BMJ 2003;326:549 ( 8 March )

Letters

Engaging patients with psychosis in consultations

    Design of study has several problems
    To listen or not to listen
    Cognitive behaviour therapy can help end alienation of psychosis
    Authors' reply

Design of study has several problems

The first 150 words of the full text of this article appear below.

EDITOR---McCabe et al discussed how psychiatrists engage with psychotic patients during routine consultations.1 However, the design of their study may have compromised the conclusions.

The clients selected were already attending a psychiatric outpatient clinic and had willingly agreed to participate in the study. These clients presumably had already engaged with their respective teams, which affects the generalisability of the study to clients who do not engage.

Videotaping the consultation introduces an element of subject and observer bias. The presence of a video camera can affect the nature of the interaction between doctor and client, which again affects the generalisability of the findings to routine clinical consultations. Given that 50% of the clients were not white British, the social interaction may have been influenced by the social, ethnic, and cultural differences between the client and doctor. In addition, clients with psychosis often present with thought disorder, negative symptoms (poverty . . . [Full text of this article]
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Relevant Article

Engagement of patients with psychosis in the consultation: conversation analytic study • Commentary: Understanding conversation
Rosemarie McCabe, Christian Heath, Tom Burns, Stefan Priebe, and John Skelton
BMJ 2002 325: 1148-1151. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

  • WAGNER, L. C., KING, M. (2005). Existential needs of people with psychotic disorders in Porto Alegre, Brazil. Br. J. Psychiatry 186: 141-145 [Abstract] [Full text]  

Rapid Responses:

Read all Rapid Responses

Let me tell you - no one is interested in the content of psychosis
Name and address supplied
bmj.com, 7 Mar 2003 [Full text]
Re: Let me tell you - no one is interested in the content of psychosis
Peter von Kaehne
bmj.com, 9 Mar 2003 [Full text]
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