Imperial College London

Emeritus ProfessorPeterTyrer

Faculty of MedicineDepartment of Medicine

Emeritus Professor in Community Psychiatry - Clinical
 
 
 
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Contact

 

+44 (0)20 3313 4161p.tyrer

 
 
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Location

 

13.09Claybrook CentreCharing Cross Campus

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Summary

 

Publications

Publication Type
Year
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582 results found

Crawford MJ, Sanatinia R, Barrett B, Byford S, Dean M, Green J, Jones R, Leurent B, Sweeting MJ, Touquet R, Greene L, Tyrer P, Ward H, Lingford-Hughes Aet al., 2015, The clinical and cost-effectiveness of brief advice for excessive alcohol consumption among people attending sexual health clinics: a randomised controlled trial, SEXUALLY TRANSMITTED INFECTIONS, Vol: 91, Pages: 37-43, ISSN: 1368-4973

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Tyrer P, 2015, Personality dysfunction is the cause of recurrent non-cognitive mental disorder: A testable hypothesis, Personality and Mental Health, Vol: 9, Pages: 1-7, ISSN: 1932-8621

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Tyrer P, Oliver P, Tarabi SA, 2014, Prevalence of aggressive challenging behaviours in intellectual disability and its relationship to personality status: Jamaican study, JOURNAL OF INTELLECTUAL DISABILITY RESEARCH, Vol: 58, Pages: 1083-1089, ISSN: 0964-2633

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Tyrer P, Crawford M, Sanatinia R, Tyrer H, Cooper S, Muller-Pollard C, Christodoulou P, Zauter-Tutt M, Miloseska-Reid K, Loebenberg G, Guo B, Yang M, Wang D, Weich Set al., 2014, Preliminary studies of the ICD-11 classification of personality disorder in practice, PERSONALITY AND MENTAL HEALTH, Vol: 8, Pages: 254-263, ISSN: 1932-8621

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Tyrer P, Cooper S-A, Hassiotis A, 2014, Drug treatments in people with intellectual disability and challenging behaviour., BMJ, Vol: 349

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Crawford MJ, Sanatinia R, Barrett B, Byford S, Dean M, Green J, Jones R, Leurent B, Lingford-Hughes A, Sweeting M, Touquet R, Tyrer P, Ward Het al., 2014, The clinical effectiveness and cost-effectiveness of brief intervention for excessive alcohol consumption among people attending sexual health clinics: a randomised controlled trial (SHEAR), HEALTH TECHNOLOGY ASSESSMENT, Vol: 18, Pages: 1-+, ISSN: 1366-5278

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Singh SP, Burns T, Tyrer P, Islam Z, Parsons H, Crawford MJet al., 2014, Ethnicity as a predictor of detention under the Mental Health Act, PSYCHOLOGICAL MEDICINE, Vol: 44, Pages: 997-1004, ISSN: 0033-2917

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Singh SP, Burns P, Tyrer P, Islam Z, Parsons H, Crawford MJet al., 2014, 'Ethnicity as a predictor of detention under the Mental Health Act': a response to Singh et al. - a reply., Psychol Med, Vol: 44, Pages: 894-896

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Tyrer P, Cooper S, Salkovskis P, Tyrer H, Crawford M, Byford S, Dupont S, Finnis S, Green J, McLaren E, Murphy D, Reid S, Smith G, Wang D, Warwick H, Petkova H, Barrett Bet al., 2014, Clinical and cost-effectiveness of cognitive behaviour therapy for health anxiety in medical patients: a multicentre randomised controlled trial, LANCET, Vol: 383, Pages: 219-225, ISSN: 0140-6736

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Leeson VC, Tyrer P, 2013, The advance of research governance in psychiatry: one step forward, two steps back, EPIDEMIOLOGY AND PSYCHIATRIC SCIENCES, Vol: 22, Pages: 313-320, ISSN: 2045-7960

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, 2013, A solution to the ossification of community psychiatry, Psychiatrist, Vol: 37, Pages: 336-339, ISSN: 1758-3209

The aim for seamless care that has long been the ultimate goal of good community psychiatry in the UK has disappeared, and there is now much needless argument over models of delivering care that ignore its main philosophy. It is argued that this ossification of care has not only made it ineffective, but has also promoted demoralisation and burn-out in the workforce, as the locus of control has shifted from clinician to managerial imperative. An initiative that can break up the opaque structures that hinder continuity of care is now available and a suggestion is made for a flexible, invigorated community care team system based on smaller catchment areas that allows a single team to combine the elements of assertive outreach, crisis resolution and early intervention with in-patient care.

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Tyrer P, 2013, Nosology is usually wrong, but is a test bed for science: a commentary on Markon., J Pers Disord, Vol: 27, Pages: 590-593

Kristian Markon (2013) is generally right in his diagnostic assessment but less so in his solutions. Nosology gets in the way of science when it becomes authoritative, as it often prevents science from proceeding in the systematic way that it would do otherwise, but the solution is not to abandon formal nosologies. Rather, we should endeavor to stop them from becoming authoritative, by overcoming nosological practice when it stands in the way of science. By considering the different functions of nosology and science, it is possible to get a compromise.

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, 2013, From the editor's desk, British Journal of Psychiatry, Vol: 203, ISSN: 0007-1250

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, 2013, From the Editor's desk, British Journal of Psychiatry, Vol: 203, ISSN: 0007-1250

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Tyrer P, 2013, Anxiety Disorders: A Guide for Integrating Psychopharmacology and Psychotherapy, BRITISH JOURNAL OF PSYCHIATRY, Vol: 203, Pages: 157-157, ISSN: 0007-1250

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Tyrer P, 2013, The concept of borderline personality., Aust N Z J Psychiatry, Vol: 47

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, 2013, From the editor's desk, British Journal of Psychiatry, Vol: 203, ISSN: 0007-1250

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Purandare K, Jaydeokar S, Cooray S, Tyrer P, Wijeratne A, Alexander R, Roy A, Isetta Met al., 2013, Applicability of ICD-10/DSM diagnostic criteria in people with intellectual developmental disorder and mental disorders, JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES, Vol: 10, Pages: 164-164, ISSN: 1741-1122

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, 2013, From the editor's desk, British Journal of Psychiatry, Vol: 202, ISSN: 0007-1250

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, 2013, From the Editor's desk, British Journal of Psychiatry, Vol: 202, ISSN: 0007-1250

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Tyrer H, Tyrer P, Barrett B, 2013, Influence of dependent personality status on the outcome and health service costs of health anxiety., Int J Soc Psychiatry, Vol: 59, Pages: 274-280

OBJECTIVE: To assess the effect of dependent personality disturbance as an influence on the cost and clinical outcome of health anxiety. METHOD: In the course of a randomized trial of treatments for patients with high health anxiety over 12 months, we also recorded dependent personality status by two methods: the Personality Assessment Schedule (an observer-rated instrument) and the self-rated Dependent Personality Questionnaire (DPQ), the latter being administered at baseline, six months and 12 months. The two main hypotheses tested were that patients with dependent personality features would have a worse outcome and attract greater health service costs. RESULTS: Forty-nine patients took part in the trial; all had baseline dependent personality data, 44 provided health service costs, and 38 had observer-rated personality assessments. At baseline patients with any personality disorder had higher clinical ratings for health anxiety, and dependent personality disturbance, mainly in the form of personality difficulty, was associated with a worse outcome than those without dependent personalities after correction for baseline differences. The DPQ at a score of 15 successfully identified all patients with dependent personality disorder in both ICD and DSM classifications and showed a significant but relatively modest reduction in scores of 1.5 (13%) during the course of the 12-month trial. Costs in those separated by personality status showed those with dependent personality incurred 45% more health service costs than those without these personality characteristics (p = .10). No patient with dependent personality disorder dropped out of treatment compared with 6 out of 38 (16%) of those with no dependence. CONCLUSIONS: The DPQ is probably a reliable instrument for assessing dependent personality characteristics without the need for interview and its scores, unlike many ratings of personality, are stable over time. The findings may have been influenced by different respon

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Tyrer H, Ali L, Cooper F, Seivewright P, Bassett P, Tyrer Pet al., 2013, The Schedule for Evaluating Persistent Symptoms (SEPS): a new method of recording medically unexplained symptoms., Int J Soc Psychiatry, Vol: 59, Pages: 281-287

BACKGROUND: Medically unexplained symptoms are difficult to measure and in most cases the diagnosis is made either from independent data such as consultants' opinions or medical outcomes, or by proxy measures such as numbers of symptoms or consultations. A valid self-rated measure would be of value in assessing this highly prevalent condition. AIMS: To describe a new scale of nine items, the Schedule for Evaluation of Persistent Symptoms (SEPS), its properties, its internal consistency, its distribution in a sample of 470 medical patients, its relationship to social functioning and health anxiety (hypochondriasis), and its construct validity by comparing its results with an independent diagnostic examination of each patient's notes two years subsequent to assessment. METHOD: A prevalence study was carried out in 405 consenting medical patients in primary care, cardiology, respiratory medicine, gastroenterology and endocrine clinics, in which the SEPS scale, the Health Anxiety Inventory (HAI) and the Social Functioning Questionnaire (SFQ) were each completed. RESULTS: The mean score on the SEPS scale in 470 patients was 13.4. Exploratory factor analysis revealed two main factors, one concerned focus on symptoms and the other on their attribution. Examination of all data showed a cut-off point of 14 as indicating the presence of pathological medically unexplained symptoms (MUS). Agreement between the consultants' diagnosis and pathological MUS scores was fairly good with a score of 14 or more on the SEPS showing sensitivity of 0.65 and negative predictive accuracy of 0.90. CONCLUSION: It is concluded that the SEPS scale has potential value in screening patients with suspected medically unexplained symptoms.

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Tyrer P, 2013, From the Editor's desk, British Journal of Psychiatry, Vol: 202, ISSN: 0007-1250

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, 2013, From the Editor's desk, British Journal of Psychiatry, Vol: 202, ISSN: 0007-1250

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Tyrer P, 2013, Linnaean classification and conventional psychiatric diagnosis do not mix, NORDIC JOURNAL OF PSYCHIATRY, Vol: 67, Pages: 11-12, ISSN: 0803-9488

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, 2013, From the editor's desk, British Journal of Psychiatry, Vol: 202, ISSN: 0007-1250

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Tyrer P, 2013, The classification of personality disorders in ICD-11: Implications for forensic psychiatry, CRIMINAL BEHAVIOUR AND MENTAL HEALTH, Vol: 23, Pages: 1-5, ISSN: 0957-9664

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, 2013, From the Editor's desk, British Journal of Psychiatry, Vol: 202, ISSN: 0007-1250

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, 2012, A humanised inclusive psychiatry, British Journal of Psychiatry, Vol: 201, ISSN: 0007-1250

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Tyrer P, 2012, The behavior of academics under stress: a commentary on Blashfield and Reynolds., J Pers Disord, Vol: 26, Pages: 835-837

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