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  1. Book ; Online ; E-Book: Decoding Delusions

    Hardy, Kate V. / Turkington, Douglas

    A Clinician's Guide to Working with Delusions and Other Extreme Beliefs

    2023  

    Abstract: This book offers clinicians a video illustrated guide to managing the full range of delusions and other extreme beliefs encountered in daily practice including coverage for range of interventions for delusional presentations that include persecutory ... ...

    Abstract This book offers clinicians a video illustrated guide to managing the full range of delusions and other extreme beliefs encountered in daily practice including coverage for range of interventions for delusional presentations that include persecutory paranoia, erotomania, Capgras syndrome, and delusions of thought possession.
    Language English
    Size 1 online resource (450 pages)
    Edition 1st ed.
    Publisher American Psychiatric Association Publishing
    Publishing place Washington, D.C
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 1-61537-296-2 ; 978-1-61537-296-6
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: Recovery from refractory chronic fatigue syndrome with CBT and modafinil.

    Garg, Himanshu / Douglas, Maggie / Turkington, Gordon Douglas / Turkington, Douglas

    BMJ case reports

    2021  Volume 14, Issue 3

    Abstract: Many patients with chronic fatigue syndrome (CFS) fail to derive benefit from evidence-based treatments such as cognitive-behavioural therapy (CBT) and graded exercise therapy leading to permanent disability. To discover whether a repeat prescription of ... ...

    Abstract Many patients with chronic fatigue syndrome (CFS) fail to derive benefit from evidence-based treatments such as cognitive-behavioural therapy (CBT) and graded exercise therapy leading to permanent disability. To discover whether a repeat prescription of modafinil might potentiate the benefits of CBT leading to social recovery as defined by 2 or more point improvement in energy and muscular pain/concentration and return to work or full-time training. Three patients with treatment-resistant CFS (mean duration 17.66 years) treated with modafinil and CBT in a Liaison Psychiatry clinic were retrospectively reviewed. Progress was reviewed at baseline, 4-6 months and 10-24 months. Patients rated their fatigue, pain and concentration using 10-point Likert scales. 2/3 achieved clinically meaningful improvements in energy and pain/concentration and 3/3 achieved social recovery. Modafinil, when prescribed over the medium term, would appear to be a potentially useful potentiating agent when added to CBT.
    MeSH term(s) Cognitive Behavioral Therapy ; Fatigue Syndrome, Chronic/drug therapy ; Humans ; Modafinil ; Quality of Life ; Retrospective Studies ; Treatment Outcome
    Chemical Substances Modafinil (R3UK8X3U3D)
    Language English
    Publishing date 2021-03-22
    Publishing country England
    Document type Journal Article ; Case Reports
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2020-240283
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Book: Cognitive therapy of schizophrenia

    Kingdon, David G. / Turkington, Douglas

    (Guides to individualized evidence-based treatment)

    2008  

    Author's details David G. Kingdon ; Douglas Turkington
    Series title Guides to individualized evidence-based treatment
    Keywords Schizophrenia / therapy ; Cognitive Therapy / methods ; Schizophrenie ; Kognitive Verhaltenstherapie
    Subject Kognitive Verhaltensmodifikation ; Kognitiv-behaviorale Therapie ; KVT ; Spaltungsirresein ; Schizophrene Psychose
    Language English
    Size XVI, 219 S. : Ill., graph. Darst.
    Edition Paperback ed.
    Publisher Guilford Press
    Publishing place New York u.a.
    Publishing country United States
    Document type Book
    HBZ-ID HT016139473
    ISBN 1-59385-819-1 ; 978-1-59385-819-3
    Database Catalogue ZB MED Medicine, Health

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    Shelf markLoan statusLocation
    2009 A 6197 order for loan Magazin

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  4. Article ; Online: The reporting of confidence intervals in exploratory clinical trials and professional insecurity: a response to Ritchie et al.

    Turkington, Douglas

    The Journal of nervous and mental disease

    2014  Volume 202, Issue 7, Page(s) 567

    MeSH term(s) Cognitive Therapy ; Female ; Humans ; Male ; Psychotic Disorders/psychology ; Psychotic Disorders/therapy ; Schizophrenia/therapy ; Schizophrenic Psychology
    Language English
    Publishing date 2014-07
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 3020-x
    ISSN 1539-736X ; 0022-3018
    ISSN (online) 1539-736X
    ISSN 0022-3018
    DOI 10.1097/NMD.0000000000000162
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Clusters, lines and webs-so does my patient have psychosis? reflections on the use of psychiatric conceptual frameworks from a clinical vantage point.

    Kovacs, Tibor Zoltan / Hill, Reece William / Watson, Stuart / Turkington, Douglas

    Philosophy, ethics, and humanities in medicine : PEHM

    2022  Volume 17, Issue 1, Page(s) 6

    Abstract: Mental health professionals working in hospitals or community clinics inevitably face the realisation that we possess imperfect conceptual means to understand mental disorders. In this paper the authors bring together ideas from the fields of Philosophy, ...

    Abstract Mental health professionals working in hospitals or community clinics inevitably face the realisation that we possess imperfect conceptual means to understand mental disorders. In this paper the authors bring together ideas from the fields of Philosophy, Psychiatry, Cognitive Psychology and Linguistics to reflect on the ways we represent phenomena of high practical importance that we often take for granted, but are nevertheless difficult to define in ontological terms. The paper follows through the development of the concept of psychosis over the last two centuries in the interplay of three different conceptual orientations: the categorical, dimensional and network approaches. Each of these represent the available knowledge and dominant thinking styles of the era in which they emerged and take markedly different stances regarding the nature of mental phenomena. Without particular commitment to any ontological positions or models described, the authors invite the reader into a thinking process about the strengths and weaknesses of these models, and how they can be reconciled in multidisciplinary settings to benefit the process of patient care.
    MeSH term(s) Humans ; Internet ; Mental Processes ; Philosophy ; Psychiatry ; Psychotic Disorders
    Language English
    Publishing date 2022-02-14
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2229777-7
    ISSN 1747-5341 ; 1747-5341
    ISSN (online) 1747-5341
    ISSN 1747-5341
    DOI 10.1186/s13010-022-00118-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Case formulation-A vehicle for change? Exploring the impact of cognitive behavioural therapy formulation in first episode psychosis: A reflexive thematic analysis.

    Spencer, Helen M / Dudley, Robert / Johnston, Lynne / Freeston, Mark H / Turkington, Douglas / Tully, Sarah

    Psychology and psychotherapy

    2022  Volume 96, Issue 2, Page(s) 328–346

    Abstract: Objectives: Formulation is considered a fundamental process of cognitive behavioural therapy for psychosis (CBTp). However, an exploration into the personal impact of different levels of case formulation (CF) from a service user (SU) perspective is ... ...

    Abstract Objectives: Formulation is considered a fundamental process of cognitive behavioural therapy for psychosis (CBTp). However, an exploration into the personal impact of different levels of case formulation (CF) from a service user (SU) perspective is lacking, particularly for those experiencing a first episode of psychosis.
    Design: This Big Q qualitative design used semi-structured interviews.
    Methods: Reflexive thematic analysis (TA) was used to analyse 10 participant interviews. NVivo 12 computer-assisted qualitative data analysis software aided data organisation and analysis.
    Results: One overarching theme 'CF - A vehicle for change?' was developed as a pattern of shared meaning across the data set. Three main themes related to the overarching theme: (1) Vicious cycles: 'I never really thought about it being me maintaining the problems' (including one subtheme - Self-empowerment: 'Only you can make the changes for yourself'); (2) Early life experiences: 'My experiences have shaped the person that I am, therefore, it's not my fault' (including one subtheme - Disempowerment: '[My] core beliefs have been damaged'); and (3) Keep it simple: 'Don't push it too far over the top in case it becomes like spaghetti'.
    Conclusions: Maintenance formulations may be experienced as self-blaming, but also self-empowering, which may help to facilitate change. Longitudinal formulations may be experienced as non-blaming, but also disempowering, which may inhibit change. Simple CF diagrams may also facilitate change, whereas overly complex CFs may inhibit change. How CBTp therapists might look to improve the impact of different levels of CF for service users (SUs) in first episode psychosis (FEP) are described.
    MeSH term(s) Humans ; Psychotic Disorders/therapy ; Psychotic Disorders/psychology ; Cognitive Behavioral Therapy ; Emotions
    Language English
    Publishing date 2022-12-08
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2063873-5
    ISSN 2044-8341 ; 1476-0835
    ISSN (online) 2044-8341
    ISSN 1476-0835
    DOI 10.1111/papt.12442
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Cognitive therapy of psychosis: Research and implementation.

    Kingdon, David / Turkington, Douglas

    Schizophrenia research

    2017  Volume 203, Page(s) 62–65

    MeSH term(s) Cognitive Behavioral Therapy ; Humans ; Outcome and Process Assessment, Health Care ; Psychotic Disorders/therapy ; Schizophrenia/therapy
    Language English
    Publishing date 2017-11-10
    Publishing country Netherlands
    Document type Journal Article ; Meta-Analysis ; Review
    ZDB-ID 639422-x
    ISSN 1573-2509 ; 0920-9964
    ISSN (online) 1573-2509
    ISSN 0920-9964
    DOI 10.1016/j.schres.2017.09.023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2351: Show issues Location:
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    Zs.MO 543: Show issues

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  8. Article: Improving patient flow in acute psychiatric wards: enhanced bed management and trusted assessment.

    Turkington, Douglas / Moorhead, Steve / Turkington, Gordon D / King, Carla / Bell, Leigh / Pickersgill, Denise

    BJPsych bulletin

    2020  Volume 44, Issue 4, Page(s) 159–162

    Abstract: Aims and method: In three localities in a mental health trust in England, an enhanced bed management team was established to improve patient flow and reduce out-of-area placements. Trusted assessments were provided to support risk management and ... ...

    Abstract Aims and method: In three localities in a mental health trust in England, an enhanced bed management team was established to improve patient flow and reduce out-of-area placements. Trusted assessments were provided to support risk management and conflict resolution. Two measures of flow were compared before and after the team was established.
    Results: The trusted assessment recommendation was for discharge in 70% of cases. The number of out-of-area placements was significantly reduced (P < 0.05), saving £616 876 over a 12-month period. Patient flow was significantly improved in one of the three localities as measured by patients/bed/6-month period (P < 0.05). In one of the other localities increased use of trusted assessment input and reduced numbers of patients being transferred in are recommended to improve flow.
    Clinical implications: Mental health trusts should consider the establishment of an enhanced bed management team, including trusted assessment, as a safe and cost-effective approach to improving patient flow and reducing the need for out-of-area placement.
    Language English
    Publishing date 2020-02-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 2816886-0
    ISSN 2056-4708 ; 2056-4694
    ISSN (online) 2056-4708
    ISSN 2056-4694
    DOI 10.1192/bjb.2020.12
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: What are the essential ingredients of a CBT case conceptualization for voices and delusions in schizophrenia spectrum disorders? A study of expert consensus.

    Spencer, Helen M / Dudley, Robert / Freeston, Mark H / Turkington, Douglas

    Schizophrenia research

    2020  Volume 224, Page(s) 74–81

    Abstract: Evidence supports the use of cognitive behavioural therapy (CBT) for the treatment of patients with schizophrenia spectrum disorders. A case conceptualization (CC) (or case formulation) is seen as the keystone of CBT in terms of making sense of a patient' ...

    Abstract Evidence supports the use of cognitive behavioural therapy (CBT) for the treatment of patients with schizophrenia spectrum disorders. A case conceptualization (CC) (or case formulation) is seen as the keystone of CBT in terms of making sense of a patient's difficulties, to guide and inform such treatment. Despite the importance placed on CC there is no known consensus amongst experts as to the essential ingredients involved in this fundamental process. This study used the Delphi method to establish expert consensus for the essential components of a CC when working to treat auditory hallucinations (voices), and persecutory delusions. An international panel of 78 CBT for psychosis (CBTp) experts from 12 different countries participated in the main stage of this study. This 3-stage process involved producing and rating statements that addressed key areas of CC in terms of: presenting issues, predisposing, precipitating, perpetuating and protective factors. One presenting issue and 6 perpetuating factors were endorsed as essential by >80% of the expert panel. The exact same items were endorsed for both voices, and persecutory delusions. The findings are unique in that a large panel of international experts reached consensus that case conceptualizations (CCs) should be parsimonious and focused on the perpetuating (maintaining) factors to facilitate change. Overall, the proposed recommendations should lead to core guidance for the process of developing CCs, and improvements in training for clinicians that conceptualize voices, and persecutory delusions in CBT for schizophrenia spectrum disorders.
    MeSH term(s) Cognitive Behavioral Therapy ; Concept Formation ; Consensus ; Delusions/etiology ; Delusions/therapy ; Hallucinations/etiology ; Hallucinations/therapy ; Humans ; Psychotic Disorders/complications ; Psychotic Disorders/therapy ; Schizophrenia/complications ; Schizophrenia/therapy
    Language English
    Publishing date 2020-10-14
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639422-x
    ISSN 1573-2509 ; 0920-9964
    ISSN (online) 1573-2509
    ISSN 0920-9964
    DOI 10.1016/j.schres.2020.09.026
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.MO 543: Show issues

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  10. Article: Identifying Four Subgroups of Trauma in Psychosis: Vulnerability, Psychopathology, and Treatment.

    Stevens, Lucy H / Spencer, Helen M / Turkington, Douglas

    Frontiers in psychiatry

    2017  Volume 8, Page(s) 21

    Language English
    Publishing date 2017-02-13
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2564218-2
    ISSN 1664-0640
    ISSN 1664-0640
    DOI 10.3389/fpsyt.2017.00021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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