Towards the end of 1998 we decided to introduce a facility to lock the doors of the acute psychiatric wards at Bootham Park Hospital, York. At first sight this would appear to be a retrograde step for modern psychiatric care in the UK. But this was a reasoned and planned move which has resulted in improved care for patients overall.
It is suggested that the diagnostic category of BPD requires revision to include psychotic symptoms. Terminology such as pseudo- and quasi-psychotic symptoms are confusing and use of these terms should be revised.
In 2005 clinicians were invited to submit proposals for Student Selected Components (SSC) for third and fourth year students at the new Hull and York Medical School. As a consultant psychiatrist with an interest in the arts I proposed a 3-week course in mental health and the arts. I wanted to find ways of promoting psychiatry as an interesting and valid subject for study and practice – as described in a recent Psychiatric Bulletin article (Eagles et al, 2007), medical students' attitudes to psychiatry could be influenced by their undergraduate experience. Eighteen months later, 15 students have completed the course.
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