Conceptual and treatment approaches for a revitalised health service and renewed Person-Centered Perinatal Psychiatry

Article Sidebar

Requires Subscription or Fee PDF (USD 25)
Published: Mar 31, 2012
DOI: https://doi.org/10.5750/ijpcm.v2i1.186
Keywords:
Biopsychosocial body-mind-spirit Edinburgh Postnatal Depression Scale national health service paradigm perinatal mental health postnatal depression spirituality and psychiatry

Main Article Content

John Cox
University of Gloucestershire; and Institute of Psychiatry, London

Abstract

A Body-Mind-Spirit paradigm is proposed as an overarching framework for re-energising healthcare provision and for maintaining its compassionate focus. It is suggested also that a relationship-based person-centred approach can assist the practitioner to provide more optimal healthcare – and promote perinatal mental health. Single discipline conceptual models from philosophy, anthropology, biology and psychology relevant to these fields are outlined and current examples from Perinatal Psychiatry highlighted to illustrate the benefits of an integrative approach. Thou it was who didst fashion me in my inward parts;Thou didst knit me together in my mother’s womb.     Psalm 139, v13

Article Details

Issue
Vol. 2 No. 1 (2012)
Section
Contributions to the advancement of person-centered care
Author Biography

John Cox, University of Gloucestershire; and Institute of Psychiatry, London

Professor John Cox,  BM  BCh , DM (Oxon), FRCPsych, FRCP, is a Past President and Dean of the Royal College of Psychiatrists. He was elected as Secretary General of the World Psychiatric Association in 2002 for a six year term during which time the secretariat moved from New York to Geneva.He was awarded the Merce Medal in 1986 for his pioneer research and clinical work in Perinatal Psychiatry carried out in Uganda, Scotland and Staffordshire. He holds Honorary Fellowships from the World Psychiatric Association, the Royal College of Psychiatrists, the Royal College of Obstetricians and Gynaecologists and the College of Medicine in South Africa.He retains an active interest in Perinatal and Cultural Psychiatry and more recently in Ethics and the borderlands of religion and mental health.  He was the lead guest editor of a special issue (June 2007) of the International Review of Psychiatry on Mass Violence and Mental Health, and has recently co –edited two books published by Wiley /Balckwell –Personhood and Mental Health: a bridge between infant and adult mental health  and Psychiatry and Religion: beyond boundaries.John  has  co-authored  Modern management of Perinatal Psychiatric Bisorders, and is well known for his work in primary care and in particular for the development of the Edinburgh Postnatal Depression Scale.Currently he is Visiting Professor of Mental Health at the University of Gloucestershire and the Institute of Psychiatry, London; Founding co- chair of the Centre for the study of Faith, Science and Values in Health Care at the University of Gloucestershire, and Professor Emeritus at Keele University.He now lives closer to his family in Cheltenham, where he continues his academic interests as well as his work as a trained singer.

References

Cox, J.L. (1999). Perinatal Mood Disorders in a changing culture: a transcultural European and African perspective. International Review of Psychiatry 11, 103-110.

Tyano, S., Keren, M., Herman, H. & Cox, J.L. (2010). Parenthood and mental health; a bridge between Infant and Adult Psychiatry. Wiley-Blackwell: Oxford.

Glavin, K. (2012). Preventing and treating postpartum depression in women - a municipality model. Journal of Research Nursing. In press.

Cox, J. L. (2012). Shifting cultural components of postnatal depression: thoughts on the Norwegian municipality model. Journal of Research Nursing. In press.

Cox, J.L. (1998). Patients as parents: possible impact of changing childbirth and faltering families. Archives of women’s Mental Health 1, 55-61.

Fitzgerald, M. (2000). Establishing cultural competency for mental health professionals. In: Anthropological Approaches to Psychological medicine: crossing bridges (Eds. Skultans, V. & Cox, J.). Jessica Kingsley: London.

Ballatt, J. & Campling, P. (2011). Intelligent Kindness; reforming the culture of health care. RCPsych Publications: London.

Frances, R. (2010). The Independent Enquiry into care provided by Mid Staffordshire NHS Foundation Trust January 2005 - March 2009. HMSO.

Cox, J., Holden, J. & Sagovsky, R. (1987). Detection of postnatal depression. Development of the Edinburgh Postnatal Depression Scale. British Journal of Psychiatry 150, 782-786.

Mead,N. & Bower,P. (2000). Patient-centeredness: a conceptual framework and review of the empirical literature. Social Science and Medicine 51, 1087 – 1110.

van Staden, C. W. (2006). Mind, brain and person; reviewing psychiatry’s constituency. South African Psychiatry Review 9, 83-96.

Matthews, E. (2007). Body-Subjects and Disordered Minds: treating the whole person in psychiatry. Oxford University Press.

Collaud, T. (2007). Beyond the solitude for two: Justice, Theology and General Practice. In: Medicine of the Person: Faith, Science and Values in Healthcare Provision (Eds. Cox, J., Campbell, A.V. & Fulford, K.W.M.). Jessica Kingsley: London.

Levinas, E. (1969). Totality and Infinity; an essay on exteriority. PA Duquesne University Press: Pittsburgh.

Buber, M. (1944). I and Thou. T &T Clark: Edinburgh.

Cox, J. L., Campbell, A.V. & Fulford, K.W.M. (2007). Medicine of the Person: Faith, Science and Values in Healthcare Provision. Jessica Kingsley: London.

Bouman, M. (2005). Dag Hammarskj Id, Citizen of the World. Ten Have. Kampen: The Netherlands.

Kleinman, A. (1988). Rethinking Psychiatry from cultural category to personal experience. Free Press: New York.

Lewis, I. M. (1976). Social Anthropology in Perspective. Penguin Books: London.

Homans, H. (1982). Pregnancy and birth as rites of passage for two groups of women in Britain. In: Ethnography of Fertility and Birth (Ed. MacCormack, C.P.). Academic Press: London.

Eisenbruch, M. (2000). Cambodian Concepts of Perinatal Mental Disorder: relevance to understanding Western Approaches to Perinatal Mental Health. In: Anthropological Approaches to Psychological medicine: crossing bridges (Eds. Skultans, V & Cox, J.). Jessica Kingsley: London.

Layard, R. & Dunn, J. (2009). A Good Childhood: Searching for Values in a Competitive Age. Penguin Books: London.

Neema, S. & Nakasi, G. (2004). Perinatal mental health in Uganda. Unpublished manuscript.

Cox, J. L. (1979). Amakiro: a Ugandan Puerperal Psychosis? Social Psychiatry 14, 49-52.

Neema, S. B. (1994). Mothers and midwives: maternity care options in Ankole, south-western Uganda. Ph.D. thesis, Institute of Anthropology, University of Copenhagen.

Raphael-Leff, J. (1996). Psychological Processes of Childbearing. CPS Psychoanalytic Publication Series. University of Essex.

Ainsworth, M. D. S. & Whiting, B. A. (1969). Attachment and Explorative Behaviours of one year olds in a Strange Situation. In: Determinants of Infant Behaviour (Vol 2) ( Ed. Foss, B.M.). Methuen.

Breen, D. (1975). The Birth of a First Child. Tavistock: London.

Trevarthen, C. B. (1980). The Foundations of Intersubjectivity: Development of Interpersonal and Cooperative understanding in infants. In: The social Foundations of Language and Thought (Ed. Olsen, D.K.). Norton: New York.

Cox, J., Connor, Y. & Kendell, R.E. (1982). Prospective Study of the Psychiatric Disorders of Childbirth. British Journal of Psychiatry 140, 111-117.

Schachter, S. & Singer, J. E. (1962). Cognitive, Social and Physiological Determinants of Emotional State. Psychology Review 69, 379-399.

Schimmel, P. (2001). Mind over matter? Philosophical aspects of the mind-brain problem. Australian and New Zealand Journal of Psychiatry 35, 481-487.

Coyle, N., Jones, I., Robertson, E., Lendon, C. & Craddock, N. (2000). Variation at the serotonin transporter gene influences susceptibility to bipolar affective puerperal psychosis. The Lancet 356, 1490-1491.

Jones, I. & Craddock, N. (2001). Familiarity of the puerperal trigger in bipolar disorder: results of a family study. American Journal of Psychiatry 158, 913-917.

Henshaw, C., Cox, J. & Barton, J. (2009). Modern Management of Perinatal Psychiatric Disorder. Gaskell Press: London.

McQueen, D. & Smith, P. (2012). Placebo effects: a new paradigm for psychiatry. International Psychiatry 7, 1-3.

Cox, J.L. (2010). Empathy, Identity and Engagement in Person-centred Medicine: the socio-cultural context. Journal of Evaluation in Clinical Practice 17 (2) 350-353.

Cox, J. & Gray, A. (2009). Psychiatry for the Person. Current Opinion in Psychiatry, 22, 587 – 593.

Montgomery, K. (2006). How Doctors Think: Clinical Judgment and the Practice of Medicine. Oxford University Press.

Fulford, K. W. M. (2010). Linguistic Analysis and Values-Based Practice: One way of Getting Started with Some Kinds of Philosophical Problems at the Interface Between Psychiatry and Religion. In: Religion and Psychiatry: Beyond Boundaries (Eds. Verhagen, P.J., can Praag, H.M., Lopes-Ibor, J.J., Cox, J.L., Moussaoui, D.). Wiley-Blackwell: Oxford.

Kendell, R. E., Chalmers, J. C. & Platz, C. (1987). Epidemiology of Puerperal Psychoses. British Journal of Psychiatry 150, 662-673.

Miles, A. & Mezzich, J.E. (2011). The care of the patient and the soul of the clinic: person-centred medicine as an emergent model of modern clinical practice. International Journal of Person-Centred Medicine 1 (2) 207-222.