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Maudsley Debates

Podcasts & Videos 3rd - 30th

30th Maudsley Debate: Is child abuse a cause of schizophrenia?

June 2006

This house believes child abuse is a cause of schizophrenia.

The 30th Maudsley Debates is on the topic of child abuse and schizophrenia, a controversial topic that has been given a lot of recent attention as a result of a review published recently by Dr. John Read and colleagues in the journal, Acta Psychiatrica Scandinavica*.

* Read, J., van Os, J., Morrison, A.P., & Ross , C.A. (2005) Childhood trauma, psychosis and schizophrenia: a literature review with theoretical and clinical implications. Acta Psychiatrica Scandinavica, 112, 330-350

Speaking for the motion: Dr. John Read (University of Auckland), Mr. Paul Hammersley (University of Manchester)

Speaking against the motion: Professor Peter McGuffin (Institute of Psychiatry), Terry Hammond (RETHINK)

CHAIR: Professor Til Wykes (Institute of Psychiatry)

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29th Maudsley Debate: Antipsychiatry is dead, long live psychiatry

This house believes that the legacy of RD Laing was detrimental for patient care.

Supporting the motion will be: Adrianne Revely, Consultant Psychiatrist and Mike Launer, Consultant Psychiatrist at the Lamont Clinic, Burnley.

Opposing the motion will be: Adrian Laing, Solicitor in London and Tony David, Consultant Psychiatrist in SLAM and Professor of Cognitive Neuropsychiatry at the IOP

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27th Maudsley Debate: Love is a delusion

April 2005

The speakers for the motion are Dr. Harvey Gordon and Dr. Frank Tallis. Dr. Gordon is a Consultant Forensic Psychiatrist at the Littlemore Mental Health Centre in Oxford. Dr. Frank Tallis is a writer and a Clinical Psychologist. In addition to his numerous academic publications he is the author of several novels including “Killing Time” and the recent bestseller “Lovesick”.

Speaking against the motion are Dr. Glenn Wilson and Ms. Cherry Potter. Dr. Wilson is a Reader in Personality at the Institute of Psychiatry. He is a pioneer in the field of evolutionary theories of sex differences, attraction and love and he is ranked within the 10 most cited British psychologists. Ms. Cherry Potter is a Journalist and Psychotherapist. She was head of screenwriting at the National Film and Television School and is well known for her articles in the Guardian and The Times as well as her latest novel “I Love you but... Seven decades of romantic comedy”.

 

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26th Maudsley Debate: A born-again brain

January 2005

This house believes that modern science has demonstrated the implausibility of an afterlife.

Speakers for the motion are Professor Lewis Wolpert and Professor Peter Atkins. Lewis Wolpert is professor of biology at University College London and is recognised as one of the pioneering thinkers of embryology. He is a former chairman of the Committee for the Public Understanding of Science and has presented science in books, on radio and on TV. He also writes a column for The Independent. Peter Atkins is professor of physical chemistry at Lincoln College, Oxford, and is an honorary associate of the National Secular Society. His research interests are in the field of theoretical chemistry, particularly magnetic resonance and the electromagnetic properties of molecules. He is the author of several world-famous chemistry textbooks and now spends virtually all his time writing, including books for more general audiences.

Speakers against the motion are the Rev Dr John Polkinghorne and Dr Sean Spence. John Polkinghorne is a mathematical physicist and Anglican priest. He resigned as professor of mathematical physics at the University of Cambridge in 1979 to pursue theological studies, becoming a priest in 1982. Since then, his writings and lectures have applied scientific habits to Christianity, resulting in a ‘modern, new exploration of the faith.’ Sean Spence is reader in adult psychiatry at the University of Sheffield and honorary consultant psychiatrist to the homeless at Sheffield Care Trust. His research interests include the investigation of the cognitive neurobiology of higher executive function in humans in health and disease.

The debate will be chaired by the IoP’s Professor Robin Murray.

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25th Maudsley Debate: Going down the tube

May 2004

This House believes London's mental health services are in a state of permanent crisis.

Supporting the motion: Angela Greatley, Director of Policy, The Sainsbury Centre for Mental Health and co-author of the King's Fund mental health report 2003 & Cliff Prior, Chief Executive, Rethink (formerly the National Schizophrenia Fellowship)

Opposing the motion: Alan Cohen, Chair, London Development Centre for Mental Health & Stuart Bell, Chief Executive SLAM NHS Trust

Chair: Professor Robin Murray, Professor of Psychiatry, IoP

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24th Maudsley Debate: High time for a change?

November 2003

This house believes that there should be a free market for recreational drugs.

Speaking in favour of the motion: Mr. Roger Warren-Evans (Barrister, Liberty member and secretary of the Angel Declaration calling for changes in drug laws), and Dr. John Marsden (Senior Lecturer, National Addiction Centre, Institute of Psychiatry; replacing Eliot Albert, writer and activist from the Methadone Alliance)

Speaking against the motion: Professor Griffith Edwards (National Addiction Centre, Institute of Psychiatry), and Dr. Andrew Johns (Senior Lecturer and Consultant Psychiatrist in Forensic Psychiatry). Dr. Johns replaced Julian Brazier, who we lost in the Tory reshuffle.

Chaired by Dr Michael Farrell, Consultant, Maudsley hospital

 

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23rd Maudsley Debate: Are men bad for women's mental health?

September 2003

Feelings ran high at this debate touching on gender issues within psychiatric services. The audience started the evening strongly behind the motion supporting gender-segregated in-patient services but with a number of voters waiting to be persuaded.

The proposers of the motion centred their arguments on issues of women’s safety and were opposed by a counter-attack emphasising the importance of patient choice. We heard several women service users give heartfelt testimony to their experience of the vulnerability of women within mixed acute wards, in particular to sexual exploitation and violence. Although nobody denied that women had the right to safety as in-patients, it was argued that maybe a better solution lay in improving the general quality of in-patient care and giving careful consideration to ward architecture and staffing levels to allow safety for all. Would sex-segregation not be a move to benefit women and disadvantage men? Lynne Clayton spiritedly attacked this notion on the grounds that it was unreasonable to put women at risk so that they could act as ‘civilising’ influences for men. Interestingly, Dr Eleanor Cole’s overview of the literature showed that research into the proposed benefits of gender-separated services was equivocal. Should we not, therefore, take more time to reflect and research the issue before committing to change? Otherwise we might fail to learn from the past experience of segregated wards that was illustrated by Professor Peter Tyrer

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22nd Maudsley Debate: The choice: depressed or dependent?

July 2003

22th Maudsley Debate Supporting the motion: Dr David Healy and Mr Charles Medawar

Opposing the motion: Dr Veronica O'Keane and Professor Lewis Wolpert

Chair: Professor Robin M Murray

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21st Maudsley Debate: Boys will be boys

May 2003

War is an expression of the psychopathology of the male brain.

Does maleness predispose an individual to innate, pathological belligerence?
Is the male brain in some cases 'hard-wired' to be warlike?
Would women have a different approach to conflict resolution?

Supporting:
Professor Germaine Greer - Professor of English and Comparative Studies at Warwick University, pioneering feminist and celebrated author
Johanna Burke - Professor of History at Birkbeck College, specialist in social, gender and military history.

Opposing:
Lord Owen - Former Shadow Defence Spokesman, Labour Foreign Secretary and Co-Founder of the SDP
Dr Felicity de Zulueta, Maudsley Hospital

Chair: Professor Simon Wessely, Maudsley Hospital and IOP

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20th Maudsley Debate: Crime & illness: the thin blue line

March 2003

This house believes that criminals need treatment not punishment

Proposing the motion:Prof. John Gunn, Forensic Psychiatry, IOP and Prof. Christopher Cordess, Forensic Psychiatry, University of Sheffield.

Opposing the motion: BRENDAN O'NEILL - Assistant Editor, SPIKED PHILIP BEAN - Director, Midlands Centre for Criminology and Criminal Justice

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19th Maudsley Debate: Are we all mentally ill now?

February 2003

This house believes that the problems of everyday life are being over-medicalised.

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18th Maudsley Debate: Schizophrenia: the ultimate delusion

Supporting the motion that schizophrenia does not exist will be Professor Jim Van Os and Richard Bentall.

Opposing the motion will be Dr. Peter McKenna & Professor Anthony David.

 

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17th Maudsley Debate: They all want to be doctors

November 2002

This house believes that nurses and psychologists should be allowed to prescribe.

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15th Maudsley Debate: Post-traumatic stress disorder

May 2002

 For

Mr Ben Shephard - Noted historian, journalist and commentator. Author of 'War of Nerves', the much praised history of the effect of war on the mind, and the often ineffective ways in which military psychiatry seeks to prevent this.

Dr Derek Summerfield - Consultant Psychiatrist, SLAM Honorary Senior Lecturer, Institute of Psychiatry. Consultant to OXFAM. Principal Psychiatrist, Medical Foundation for the Victims of Torture. Research Associate, Refugees Study Centre, Oxford University. Leading critique of the medicalisation of distress via the diagnosis of PTSD, and strong critic of western psychiatric aid programmes to those in other cultures exposed to the horrors of disaster or war.

Against

Doctor Chris Freeman - Consultant Psychiatrist and Psychotherapist, Royal Edinburgh Hospital, Edinburgh. Director of the Colin Rivers Centre, PTSD clinic, Edinburgh and responsible for the Cognitive Behavioural Psychotherapy Unit, Royal Edinburgh Hospital. Chairman, Royal College Research Committee.

Mr Andrew Buchan - Leading barrister for PTSD; Junior Counsel in the ground-breaking Walker stress case; Counsel in the Long v Mercury Mobile Communications: £327,500 for a first breakdown caused by bullying. Author of 'Personal Injury Practice' and 'Procedure and Personal Injury Schedules'. Authority on stress, bullying and PTSD cases, and has lectured on bullying and stress to IRS, IBC and Euroforum.

Chair

Simon Wessely - Professor of Epidemiological and Liaison Psychiatry (IoP); Honorary Consultant Psychiatrist, King's and Maudsley Hospitals; Co-Director, Gulf War Illnesses Research Unit.

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14th Maudsley Debate: Human rights gone mad?

March 2002

This house believes that human rights standards do not protect the dignity

 Supporting the motion:

Professor Frank Furedi Professor of Sociology Darwin College University of Kent at Canterbury

Professor Nigel Eastmann Head of Forensic Psychiatry St Georges Hospital Medical School

Opposing the motion:

Professor Michael Gunn Head of Department and Associate Dean, Department of Academic Legal Studies, Nottingham Law School, The Nottingham Trent University

Lucy Scott-Moncrieff Senior Partner Scott, Moncrieff, Harbour and Sinclair

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13th Maudsley Debate: Method in their madness or madness in their method?

January 2002

This house believes that the public's reaction to terrorism is more irrational than the terrorists' motivation and behaviour

Speaking in favour of the motion:

SIMON WESSELY - Professor of Epidemiological and Liaison Psychiatry, GKT School of Medicine and Institute of Psychiatry
ADRIAN GROUNDS - Senior Lecturer in Forensic Psychiatry, Institute of Criminology, Cambridge University

Speaking against the motion:

RAJ PERSAUD - Consultant Psychiatrist, South London & Maudsley NHS Trust, and mental health commentator
KEVIN TOOLIS - Journalist and author of 'Rebel Hearts - Journeys within the IRA's soul'

The meeting will be chaired by TOM FAHY, Professor of Forensic Mental Health, GKT School of Medicine

 

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12th Maudsley Debate: Plan or sham?

November 2001

This house believes that the NHS Plan will transform psychiatric care in England for the better

Speakers

Prof. Louis Appleby, National Director of Mental Health
Cliff Prior, Chief Executive of the National Schizophrenia Fellowship.

Speaking against the motion were:-

Prof Sir David Goldberg, formerly Professor of Psychiatry at the Institute, and long-time advisor to the Department of Health
Dr Tony Pelosi, a consultant psychiatrist in a deprived area near Glasgow

Descrption

The NHS Plan has been described as "the most fundamental and far-reaching programme of reform in the history of the NHS." Mental Health is one of three priority areas. The proposals include massive expansion of forensic services, treatment centres for "dangerous severe personality disorder", assertive outreach and crisis teams, "graduate mental health workers" in primary care, and women-only day centres.

Many have welcomed the proposals, particularly the promise of greater financial investment in mental health services. But critics regard the Plan as a product of political, rather than clinical, priorities, and argue that many of the proposed reforms are not validated by research evidence. Others have approved of the Plan, but doubt that sufficient resources will be made available to execute the reforms.

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11th Maudsley Debate: Cannabis, who gives a puff?

September 2001

This house believes it is worth criminalising the majority to protect the vulnerable minority

Supporting this motion were:-

Dr Colin Drummond, Consultant Psychiatrist. St George's Medical School
Professor Susan Greenfield, Director of the Royal Institution and Professor of Pharmacology, Oxford University

Speaking against the motion were:-

Dr Michael Farrell, National Addiction Centre, Institute of Psychiatry
Dr Leslie Iversen, Director of the Wolfson Centre for Age Related Diseases (King's College London)

 

 If you wish to download the debate in MP3 format, right click the following link as "Save target as" Download the 11th  Maudsley Debate Podcast

10th Maudsley Debate: Mental health reform

July 2001

 A lively audience of service users, psychiatrists, and health care professionals including the President of the Royal College of Psychiatrists attended the debate, which was chaired by Professor Tom Fahy. Before hearing the arguments of the speakers only 2% of the audience supported the motion and the implementation of the Government White Paper on Mental Health with 61% opposed and a substantial 37% undecided.

Professor Tony Maden of Imperial College opened the debate arguing for the motion. He put forward that the Mental Health White Paper ensured that difficult patients received treatment rather than punishment, and that the governments interest in public protection was valid.

Paul Bowen, a barrister of Doughty St Chambers, opposed this, pointing out that the White Paper severely constrained liberty, expanded the class of people subject to coercion, and breached the Human Rights Act.

Next Dr Chris Burford, a consultant at St Anns Hospital, Tottenham, supported Professor Maden and the motion. He spoke of changes in psychiatry and the difficulties of revolving door admissions; he suggested that the White Paper provided a framework for treating vulnerable people who otherwise missed or evaded treatment.

Finally, Dr Andrew Johns a consultant of forensic psychiatry at the South London and Maudsley NHS Trust, concluded by noting that the White Paper coerced both patients and psychiatrists. He rounded up the debate by reiterating the estimation that 5000 patients would require detention in order to prevent a single homicide by a person with a mental disorder.

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9th Maudsley Debate: Fashion victims

April 2001

The media is being used as a convenient scapegoat for the development of eating disorders. This is the view of Professor Kenneth Nunn from Sydney University, Australia who will be speaking at the ninth in a series of debates on topical issues in psychiatry at the Institute of Psychiatry.

He will argue that evidence suggests that the onset of an eating disorder has little to do with the media and everything to do with individual biological and psychological vulnerabilities.

Vehemently opposing this view will be Melanie Katzman, Consultant Psychologist from the US and the author of many books on eating disorders. She will explain that meta analysis of studies due out this spring reveals that the media is the medium for spreading the social contagents that cause eating disorders. She will also highlight data from Fiji which demonstrates that after the introduction of television, eating disorders emerged.

Eating disorders currently affect around 1.1 million people in the UK. The widely held image of these disorders as slimming diseases belies the seriousness of the conditions: anorexia nervosa has the highest death rate of any psychiatric disorder, with around 1 in 5 sufferers dying within 20 years of the onset of illness.

Also speaking at the debate are W. Bose, Spokesperson for Premier Model Agency Management and Nicky Bryant, Chief Executive of the Eating Disorders Association.

W. Bose will argue that through the use of imagery and the written word, the media can be held accountable for a persistent focus on weight, shape and dieting; negative stereotypes of women and a focus upon image instead of capabilities. This, he says, has served to undermine the self-esteem of generations of women. Nicky Bryant, however, will argue that we are only fashion victims if we allow the fashion industry to dictate thin as the aspirational body shape and size.

Chairing the debate is Janet Treasure, Professor of General Psychiatry, Guys Hospital & Director of the South London and Maudsley NHS Trusts Eating Disorders Unit.

If you wish to download the debate in MP3 format, right click the following link as "Save target as" Download the 9h  Maudsley Debate Podcast

8th Maudsley Debate: Minor ailments

This House Believes That Psychiatrists Over-Medicate The Exuberance Of Youth

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7th Maudsley Debate: Psychiatric institutions are irretrievably racist

November 2000

This house believes that psychiatric institutions are irretrievably racist

Speakers

Supporting this motion were:
Dr Dele Olajide, Consultant Psychiatrist, South London and Maudsley NHS Trust
Mr Chinyere Inyama, Solicitor and Mental Health Act Commissioner

Speaking against the motion were:
Dr David Ndegwa, Consultant Psychiatrist, South London and Maudsley NHS Trust
Mr Malcolm Phillips, Director, Stephen Lawrence Charitable Trust

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6th Maudsley Debate: The brain: the final frontier?

October 2000

This house believes that studying the brain tells us little about the mind

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5th Maudsley Debate: Keep taking the tabloids

June 2000

Keep taking the tabloids: is the media bad for mental health?

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4th Maudsley Debate: What should we do with psychopaths?

May 2000

What should we do with psychopaths?

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3rd Maudsley Debate: Does counselling screw you up?

This house believes that there should be no more counselling until it is proved to be safe and effective.

Speakers

Supporting this motion were: Simon Wessely, Professor of Epidemiological and Liaison Psychiatry at the Institute of Psychiatry and Guy’s, King’s, St Thomas’s Medical School Virginia Ironside, Agony Aunt for the Sunday Mirror newspaper.

 

Speaking against the motion were: Gladeana McMahon, Fellow of the British Association of Counsellors Adrian Hemmings (TBC), Psychologist and researcher at the University of Sussex

If you wish to download the debate in MP3 format, right click the following link as "Save target as"  Download the 3rd  Maudsley Debate Podcast

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