Spring 1999

Illegibility will be penalised.

 

TWO QUESTIONS TO BE ANSWERED
ONE FROM SECTION A AND ONE FROM SECTION B

 

Section A - General Psychiatry

A1 A government has set itself a target to reduce the suicide rate in its country by at least 15% over a five year period. Discuss how psychiatrists may contribute to the realisation of this goal in terms of service organisation and provision of treatment.

A2 In a patient with panic disorder, discuss how you would arrive at a treatment choice of pharmacotherapy, psychological therapy, or both, with reference to knowledge of aetiology and outcome factors.


Section B - Psychiatric Specialties

B1 “Day hospital care for patients with dementia does not alter the prognosis of the disease and is, therefore, a waste of resources”. Critically discuss this statement with reference to the literature.

B2

“Psychotherapy is inherently untestable”. Discuss this statement critically with reference to methodological issues and the available evidence.

   
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