REGISTRATION AND POSTER EXHIBITION
09.40 – 09.45
WELCOME ADDRESS AND INTRODUCTION
DR WILLIAM FLANNERY, Vice President and Conference Academic Coordinator
09.45 to 11.00
9.45 – 10.15
Men with psychotic illness in remand prisons
Dr Conor O’Neill – Central Mental Hospital, Dublin
Men with psychotic illnesses are greatly over-represented in prisons in Ireland, especially in remand settings. The level of accumulation is such as to represent a public health emergency. Men with mental illness are more likely to be homeless, more likely to be arrested and less likely to be granted bail, even when charged with minor, at times trivial offences. “Revolving door” people with mental illness presenting to remand prisons following repeated minor offences are more likely to be homeless and actively psychotic at the time of presentation. Court diversion services have helped to mitigate this for people charged with less serious offenders with the cooperation of community mental health services. The process is more complex for persons who have become homeless in the context of major mental illness. For many homeless psychotic young men prisons are now the default mode of access for mental health services.
This talk will describe 12 years of data in relation to remand prisoners at Ireland’s main male remand prison.
10.15 – 10.45
Approaches to the Treatment of Personality Disorders in the Forensic Context
Dr Cleo Van Velsen
Personality Disorder is a diagnosis that arouses many and complex responses. With all the difficulties associated with its classification and implications, it is essential to understanding and managing many offenders. In this paper I will outline some of the difficulties and dynamics of working with those who suffer from personality disorder but will also describe the significant strides made in treating and managing the condition. This includes not only specific interventions but also the creation of more effective systems, including the Offender Personality Disorder Pathway in England and Wales. The publication of the paper Personality Disorder: No Longer a Diagnosis of Exclusion in 2003 led to a rebirth of optimism, tempered by reality, around working with Personality Disorder – leading to positive developments in service delivery and research, often absent in other branches of mental health in times of austerity.
10.45 – 11.00
11.00 – 11.30
COFFEE BREAK AND POSTER EXHIBITION
11.30 – 1.15
11.30 – 12.00
Nicer than NICE?: the BAP guidelines for the management of bipolar disorder.
Dr Guy Goodwin, Professor of Psychiatry, University Department of Psychiatry, Oxford
The revised NICE Guideline for bipolar disorder was published in 2014. In principle, an evidence based approach should lead to identical recommendations when another body undertakes the same task. The British Association for Psychopharmacology also revised its bipolar guidelines in 2016 (Goodwin et al. 2016). There were important differences. These differences are worth understanding and were most marked in relation to the treatment of bipolar depression, maintenance of phamacotherapy and psychological treatment. Thus, psychological treatments were recommended as the primary modality of treatment in primary care for bipolar depression, as equivalent to medication in the management of bipolar depression in secondary care and sharing equal importance with medication in the long term (Jauhar et al. 2016). To what extent were these ‘Key priorities for implementation’ supported by evidence from clinical trials? That question will be explored and a summary presented of the BAP’s alternative take on these and other issues.
12.00 – 12.30
Mood Disorders in Liaison Psychiatry
Dr John Cooney – St James’s Hospital, Dublin
Bipolar disorder is associated with increased morbidity and mortality and a consequent need for general medical care. Vigilance is needed both in terms of mood and psychopharmacology for the practical management of the patient in integrating their care in the general hospital.
12.30 – 1.00
Pharmacological Management of Bipolar Disorder in under 18s
Dr Aditya Sharma – Institute of Neuroscience, Newcastle University and Northumberland Tyne and Wear NHS Foundation Trust
Management of paediatric (onset prior to age 18 years) bipolar disorder will be discussed in this presentation. In particular, management of (hypo)mania, depression, mixed episodes and euthymia will be discussed. Various factors including co-morbid conditions such as ADHD, Autism and emerging personality issues can impact on both the course and management of this condition. These will be discussed in addition to the use of psychotherapeutic approaches.
1.00 – 1.15
1.15 – 1.30
ANNOUNCEMENT OF PRIZE WINNERS
NCHD Research Oral Prize
NCHD Research Prize Poster
IJPM Presentation of John Dunne Medal 2016
Dr Charles Smith 2018 Essay Competition
Faculty of Medical Psychotherapy Essay Prize
Faculty of Addictions Essay Prize
1.30 – 2.30
2.30 – 4.00
2.30 – 3.15
The Little Things that Matter Most in Psychiatry: An Update on Gut Microbes and their Effects on Brain Function and Host Behaviour
Dr Gerard Clarke – University College Cork
The gut microbiome can signal along the gut-brain axis to influence many fundamental aspects of brain function and behaviour of relevance to Psychiatry. This includes depression, anxiety and pain as well as host stress physiology. Psychiatric disorders, including depression, are also now linked to compositional alterations in the gut microbiome associated with prominent symptomatic features. Research efforts continue to identify the precise mechanisms underpinning these effects and to accrue the translational insights necessary to move this promising are of research towards mechanisms and clinical interventions.
3.15 – 3.30
3.30 – 4.00
Abnormalities of the self and embodiment in the writings of Franz Kafka – Lessons for Psychiatry
Prof Femi Oyebode – University of Birmingham
Embodiment in Kafka’s Letter to Father.
It is becoming clear that human cognition including reasoning, memory, language, perception and, emotion are grounded in embodiment. Embodiment can be understood as the pattern of kinesthetic and proprioceptive experiences that are the basis of all human experience and action. In this talk I will focus on embodiment, what it means in practice and how it influences reasoning and use of language. I will use Kafka’s Letter to Father, to illustrate the complex interrelationship between abnormalities of embodiment and the use of language and concept formation.
Embodiment appears to be fundamental to the formation of concepts and the use of metaphor in concept structure. There are several examples of how our perceptual interactions, bodily actions and manipulation of objects determine and influence our concepts. These patterns of experiences are built into image schemas that are then utilized in concept formation. Furthermore, perceptual information also seems to guide reasoning. The aim in this talk is to allude to these matters by an exploration of Kafka’s works.