Role In Other Disciplines Research Articles

Special Issue on “Engineering Informatics”

Special Issue on “Engineering Informatics”

Endoscopic management of the liver transplant patient

Endoscopic management of the liver transplant patient

The Development of Behaviour Therapy in Australia: Reply to Russo, Tarrier and Sakano

It was with considerable interest that I read the comments on my paper (Lovibond, 1993) offered by our three international colleagues. It is at once apparent from the commentaries that the issues in clinical psychology to which I drew attention are in no way unique to Australia. Quite clearly, however, in Japan behaviour therapy (or CBT) has not yet reached that stage of development where the problems I posed become relevant. For this reason I shall concentrate mainly on the comments of Professors Russo and Tarrier. Each of the commentators, but particularly Dr. Russo, found points of agreement with my statement of the issues, but none expressed support for the program of action I suggested. Surprisingly however, none had alternative solutions to offer.I believe the most important issue I raised was the threat to the primacy of the scientist-professional model in the education/training/practice of clinical psychologists. Professor Russo clearly shares my concerns here, but Professor Tarrier makes no mention of the scientist-professional model or the need to maintain links with the basic discipline of psychology. From the general tenor of his remarks, I gather that Professor Tarrier does not regard the fate of the scientist-professional model as a major issue, and indeed he seems quite satisfied with the status of clinical psychology in the UK. Interestingly however, the report of the Manpower Planning Advisory Group, which Professor Tarrier quotes at another point, suggests that in the UK “clinical psychologists' roles are seen as ambiguous by others, confused with the roles of other disciplines and further confused by the variety of ways in which psychology services are delivered and practised. The research also found poor promotion of clinical psychologists' contributions to services and an inappropriately low profile in view of the impact that clinical psychologists could be having on the effectiveness of services” (MPAG, 1990, p. 8).

The first year of a geriatric-orthopaedic liaison service: an alternative to 'orthogeriatric' units?

The use of orthopaedic beds by large numbers of elderly patients with multiple pathology will increase and already exceeds the provision of orthopaedic-geriatric rehabilitation units. A cross-specialty multidisciplinary ward round improved the quality of care of orthopaedic patients without requiring expenditure on equipment, facilities or staff, and abolished the need to transfer patients to geriatric beds for rehabilitation, this being achieved on the orthopaedic unit. The liaison service provided excellent medical training in acute and rehabilitative aspects of geriatric medicine, enhanced the role of other disciplines in the care of the elderly orthopaedic patient and facilitated communication between departments.

Fractures of the Orbit: Proceedings of the Symposium on Orbital Fractures, Amsterdam, April 19-20, 1969.

This volume represents a rather extensive coverage of the various aspects of orbital fractures by more than 30 contributors who participated in a symposium held in Amsterdam in April of 1969. The book is divided into three portions: (1) diagnosis and indications for operation, (2) treatment of fresh orbital fractures, and (3) treatment of old orbital fractures. Because blow-out fractures represent a large portion of the fractures involving the orbit, much of the book is devoted to this type of fracture. Although the book appears to be written primarily by and for ophthalmologists, the role of other disciplines is clearly outlined. The roentgenologist, otolaryngologist, and neurosurgeon are essential in the diagnosis and treatment of a number of the orbital fractures. In the first portion of the book on diagnosis and indications for operation, various radiological techniques are covered in considerable detail including orbitography, tomography, and special views for the