Reflections on the Challenges of Psychiatry in the UK and Beyond is a personal journey through British psychiatry, the NHS and academic life for over 40 years. It describes personal experience as perceived by a postgraduate student, practicing clinician, teacher, trainer, researcher and health service manager.
This book presents a personal historical chronicle and a panoramic view of some of the most significant milestones of modern psychiatry. The process of developing mental health services including those for people with intellectual disabilities through a maze of policies, sometimes contradictory, but also with strong ideological, sociological and political encounters proved to be a foremost challenge.
The author examines the complex connections of these processes and he succeeds in giving a comprehensive picture of the mental health map in over four decades. Successes and disappointments are featured throughout Reflections and Challenges of Psychiatry in the UK and Beyond through memories, archives and personal statements.
‘Intellectual autobiographies contribute greatly to historical understanding. Good ones are also pleasurable to read. Reflections and Challenges of Psychiatry in the UK and Beyond captures a period of change in psychiatry. The great and the good are depicted strutting on the metropolitan stage showing the rest of us how things psychiatric should be done. Natural modesty has impeded Professor Nick Bouras from talking about the crucial role he himself played in the changes he describes.’
(Professor G.E. Berrios, Cambridge University).
‘There have been dramatic changes in the way mental health services are delivered in England over recent decades. Professor Nick Bouras gives a personal account of the obstacles and challenges he faced in developing, researching and implementing these; in particular in the field of intellectual disabilities. He records the successes and frustrations of working in a system that does not always have a shared vision. His tenacity and enthusiasm is an example to us all and will encourage and inspire those facing similar issues today.’
(Dr Geraldine Holt, Consultant Psychiatrist in Learning Disabilities, London)
‘An important study of a much neglected field, this exploration of the psychiatry of intellectual disabilities is revealing not only as a personal history but also as an analysis of its clinical development, research challenges and its place in the politics of health. Professor Nick Bouras is particularly well qualified to provide this insightful and evocative account.’
(Professor Edgar Jones, Institute of Psychiatry Psychology & Neuroscience, King’s College London)