Hole Ousia spends much time reading and writing about dementia. The neuroscientific understandings, as they develop, are considered alongside sociology, ageing, philosophy and the medical humanities.

Two years ago

Two years ago, almost to the day, I attended a Cross Party Group on Mental Health and Older People at the Scottish Parliament. I found it a difficult meeting for … Continue reading Two years ago

Mrs Picken

Mrs Picken was an elderly widow, who day after day, year after year, left an apple on her window-sill for me as I delivered her daily paper. I have never … Continue reading Mrs Picken

My formal instruction of resignation as a member of the Royal College of Psychiatrists

Saturday, 24th November 2018 To: The Registrar of the Royal College of Psychiatrists, 21 Prescot St, Whitechapel, London, E1 8BB Dear Dr Adrian James, Resignation as a member of the … Continue reading My formal instruction of resignation as a member of the Royal College of Psychiatrists

“Trickles down from the upper echelons”

I read this letter by Dr William Durward, a retired NHS Scotland Consultant with interest. It was published in the Herald, 7 November 2018, and was written in response to … Continue reading “Trickles down from the upper echelons”

Psychiatric medications and potential effects on cardiac rhythm

In the last month we have been having discussions at work about the potential for psychiatric medications to adversely effect cardiac rhythms, and in particular QTc prolongation.  The advice on ECG … Continue reading Psychiatric medications and potential effects on cardiac rhythm

Key opinion leaders and Industry: Snakes, ladders and Monopoly

Dr Margaret McCartney in her recent ‘No Holds Barred” perspective set this challenge: “Here’s a game: try and find a doctor’s conflicts of interest. Set a timer, and give yourself … Continue reading Key opinion leaders and Industry: Snakes, ladders and Monopoly

Two years of no sunshine

On Thursday 22nd March 2018 I will be standing outside the Scottish Parliament with this banner. This will be a peaceful, one-man protest, two years to the day that my … Continue reading Two years of no sunshine

Mild Cognitive Impairment

This recently-published Guest editorial in International Psychogeriatrics concludes that the concept of MCI faces extinction. As a doctor practising in this field I found this editorial difficult to follow and self-contradictory.

Paradigms, pathologies and shifts

The following extracts are taken from this perspective published in the Scotsman, 11 January 2018: Pfizer has seemingly concluded that Alzheimer’s disease is far more complex than we had ever … Continue reading Paradigms, pathologies and shifts

Finding balance

This unedited clip (apart from titles) is from the evidence session on NHS Targets given to the Health and Sport Committee of the Scottish Parliament on 9 January 2018. I share … Continue reading Finding balance

Back in the driving seat: Industry

Historical backdrop (the last decade): UK Key Opinion Leaders argued robustly and consistently for an early approach to the diagnosis of dementia without articulating uncertainties, risks and necessary ethical aspects of person-centred … Continue reading Back in the driving seat: Industry