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2. Identification and support of autistic individuals within the UK Criminal Justice System: a practical approach based upon professional consensus with input from lived experience

Author

Woodhouse, Emma, Hollingdale, Jack, Davies, Lisa, Al-Attar, Zainab, Young, Susan, Vinter, Luke P., Agyemang, Kwaku, Bartlett, Carla, Berryessa, Colleen, Chaplin, Eddie, Deeley, Quinton, Freckelton, Ian, Gerry, Felicity, Gudjonsson, Gisli, Maras, Katie, Mattison, Michelle, McCarthy, Jane, Mills, Richard, Misch, Peter, Murphy, David, and Allely, Clare

Published
2024
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3. Adults with Autism Spectrum Disorder and the Criminal Justice System: An Investigation of Prevalence of Contact with the Criminal Justice System, Risk Factors and Sex Differences in a Specialist Assessment Service

Author

Blackmore, Charlotte E., Woodhouse, Emma L., Gillan, Nicola, Wilson, Ellie, Ashwood, Karen L., Stoencheva, Vladimira, Nolan, Alexandra, McAlonan, Grainne M., Robertson, Dene M., Whitwell, Susannah, Deeley, Quinton, Craig, Michael C., Zinkstok, Janneke, Wichers, Rob, Spain, Debbie, Roberts, G, Murphy, Declan G. M., Murphy, Clodagh M., and Daly, Eileen

Abstract

The behavioural and cognitive difficulties of some adults with autism spectrum disorder (ASD) may increase their risk of contact with the criminal justice system (CJS) as a potential suspect. There has been limited investigation of ASD and offending and available evidence is mixed. A retrospective review was completed of medical records of 1570 adults (17-75 years old) who were referred for an ASD assessment over a 17-year period (April 2003 to February 2020). Of the adults diagnosed with ASD, 23% had previous contact with the CJS. Being male or diagnosed with co-occurring attention-deficit hyperactivity disorder (ADHD) and/or psychotic disorder were risk factors for CJS contact. However, the rates of contact with the CJS or for specific offences in the ASD group were never higher than adults referred to our service but not diagnosed with ASD. We did not include a general population comparison group, therefore cannot say how rates of CJS contact in ASD compare with the general population. Further health services research for adults with ASD is warranted, as modifying the treatable risk factors (i.e. ADHD) could reduce contact with the CJS. In addition, joint working between CJS and mental health services could reduce the risk of adults with ASD having CJS contact.

Published
2022
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4. Response to the Letter Concerning the Publication: Neuroimaging in Functional Neurological Disorder: State of the Field and Research Agenda. Perez DL et al. Neuroimage Clin. 2021;30:102623

Author

Perez, David L., Nicholson, Timothy R., Asadi-Pooya, Ali A., Butler, Matthew, Carson, Alan J., David, Anthony S., Deeley, Quinton, Diez, Ibai, Edwards, Mark J., Espay, Alberto J., Gelauff, Jeannette M., Jungilligens, Johannes, Hallett, Mark, Kanaan, Richard A.A., Tijssen, Marina A.J., Kozlowska, Kasia, LaFrance, W. Curt, Jr, Marapin, Ramesh S., Maurer, Carine W., Reinders, Antje A.T.S., Sojka, Petr, Staab, Jeffrey P., Stone, Jon, Szaflarski, Jerzy P., and Aybek, Selma

Published
2024
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6. Introduction

Author

Eidinow, Esther, primary, Geertz, Armin W., additional, Deeley, Quinton, additional, and North, John, additional

Published
2022
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9. Females with ADHD: An expert consensus statement taking a lifespan approach providing guidance for the identification and treatment of attention-deficit/ hyperactivity disorder in girls and women

Author

Young, Susan, Adamo, Nicoletta, Ásgeirsdóttir, Bryndís Björk, Branney, Polly, Beckett, Michelle, Colley, William, Cubbin, Sally, Deeley, Quinton, Farrag, Emad, Gudjonsson, Gisli, Hill, Peter, Hollingdale, Jack, Kilic, Ozge, Lloyd, Tony, Mason, Peter, Paliokosta, Eleni, Perecherla, Sri, Sedgwick, Jane, Skirrow, Caroline, Tierney, Kevin, van Rensburg, Kobus, and Woodhouse, Emma

Published
2020
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10. Guidance for identification and treatment of individuals with attention deficit/hyperactivity disorder and autism spectrum disorder based upon expert consensus

Author

Young, Susan, Hollingdale, Jack, Absoud, Michael, Bolton, Patrick, Branney, Polly, Colley, William, Craze, Emily, Dave, Mayuri, Deeley, Quinton, Farrag, Emad, Gudjonsson, Gisli, Hill, Peter, Liang, Ho-lan, Murphy, Clodagh, Mackintosh, Peri, Murin, Marianna, O’Regan, Fintan, Ougrin, Dennis, Rios, Patricia, Stover, Nancy, Taylor, Eric, and Woodhouse, Emma

Published
2020
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12. The Mental Health of Individuals Referred for Assessment of Autism Spectrum Disorder in Adulthood: A Clinic Report

Author

Russell, Ailsa J., Murphy, Clodagh M., Wilson, Ellie, Gillan, Nicola, Brown, Cordelia, Robertson, Dene M., Craig, Michael C., Deeley, Quinton, Zinkstok, Janneke, Johnston, Kate, McAlonan, Grainne M., Spain, Deborah, and Murphy, Declan G. M.

Abstract

Growing awareness of autism spectrum disorders has increased the demand for diagnostic services in adulthood. High rates of mental health problems have been reported in young people and adults with autism spectrum disorder. However, sampling and methodological issues mean prevalence estimates and conclusions about specificity in psychiatric co-morbidity in autism spectrum disorder remain unclear. A retrospective case review of 859 adults referred for assessment of autism spectrum disorder compares International Classification of Diseases, Tenth Revision diagnoses in those that met criteria for autism spectrum disorder (n = 474) with those that did not (n = 385). Rates of psychiatric diagnosis (>57%) were equivalent across both groups and exceeded general population rates for a number of conditions. The prevalence of anxiety disorders, particularly obsessive compulsive disorder, was significantly higher in adults with autism spectrum disorder than adults without autism spectrum disorder. Limitations of this observational clinic study, which may impact generalisability of the findings, include the lack of standardised structured psychiatric diagnostic assessments by assessors blind to autism spectrum disorder diagnosis and inter-rater reliability. The implications of this study highlight the need for careful consideration of mental health needs in all adults referred for autism spectrum disorder diagnosis.

Published
2016
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15. Imagine That! Imaginative Suggestibility Affects Presence in Virtual Reality

Author

Jicol, Crescent, primary, Clarke, Christopher, additional, Tor, Emilia, additional, Yip, Hiu Lam, additional, Yoon, Jinha, additional, Bevan, Chris, additional, Bowden, Hugh, additional, Brann, Elisa, additional, Cater, Kirsten, additional, Cole, Richard, additional, Deeley, Quinton, additional, Eidinow, Esther, additional, O'Neill, Eamonn, additional, Lutteroth, Christof, additional, and Proulx, Michael J, additional

Published
2023
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16. Identification and treatment of individuals with attention-deficit/hyperactivity disorder and substance use disorder: An expert consensus statement

Author

Young, Susan, primary, Abbasian, Cyrus, additional, Al-Attar, Zainab, additional, Branney, Polly, additional, Colley, Bill, additional, Cortese, Samuele, additional, Cubbin, Sally, additional, Deeley, Quinton, additional, Gudjonsson, Gisli Hannes, additional, Hill, Peter, additional, Hollingdale, Jack, additional, Jenden, Steve, additional, Johnson, Joe, additional, Judge, Deborah, additional, Lewis, Alexandra, additional, Mason, Peter, additional, Mukherjee, Raja, additional, Nutt, David, additional, Roberts, Jane, additional, Robinson, Fiona, additional, Woodhouse, Emma, additional, and Cocallis, Kelly, additional

Published
2023
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20. Hypnosis

Author

Deeley, Quinton, Runehov, Anne L. C., editor, and Oviedo, Lluis, editor

Published
2013
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27. Adults with autism spectrum disorder and the criminal justice system: An investigation of prevalence of contact with the criminal justice system, risk factors and sex differences in a specialist assessment service

Author

Psychiatrie_Medisch, Blackmore, Charlotte E, Woodhouse, Emma L, Gillan, Nicola, Wilson, Ellie, Ashwood, Karen L, Stoencheva, Vladimira, Nolan, Alexandra, McAlonan, Grainne M, Robertson, Dene M, Whitwell, Susannah, Deeley, Quinton, Craig, Michael C, Zinkstok, Janneke, Wichers, Rob, Spain, Debbie, Roberts, Ged, Murphy, Declan Gm, Murphy, Clodagh M, Daly, Eileen, Psychiatrie_Medisch, Blackmore, Charlotte E, Woodhouse, Emma L, Gillan, Nicola, Wilson, Ellie, Ashwood, Karen L, Stoencheva, Vladimira, Nolan, Alexandra, McAlonan, Grainne M, Robertson, Dene M, Whitwell, Susannah, Deeley, Quinton, Craig, Michael C, Zinkstok, Janneke, Wichers, Rob, Spain, Debbie, Roberts, Ged, Murphy, Declan Gm, Murphy, Clodagh M, and Daly, Eileen

Published
2022

28. Learning to Discern the Voices of Gods, Spirits, Tulpas, and the Dead.

Author

Luhrmann, Tanya M, Alderson-Day, Ben, Chen, Ann, Corlett, Philip, Deeley, Quinton, Dupuis, David, Lifshitz, Michael, Moseley, Peter, Peters, Emmanuelle, Powell, Adam, and Powers, Albert

Subjects
HALLUCINATIONS, AUDITORY perception, MATHEMATICAL models, PSYCHOSES, PERCEPTUAL disorders, COMMUNITIES, WORD deafness, EXPERIENCE, COMPARATIVE studies, HEALTH attitudes, RESEARCH funding, THEORY, ATTENTION, MIND & body therapies, CULTURAL values, RELIGION, PSYCHOSOCIAL factors
Abstract

There are communities in which hearing voices frequently is common and expected, and in which participants are not expected to have a need for care. This paper compares the ideas and practices of these communities. We observe that these communities utilize cultural models to identify and to explain voice-like events—and that there are some common features to these models across communities. All communities teach participants to "discern," or identify accurately, the legitimate voice of the spirit or being who speaks. We also observe that there are roughly two methods taught to participants to enable them to experience spirits (or other invisible beings): trained attention to inner experience, and repeated speech to the invisible other. We also observe that all of these communities model a learning process in which the ability to hear spirit (or invisible others) becomes more skilled with practice, and in which what they hear becomes clearer over time. Practice—including the practice of discernment—is presumed to change experience. We also note that despite these shared cultural ideas and practices, there is considerable individual variation in experience—some of which may reflect psychotic process, and some perhaps not. We suggest that voice-like events in this context may be shaped by cognitive expectation and trained practice as well as an experiential pathway. We also suggest that researchers could explore these common features both as a way to help those struggling with psychosis, and to consider the possibility that expectations and practice may affect the voice-hearing experience. [ABSTRACT FROM AUTHOR]

Published
2023
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32. sj-docx-1-aut-10.1177_13623613221081343 ��� Supplemental material for Adults with autism spectrum disorder and the criminal justice system: An investigation of prevalence of contact with the criminal justice system, risk factors and sex differences in a specialist assessment service

Author

Blackmore, Charlotte E, Woodhouse, Emma L, Gillan, Nicola, Wilson, Ellie, Ashwood, Karen L, Stoencheva, Vladimira, Nolan, Alexandra, McAlonan, Grainne M, Robertson, Dene M, Whitwell, Susannah, Deeley, Quinton, Craig, Michael C, Zinkstok, Janneke, Wichers, Rob, Spain, Debbie, Roberts, Ged, Murphy, Declan GM, Murphy, Clodagh M, and Daly, Eileen

Subjects
FOS: Psychology, FOS: Clinical medicine, 170199 Psychology not elsewhere classified, 111799 Public Health and Health Services not elsewhere classified, FOS: Educational sciences, 110319 Psychiatry (incl. Psychotherapy), FOS: Health sciences, 130312 Special Education and Disability, Education
Abstract

Supplemental material, sj-docx-1-aut-10.1177_13623613221081343 for Adults with autism spectrum disorder and the criminal justice system: An investigation of prevalence of contact with the criminal justice system, risk factors and sex differences in a specialist assessment service by Charlotte E Blackmore, Emma L Woodhouse, Nicola Gillan, Ellie Wilson, Karen L Ashwood, Vladimira Stoencheva, Alexandra Nolan, Grainne M McAlonan, Dene M Robertson, Susannah Whitwell, Quinton Deeley, Michael C Craig, Janneke Zinkstok, Rob Wichers, Debbie Spain, Ged Roberts, Declan GM Murphy, Clodagh M Murphy and Eileen Daly in Autism

Published
2022
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37. Hypnosis

Author

Phillips, Wendy, primary, Price, Jason, additional, Molyneux, Paul D, additional, and Deeley, Quinton, additional

Published
2021
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38. Neuroimaging in Functional Neurological Disorder: State of the Field and Research Agenda

Author

Perez, David L., Nicholson, Timothy R., Asadi-Pooya, Ali A., Bègue, Indrit, Butler, Matthew, Carson, Alan J., David, Anthony S., Deeley, Quinton, Diez, Ibai, Edwards, Mark J., Espay, Alberto J., Gelauff, Jeannette M., Hallett, Mark, Horovitz, Silvina G., Jungilligens, Johannes, Kanaan, Richard A.A., Tijssen, Marina A.J., Kozlowska, Kasia, LaFaver, Kathrin, LaFrance, W. Curt, Lidstone, Sarah C., Marapin, Ramesh S., Maurer, Carine W., Modirrousta, Mandana, Reinders, Antje A.T.S., Sojka, Petr, Staab, Jeffrey P., Stone, Jon, Szaflarski, Jerzy P., and Aybek, Selma

Subjects
ddc:616.89, DTI, fMRI, Conversion disorder, Neuroimaging, Functional neurological disorder, ddc:616.8, MRI
Abstract

Functional neurological disorder (FND) was of great interest to early clinical neuroscience leaders. During the 20th century, neurology and psychiatry grew apart – leaving FND a borderland condition. Fortunately, a renaissance has occurred in the last two decades, fostered by increased recognition that FND is prevalent and diagnosed using “rule-in” examination signs. The parallel use of scientific tools to bridge brain structure - function relationships has helped refine an integrated biopsychosocial framework through which to conceptualize FND. In particular, a growing number of quality neuroimaging studies using a variety of methodologies have shed light on the emerging pathophysiology of FND. This renewed scientific interest has occurred in parallel with enhanced interdisciplinary collaborations, as illustrated by new care models combining psychological and physical therapies and the creation of a new multidisciplinary FND society supporting knowledge dissemination in the field. Within this context, this article summarizes the output of the first International FND Neuroimaging Workgroup meeting, held virtually, on June 17th, 2020 to appraise the state of neuroimaging research in the field and to catalyze large-scale collaborations. We first briefly summarize neural circuit models of FND, and then detail the research approaches used to date in FND within core content areas: cohort characterization; control group considerations; task-based functional neuroimaging; resting-state networks; structural neuroimaging; biomarkers of symptom severity and risk of illness; and predictors of treatment response and prognosis. Lastly, we outline a neuroimaging-focused research agenda to elucidate the pathophysiology of FND and aid the development of novel biologically and psychologically-informed treatments.

Published
2021

44. What is the functional/organic distinction actually doing in psychiatry and neurology? [version 1; peer review: 3 approved]

Author

Bell, Vaughan, Wilkinson, Sam, Greco, Monica, Hendrie, Callum, Mills, Ben, and Deeley, Quinton

Abstract

The functional-organic distinction aims to distinguish symptoms, signs, and syndromes that can be explained by diagnosable biological changes, from those that cannot. The distinction is central to clinical practice and is a key organising principle in diagnostic systems. Following a pragmatist approach that examines meaning through use, we examine how the functional-organic distinction is deployed and conceptualised in psychiatry and neurology. We note that the conceptual scope of the terms ‘functional’ and ‘organic’ varies considerably by context. Techniques for differentially diagnosing ‘functional’ and ‘organic’ diverge in the strength of evidence they produce as a necessary function of the syndrome in question. Clinicians do not agree on the meaning of the terms and report using them strategically. The distinction often relies on an implied model of ‘zero sum’ causality and encourages classification of syndromes into discrete ‘functional’ and ‘organic’ versions. Although this clearly applies in some instances, this is often in contrast to our best scientific understanding of neuropsychiatric disorders as arising from a dynamic interaction between personal, social and neuropathological factors. We also note ‘functional’ and ‘organic’ have loaded social meanings, creating the potential for social disempowerment. Given this, we argue for a better understanding of how strategic simplification and complex scientific reality limit each other in neuropsychiatric thinking. We also note that the contribution of people who experience the interaction between ‘functional’ and ‘organic’ factors has rarely informed the validity of this distinction and the dilemmas arising from it, and we highlight this as a research priority.

Published
2020

45. Females with ADHD: an expert consensus statement taking a lifespan approach providing guidance for the identification and treatment of attention-deficit/ hyperactivity disorder in girls and women

Author

Kılıç, Özge, Young, Susan; Adamo, Nicoletta; Asgeirsdottir, Bryndis Bjork; Branney, Polly; Beckett, Michelle; Colley, William; Cubbin, Sally; Deeley, Quinton; Farrag, Emad; Gudjonsson, Gisli; Hill, Peter; Hollingdale, Jack; Lloyd, Tony; Mason, Peter; Paliokosta, Eleni; Perecherla, Sri; Sedgwick, Jane; Skirrow, Caroline; Tierney, Kevin; van Rensburg, Kobus; Woodhouse, Emma, Koç University Hospital, Kılıç, Özge, Young, Susan; Adamo, Nicoletta; Asgeirsdottir, Bryndis Bjork; Branney, Polly; Beckett, Michelle; Colley, William; Cubbin, Sally; Deeley, Quinton; Farrag, Emad; Gudjonsson, Gisli; Hill, Peter; Hollingdale, Jack; Lloyd, Tony; Mason, Peter; Paliokosta, Eleni; Perecherla, Sri; Sedgwick, Jane; Skirrow, Caroline; Tierney, Kevin; van Rensburg, Kobus; Woodhouse, Emma, and Koç University Hospital

Abstract

Background: There is evidence to suggest that the broad discrepancy in the ratio of males to females with diagnosed ADHD is due, at least in part, to lack of recognition and/or referral bias in females. Studies suggest that females with ADHD present with differences in their profile of symptoms, comorbidity and associated functioning compared with males. This consensus aims to provide a better understanding of females with ADHD in order to improve recognition and referral. Comprehensive assessment and appropriate treatment is hoped to enhance longer-term clinical outcomes and patient wellbeing for females with ADHD. Methods: The United Kingdom ADHD Partnership hosted a meeting of experts to discuss symptom presentation, triggers for referral, assessment, treatment and multi-agency liaison for females with ADHD across the lifespan. Results: A consensus was reached offering practical guidance to support medical and mental health practitioners working with females with ADHD. The potential challenges of working with this patient group were identified, as well as specific barriers that may hinder recognition. These included symptomatic differences, gender biases, comorbidities and the compensatory strategies that may mask or overshadow underlying symptoms of ADHD. Furthermore, we determined the broader needs of these patients and considered how multi-agency liaison may provide the support to meet them. Conclusions: This practical approach based upon expert consensus will inform effective identification, treatment and support of girls and women with ADHD. It is important to move away from the prevalent perspective that ADHD is a behavioural disorder and attend to the more subtle and/or internalised presentation that is common in females. It is essential to adopt a lifespan model of care to support the complex transitions experienced by females that occur in parallel to change in clinical presentation and social circumstances. Treatment with pharmacological and psychologic, NA

Published
2020

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