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BACKGROUND We compared the efficacy of and patients' satisfaction with general-practice-based psychotherapists with those of general practitioners in providing treatment to people with emotional difficulties. METHODS We carried out a prospective, randomised, controlled trial of brief, non-directive psychotherapy and routine general-practice care.(More)
In a series of 451 lumbar myelograms, however, Selby et alP reported clonic muscle spasms of the legs in four patients. A fracture of the femoral neck caused by muscle spasm after meglumine iocarmate lumbar myelography has also been reported.2 The occurrence of any such fracture raises the possibility of metabolic bone disease. In our patient the suspicion(More)
The aim of this study was to examine the factors influencing medical students' communication skills. The sample comprised all first-year clinical students. Thirty-two received teaching in communication skills during the year; the remaining 56 did not. Students' career preferences, attitudes towards communication skills and confidence in their ability to(More)
In this paper the difficulties of conducting a controlled evaluation of counselling (brief psychotherapy) in general practice are discussed. Results of a pilot study indicate that patients referred by family doctors to counsellors are often seriously emotionally distressed and recovery is slow. Counsellors come from different backgrounds and use a variety(More)
performance programs in family practices in the United Kingdom.N Engl J Med 2006; 355: 375–384. 10. NHS Information Centre. Quality and Outcomes Framework for GP practices. http://www.qof.ic.nhs.uk/ (accessed 7 Jun 2007). 11. Carey I, DeWilde S, Harris T, et al. Spurious trends in coronary heart disease incidence.Br J Gen Pract 2007; 57: 486–489. 12.(More)