ORCID Profile
0000-0002-0916-885X
Current Organisations
University of Tasmania
,
University of Sydney
,
University of New South Wales
,
Institute of Psychiatry
,
Far West Local Health District
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Publisher: Springer Science and Business Media LLC
Date: 08-08-2023
DOI: 10.1007/S41999-023-00841-7
Abstract: Older adults utilising healthcare may be vulnerable to systemic bias regarding ageing potentially affecting care. Primary aim is to systematically review the qualitative literature examining attitudes to ageing amongst health care professionals (HCPs). Secondary aim is to describe and compare attitudes to ageing between different professional groups. Studies examining attitudes to ageing of HCPs were identified using four databases. Original qualitative research with HCPs was included, excluding studies examining students alone, reviews, and grey literature. Three authors undertook standardised data extraction and quality rating for each study and thematic synthesis, with a fourth senior author reviewing. Quality appraisal followed the Attree and Milton guidelines (2006), including studies rated A–C. Of 5869 citations, 13 met initial inclusion criteria. Synthesis of the 12 studies graded A–C followed (excluding one study rated-D). Nurses, doctors, and social workers were most frequently investigated. Identified themes included Attitudes towards older persons, The role of the older persons’ family, Behaviour of HCPs towards older persons, Behaviour of older persons towards HCPs, and Definitions of an older person. An overarching theme emerged of the systemic context of attitudes to ageing. Common attitudes were found across disciplines, with doctors emphasising complexity and dependency and nurses the burden of care. HCP’s attitudes to ageing vary and are shaped by professional experiences and systemic factors. HCP attitudes may affect responses to and care of the older person. Therefore, interprofessional research, and systemic and service changes across disciplines are required to foster real and sustainable attitudinal change to support older peoples’ care.
Publisher: Springer Science and Business Media LLC
Date: 08-02-2021
Publisher: SAGE Publications
Date: 04-09-2019
Abstract: To outline the successful psychotherapeutic intervention of two older patients. Psychodynamic principles should be considered more readily in the treatment of older people.
Publisher: SAGE Publications
Date: 18-07-2018
Abstract: This article discusses Lady Macbeth’s famous sleepwalking scene from the Shakespearean tragedy, and how it became used as a template for the formulation of obsessive-compulsive disorder. Psychoanalysis maintained its role in understanding the condition, despite the lack of evidence base and the repeated finding from many therapists of a failure to control symptomatology. It is suggested that psychodynamic psychotherapy suffered from a failure to recognise what components of its practice were aesthetically attractive concepts rather than evidence-based medicine and outcome measures, and is an important issue in considering its future directions.
Publisher: Cambridge University Press (CUP)
Date: 11-2013
Abstract: Phenomenology provides the foundations on which the functions of modern psychiatry stand. It also provides a common language for the assessment of patients, and for the education of the next generation of psychiatrists. However, phenomenology is not anchored in independent clinicopathological correlates, and therefore it is vulnerable to subtle alterations over time. This article briefly discusses some concepts regarding phenomenology and attempts to comment on the various definitions available under the common descriptor termed ‘flight of ideas'. It is asserted that without appropriate monitoring and teaching of these basic descriptors and recognising the value of historical observations, serious inconsistencies will continue to arise in clinical theory and practice, which may prove difficult to rectify.
Publisher: SAGE Publications
Date: 14-01-2019
Abstract: Older adults utilise health care systems to a higher frequency than younger groups, and are more vulnerable to system bias regarding ageing and expectations of old age. This narrative review attempts to outline the available literature regarding how various health support systems perceive the older adult, with an Australian focus. Perspectives on ageing are generally negative regardless of health industry. Possible contributors to this include elements of death anxiety, inadequate education and inadequate occupational exposure during training.
Publisher: SAGE Publications
Date: 22-06-2021
DOI: 10.1177/10398562211022751
Abstract: Video games (games played by electronically manipulating images produced by a computer programme on a screen) are being developed with a specific focus on treating mental health. This narrative review briefly discusses the history of video games and mental health. It then provides a critical discussion on the application of video games as therapeutic tools, then discusses the notion of ‘serious games’ ( games designed for a primary purpose other than entertainment) and their applicability. Serious games have preliminary evidence to support their use practically in the clinical treatment of mental illness. Future randomised control trials are necessary to further explore their efficacy and potential areas of application.
Publisher: SAGE Publications
Date: 09-07-2014
Abstract: To assess the prevalence of personality disorders in general medical geriatric admissions. Forty of 508 general medical geriatric admissions screened at a large tertiary hospital, who were eligible as defined by a Mini-Mental State Examination score of over 23 and capable of informed consent, were assessed by direct interview and discussion with the patient’s family or close contact to determine personality traits. Eight (20%) of these patients were found to satisfy DSM-IV criteria for a personality disorder. They were found to have significantly lower global assessments of functioning, impaired overall functioning and lower quality of life compared with non-personality disordered patients. None of their personality disorders had been recognised by their treating teams. This study supports the need for systematic research into the area and the need for increased clinical awareness of the issues.
Publisher: SAGE Publications
Date: 26-01-2017
Abstract: This article aims to provide a brief overview of the current evidence for psychotherapeutic approaches in older adults, together with clinical practice notes for interventions. There are a range of appropriate psychotherapeutic options for the older adult that merit further study, and further opportunities for enhancing clinical practice.
No related grants have been discovered for Neil Jeyasingam.