ArticleBMJ (Clinical research ed.)1996
The rise of counselling and the return of alienism.
Article in BMJ (Clinical research ed.), 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- On-site mental health workers delivering psychological therapy and psychosocial interventions to patients in primary care: effects on the professional practice of primary care providers.The Cochrane database of systematic reviews · 2009Pooled it
- Primary care mental health workers: models of working and evidence of effectiveness.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002Pooled it
- Cognitive-behavioural therapy v. structured care for medically unexplained symptoms: randomised controlled trial.The British journal of psychiatry : the journal of mental science · 2008Trial
- Understanding the explanatory model of the patient on their medically unexplained symptoms and its implication on treatment development research: a Sri Lanka Study.BMC psychiatry · 2008Article
- Major depression in outpatients attending a regional cancer centre: screening and unmet treatment needs.British journal of cancer · 2004Article
- A qualitative study of patients' views on anxiety and depression.The British journal of general practice : the journal of the Royal College of General Practitioners · 2001Article
- Counsellors in primary care in Southampton: a questionnaire survey of their qualifications, working arrangements, and casemix.The British journal of general practice : the journal of the Royal College of General Practitioners · 1997Article
- The rise of counselling. More assessment is needed of psychiatric disorders, interventions, and staff skills.BMJ (Clinical research ed.) · 1996Article
- The rise of counselling. Counselling has much to offer patients.BMJ (Clinical research ed.) · 1996Article
- The rise of counselling. Counsellors are seeing people with previously unmet needs.BMJ (Clinical research ed.) · 1996Article
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Current services for those with mental disorders show two trends. Psychiatric services are becoming concentrated on the care of those with "severe mental illness," largely (but unjustifiably) synonymous with chronic psychosis. The retreat of psychiatry from the care of those with non-psychotic mental disorders has helped the growth of counselling services for these patients. However, there is no evidence that non-directive counselling is effective for such disorders, in contrast to the evidence for the effectiveness of other treatments that are usually delivered by psychologists or community psychiatric nurses. By retreating from the concerns of general practice and general medicine, psychiatry is returning to the days of alienism: in Victorian terms, the care of "the mad." Possible consequences include increasing expectations of psychiatric services that cannot be met, a loss of skills within psychiatry, and increased demoralisation in the mental health services.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.