Search results
1 – 10 of 184Shaun Gravestock, Dinal Vekaria and Elaine Hurault
We report the case of a man with Asperger's syndrome and borderline intelligence, atypical eating disorder (food faddiness/refusal due to fear of choking) and XYY syndrome. We…
Abstract
We report the case of a man with Asperger's syndrome and borderline intelligence, atypical eating disorder (food faddiness/refusal due to fear of choking) and XYY syndrome. We consider multi‐modal management and inter‐agency service provision issues in meeting his complex mental health and social needs.
Details
Keywords
Dimitrios Paschos, Michael Mwim, Virginia Essam and Jane McCarthy
We report a case of a person with Down's syndrome presenting with symptoms of depression and symptoms of an atypical eating disorder. Significant challenges and dilemmas were…
Abstract
We report a case of a person with Down's syndrome presenting with symptoms of depression and symptoms of an atypical eating disorder. Significant challenges and dilemmas were encountered during his assessment and treatment. Twenty years ago he had presented in a similar way and his lengthy but successful treatment was published. We will present his case in two parts. The first will cover his clinical presentation and assessment and the second will focus solely on his treatment. During the time of his assessment and management the Mental Capacity Act 2005 had just been introduced in England and Wales and the implications of this new legislation in the management of such cases will also be discussed.
Details
Keywords
Aurélie Schandrin, Delphine Capdevielle, Jean-Philippe Boulenger, Monique Batlaj-Lovichi, Frédérick Russet and Diane Purper-Ouakil
Adolescents and young adults’ mental health problems are an important health issue. However, the current organisation of the care pathway is not robust enough and transition…
Abstract
Purpose
Adolescents and young adults’ mental health problems are an important health issue. However, the current organisation of the care pathway is not robust enough and transition between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS) has been identified as a period of risk. The paper aims to discuss these issues.
Design/methodology/approach
A retrospective survey was conducted in Montpellier University Hospital concerning transitions organised between CAMHS and AMHS between 2008 and 2009. The aim was to assess if transitions met four criteria identified in literature as warranting an optimal transition.
Findings
In total, 31 transitions were included. Transition was accepted by AMHS in 90 per cent of cases but its organisation was rarely optimal. Relational continuity and transition planning were absent in 80 per cent of cases. The age boundary of 16 often justified the triggering of the transition regardless of patient’s needs. Discontinuity was observed in 48 per cent of transition cases, with an average gap of three months without care. Psychiatrists reported difficulties in working together. Finally, at the moment of the survey (one to three years later), 55 per cent of patients were lost to follow-up.
Research limitations/implications
This is a retrospective study on a small sample but it reveals important data about transition in France.
Practical implications
Transition process should include collaborative working between CAMHS and AMHS, with cross-agency working and periods of parallel care.
Social implications
Transition-related discontinuity of care is a major socioeconomic and societal challenge for the EU.
Originality/value
Data related to the collaboration between CAMHS and AMHS services are scarce, especially regarding the transition in France.
Details
Keywords
This chapter describes the disordered eating in sport problem and provides a critical overview of research in the area. It offers specific insights into how cultural practices in…
Abstract
Purpose
This chapter describes the disordered eating in sport problem and provides a critical overview of research in the area. It offers specific insights into how cultural practices in elite sport may be implicated.
Approach
In contrast to dominant medical perspectives, disordered eating in sport is discussed as a product of high-performance cultural contexts. The ways that practice commonplace in elite sport might contribute to disordered eating onset and maintenance are described. In turn, I also consider the experiential struggles of athletes with eating disorders and how this relates to dominant discourses in elite sport.
Findings
Elite sport culture, with its emphasis on surveillance, sacrifice, and success, reinforces disordered eating practices. Much of what is conventionally considered disordered eating, can be normalized when situated in the context of high-performance sport. Nevertheless, when functional disordered eating slides into mental illness, the mental toughness ethos works to silence and stigmatize athletes.
Research Implications
Research must broaden its focus to explore how social practices in elite sport normalize disordered eating and how prevention approaches can become more culturally informed and less individually driven.
Details
Keywords