits and complaints during subsequent developing depressions. Journal of Family Practice, 9, 1017–1021.Google ScholarPubMed
Williams, P. (1978) Physical ill-health and psychotropic drug prescription – a review. Psychological Medicine, 8, 683–693.Google Scholar
Wilson, D. R., Widmer, B., Cadoret, J. & Judiesch, K. (1983) Somatic symptoms: a major feature of depression in a family practice. Journal of Affective Disorders, 5, 199–207.Google Scholar
World Health Organization (1973) Psychiatry and Primary Medical Care. Copenhagen: World Health Organization, Regional Office for Europe.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.