Who is George Ikkos?
George Ikkos FRCPsych FRSA
George Ikkos is Lead Consultation Liaison Psychiatrist Royal National Orthopaedic Hospital NHS, Chairman and Consultant Psychiatrist London International Practice, Visiting Consultant Psychiatrist Wellington Hospitals HCA and Director of the “Psychiatry in Dialogue with Neuroscience, Medicine and Society” programme of the Royal Society of Medicine Section of Psychiatry.
He has served as President of the Pain Medicine and Psychiatry sections of Royal Society of Medicine, and held a range of Honorary Professorships and Royal College Treasurer and Chair roles.
In 2014 he was elected Honorary Fellow of the Royal College of Psychiatrists.
George is Honorary Archivist Royal College of Psychiatrists, Deputy Editor of the Royal College of Psychiatrists’ journal “BJPsych International” and joint editor of “Psychiatry’s Contract with Society” Clinical interests include psychiatric and psychological aspects of Chronic Pain, Joint Hypermobility Syndrome and the Complex Regional Pain Syndrome; he is the Royal College of Psychiatrists representative on the Royal College of Physicians led multidisciplinary guidelines group on the identification and management of CRPS and founding member and joint lead of the “Brain and CRPS Group” of the “CRPS Network UK” .
Personal Website: www.georgeikkos.com
What will be Presented?
Pain and Psychiatry: Body, Brain, Mind, Self and Clinical Practice
Emotion is an area of central clinical concern to both pain medicine and psychiatry. It is also the area where body, brain, mind and self in relation to others and society, come together in live action.
Understanding the relation between body and mind has often challenged the general public, philosophers, scientists, physicians and psychiatrists alike. A full understanding of the living person as a vital psychosomatic unity depends on understanding the integration of meaning and physical reality with each other.
The bodily expression of distress secondary to social and psychological factors has long been known, though incompletely understood. Importantly the WHO physical-mental comorbidity survey has confirmed the high levels of comorbidity between a variety of concrete physical disorders and chronic pain on the one hand and mood and anxiety disorders and addictions on the other.
In recent years, major developments in the neurophysiological understanding of brain function and emotion have highlighted the importance of “meaning” in influencing the function of Intrinsic Communicating Networks (ICN). Complementing these developments are others in evolutionary anthropology and psychology, highlighting the deeply social origins of the human brain and intentional nature of human beings.
Research has also highlighted the importance of Descending Cortical and Spinal Pathways in modulating pain and their substantive overlap with neural mood and anxiety pathways.
Service design, team composition, practitioner skills and clinical practice need to reflect these developments. As well as treating fear and catastrophizing and mood disorders in pain populations, it is important to treat effectively anxiety disorders, in view of their high prevalence in the general population and comorbidity with pain.
(the full synopsis for this lecture including references and web links will be available on the day)