Dr Ivana Markova

Reader in Psychiatry

Ivana S. Marková is Reader at HYMS and Honorary Consultant in Psychiatry at the Department of Psychological Medicine with the Humber NHS Foundation Trust. She trained in medicine at the University of Glasgow and then in psychiatry at Cambridge. In Cambridgeshe also completed her masters in history and philosophy of science and obtained her higher doctorate in medicine with a thesis on the structure of the concept of insight. She continues to research on the nature of insight in psychiatry as well as on different aspects of descriptive psychopathology and neuropsychiatry. Her other main research focus is on the epistemology of psychiatry and mental symptoms. Her clinical work is in liaison psychiatry with a special interest in neuropsychiatry.

Research interests are focused in 2 main areas. Firstly, she is interested in descriptive psychopathology from an epistemological perspective, i.e., developing an understanding of the nature and structure of mental phenomena (including their determination and elicitation) and relationship to brain processes. In particular, it is important to explore the conceptual problems underlying many of the assumptions that underpin empirical research. This involves not only conceptual and philosophical analysis but also historical exploration in order to determine the specific components of mental constructs and the nature of their ‘validity’. It is essential to define these conceptual problems clearly so that meaningful empirical work can be carried out.


Secondly, her research interest focuses on neuropsychiatry, i.e., the psychiatry manifested in the presence of specific brain disease. In this context, projects have included the exploration of irritability in patients with Huntington’s Disease and Alzheimer’s disease (with colleagues inCambridge). In addition, she is collaborating with colleagues inWalesandLondonin projects exploring insight in subjects with Alzheimer’s disease.

Book


Marková, I.S. (2005) Insight in Psychiatry. Cambridge, UK: Cambridge University Press. 


Articles 


Marková, I.S. & Berrios, G.E. (2014) The construction of anosognosia: history and implicatios. Cortex, special issue: Understanding Babinski’s Anosognosia:100 years later, 61,  9-17


Marková, I.S., Clare, L., Whitaker, C.J., Roth, I., Nelis, S.M., Martyr, A., Roberts, J.L., Woods, R.T. & Morris, R.G. (2014) Phenomena of awareness in dementia: heterogeneity and its implications. Consciousness and Cognition, 25, 17-26.


Woods RT, Nelis SM, Martyr  A, Roberts  J, Whitaker CJ, Markova  I, Roth  I, Morris  R, Clare  L. (2014), What contributes to a good quality of life in early dementia? awareness and the QoL-AD: a cross-sectional study. Health and Quality of Life Outcomes 12:94


Berrios, G. E. & Marková, I. S. (2013) Is the concept of ‘dimension’ applicable to psychiatric objects? World Psychiatry, 12, 76-78.


 


Clare, L., Whitaker, C.J., Roberts, J.L., Nelis, S.M., Martyr, A., Marková, I.S., Roth, I., Woods, R.T. & Morris, R.G. (2013) Memory awareness profiles for performance monitoring and evaluative judgement differentiate mild cognitive impairment from early-stage dementia. Dementia and Geriatric Cognitive Disorders, 35:266-279.


Marková, I.S. & Berrios, G.E. (2012) The epistemology of psychiatry. Psychopathology, 45, 220-227.


Clare, L., Nelis, S.M., Martyr, A., Whitaker, C.J., Marková, I.S., Roth, I., Woods, R.T. & Morris, R.G. (2012) ‘She might have what I have got’: the potential utility of vignettes as an indirect measure of awareness in early-stage dementia. Aging & Mental Health, 16, 566-575.


Martyr, A., Clare, L., Nelis, S.M., Marková, I.S., Roth, I., Woods, R.T., Whitaker, C.J. & Morris, R.G. (2012) Verbal fluency and awareness of functional deficits in early-stage dementia. The Clinical Neuropsychologist, 26:3, 501-519.


Clare, L., Nelis, S.M., Martyr, A., Roberts, J., Whitaker, C.J., Marková, I.S., Roth, I., Woods, R.T. & Morris, R.G. (2012) The influence of psychological, social and contextual factors on the expression and measurement of awareness in early-stage dementia: testing a biopsychosocial model. International Journal of Geriatric Psychiatry, 27, 167-177.


Clare, L., Nelis, S.M., Martyr, A., Whitaker, C.J., Marková, I.S., Roth, I., Woods, R.T. & Morris, R.G. (2012) Longitudinal trajectories of awareness in early-stage dementia. Alzheimer Disease & Associated Disorders, 26, 140-147.


Clare, L., Nelis, S.M., Whitaker, C.J., Martyr, A, Marková, I.S., Roth, I., Woods, R.T. & Morris, R.G. (2012) Marital relationship quality in early-stage dementia: perspectives from people with dementia and their spouses. Alzheimer Disease & Associated Disorders, 26, 148-158.


Martyr, A., Clare, L., Nelis, S.M., Roberts, J.L., Robinson, J.U.,Roth, I., Marková, I.S., Woods, R.T., Whitaker, C.J. & Morris, R.G. (2011) Dissociation between implicit and explicit manifestations of awareness in early-stage dementia: evidence from the emotional Stroop effect for dementia-related words. International Journal of Geriatric Psychiatry, 26 (1), 92-99.


Marková, I.S. & Berrios, G.E. (2011) Awareness and insight in psychopathology: an essential distinction? Theory & Psychology, 21, 421- 437.


Nimmagadda, S.R., Agrawal, N., Worrall-Davies, A., Marková, I. & Rickards, H. (2011) Determinants of irritability in Huntington’s disease. Acta Neuropsychiatrica, 23, 309-314.


Clare, L., Whitaker, C.J., Nelis, S.M., Martyr, A., Marková, I.S., Roth, I., Woods, R.T. & Morris, R. G. (2011) Multi-dimensional assessment of awareness in early-stage dementia: a cluster analytic approach. Dementia & Geriatric Cognitive Disorders, 31, 317- 327.


Clare, L., Marková, I.S., Morris, R. & Roth, I.(2011) Awareness in Alzheimer’s disease and associated dementias: theoretical framework and clinical implications. Aging and Mental Health, 15, 936 - 944.


Nelis, S.M., Clare, L., Martyr, A., Marková, I.S., Roth, I., Woods, R.T., Whitaker, C.J. & Morris, R. G. (2011) Awareness of social and emotional functioning in people with early stage dementia and implications for carers. Aging & Mental Health, in press.


Jaafari, N. & Marková, I.S. (2011) Le concept de l’insight en psychiatrie. Annales Médico-Psychologiques, 169, 409-415.


Vanelli, I., Chendo, I., Levy, P., Figueira, M.L., Góis, C., Santos, J. & Marková, I. (2010) Adaptação Para Português Da Escala De Insight Marková E Berrios. Acta Medica Portuguesa, 23, 1011-1016.


Marková, I.S., Jaafari, N. & Berrios, G.E. (2009) Insight and obsessive-compulsive disorder: a conceptual analysis. Psychopathology, 42, 277-282.


Marková, I.S. & Berrios, G.E. (2009) The epistemology of mental symptoms. Psychopathology, 42, 343-349.


Craig, K.J., Hietanen, H., Marková, I.S. & Berrios, G.E. (2008) The Irritability Questionnaire: a new scale for the measurement of irritability. Psychiatry Research, 159, 367-375.


Guaiana, G. & Marková, I.S. (2006) Antipsychotic Treatment Improves Outcome in Herpes Simplex Encephalitis: A Case Report. Journal of Neuropsychiatry and Clinical Neurosciences, (letter) 18, 247.


Marková, I.S. & Berrios, G.E. (2006) Approaches to the assessment of awareness: Conceptual issues. Neuropsychological Rehabilitation, 16, 439-455.


Marková, I.S., Clare, L, Wang, M., Romero, B. & Kenny, G. (2005) Awareness in dementia: conceptual issues. Aging and Mental Health, 9, 386-393.


Clare, L., Marková, I.S., Verhey, F. & Kenny, G. (2005) Awareness in dementia: a review of assessment methods and measures. Aging and Mental Health, 9, 394-413.


Marková, I.S., Berrios, G.E. & Hodges, J.R. (2004) Insight into memory function. Neurology, Psychiatry and Brain Research 11, 115-126.


Marková, I.S., Roberts, K.H., Gallagher, C., Boos, H., McKenna, P.J. & Berrios, G.E. (2003) Assessment of insight in psychosis: a re-standardization of a new scale. Psychiatry Research 119 (1-2): 81-88.


Berrios, G.E. & Marková, I.S. (2002) The concept of neuropsychiatry. A historical overview. Journal of Psychosomatic Research 53 (2): 629-638.


Berrios, G.E. & Marková, I.S. (2002) Assessment and Measurement in Neuropsychiatry: A Conceptual History. Seminars in Clinical Neuropsychiatry 7: 3-10.


Berrios, G.E., Wagle, A.C., Marková, I.S., Wagle, S.A., Rosser, A. & Hodges, J.R. (2002) Psychiatric symptoms in neurologically asymptomatic Huntington’s disease gene carriers: a comparison with gene negative at risk subjects. Acta Psychiatrica Scandinavica 105: 224-230.


Marková, I.S. & Berrios, G.E. (2001) The ‘Object’ of Insight Assessment: Relationship to Insight ‘Structure’. Psychopathology 34: 245-252.


Berrios, G.E., Wagle, A.C., Marková, I.S., Wagle, S.A., Ho, L.W., Rubinsztein, D.C., Whittaker, J., ffrench-Constant, C., Kershaw, A., Rosser, A., Bak, T. & Hodges, J.R. (2001) Psychiatric symptoms & CAG repeats in neurologically asymptomatic Huntington’s disease gene carriers. Psychiatry Research 102: 217-225.


Wagle, A.C., Wagle, S.A., Marková, I.S. & Berrios, G.E. (2000) Psychiatric morbidity in Huntington’s Disease: the current view. Neurology, Psychiatry  and Brain Research 8: 5-16.


Berrios, G.E., Marková, I.S. & Gimbrett, R. (1995) The role of psychiatry in genetic prediction programmes for Huntington's disease. Psychiatric Bulletin 19:203-206.


Marková, I.S. & Berrios, G.E. (1995) Mental symptoms: Are They Similar Phenomena? The Problem of Symptom Heterogeneity. Psychopathology 28:147-157.


Marková, I.S. & Berrios, G.E. (1995) Insight in clinical psychiatry revisited. Comprehensive Psychiatry 36:367-376.


Marková, I.S. & Berrios, G.E. (1995) Insight in clinical psychiatry: A new model. Journal of Nervous and Mental Disease 183:743-751.


Berrios, G.E., Marková, I.S. & Olivares, J.M. (1995) Retorno a los síntomas mentales: hacia una nueva metateoría. Psiquiatría Biológica 2:13-24.


Marková, I.S. & Berrios, G.E. (1994) Delusional Misidentifications: Facts and Fancies. Psychopathology 27:136-143.


Marková, I.S. & Berrios, G.E. (1992) The Meaning of Insight in Clinical Psychiatry. British Journal of Psychiatry 160:850-860.


Marková, I.S. & Berrios, G.E. (1992) The assessment of insight in clinical psychiatry: a new scale. Acta Psychiatrica Scandinavica 86:159-164.


Chapters in Books


 Marková, I.S. & Berrios, G.E. (2014) Neuroimaging in psychiatry: epistemological considerations. In P. Zachar, D. Stoyanov, M. Aragona & A. Jablensky (eds.) Alternative Perspectives on Psychiatric Validation. Oxford University Press


 Berrios, G.E. & Marková, I.S. (2014) Visual Hallucinations: history and context of current research. In D. Collerton, U.P. Mosimann & E. Perry (eds) The Neuroscience of Visual Hallucinations. Wiley – Blackwell


Berrios, G.E. & Marková, I.S. (2014) Shared Pathologies. In (eds. D. Bhugra & G. Malhi) Troublesome Disguises, Wiley-Blackwell 


Berrios, G.E. & Marková, I.S. (2012) The Epistemology of Psychiatry and of Mental Symptoms: the Cambridgeview. In A. Mishara, P. Corlett, P. Fletcher & M. Schwartz (eds) Phenomenological Neuropsychiatry: How Patient Experience Bridges Clinic with Clinical Neuroscience. Springer. In press.


Berrios, G.E. & Marková, I.S. (2012) The Construction of Hallucination: History and Epistemology. In  Jan Dirk Blom & Iris Sommer (eds) Hallucinations. Research and Practice.New York: Springer. Pp 55 – 71.


Clare, L., Marková, I.S., Romero, B., Verhey, F., Wang, M., Woods, R.T. & Keady, J. (2006) Awareness and people with early-stage dementia. In Bère M.L. Miesen & Gemma M.M. Jones (Eds.) Care-giving in Dementia,London: Routledge, Vol.4, pp. 133-151.


Berrios, G. E. & Marková, I.S. (2006) Symptoms – Historical Perspective and Effect on Diagnosis. In Psychosomatic Medicine (eds. M. Blumenfield & J.J. Strain),Philadelphia,USA: Lippincott Williams & Wilkins, pp. 27-38.


Berrios, G.E. & Marková, I.S. (2004) Insight in the psychoses: a conceptual history. In Insight and Psychosis, 2nd edition (eds  X. Amador & A. David) pp 31-50.Oxford:OxfordUniversity Press.


Berrios, G.E. & Marková, I.S. (2003) The self and psychiatry: a conceptual history. In The Self in Neuroscience and Psychiatry (eds. T. Kircher & A. David),Cambridge,UK:CambridgeUniversity Press, pp 9-39.


Berrios, G.E. & Marková, I.S. (2002) Conceptual Issues. In Biological Psychiatry (eds. H. D’haenen, J.A. den Boer & P. Willner), Chichester,UK: John Wiley & Sons, Ltd. pp 3-24.


Berrios, G.E. & Marková, I.S. (2001) Psychiatric disorders mimicking dementia. In  Early-Onset Dementia. A Multidisciplinary Approach (ed. J.R. Hodges)Oxford,UK:OxfordUniversity Press, pp 104-123.


Marková, I.S. & Berrios, G.E. (2000) Insight into memory deficits. In Memory disorders in psychiatric practice (eds. G.E. Berrios & J.R. Hodges)Cambridge,UK: Cambridge Universtiy Press, pp 204-233.


Marková, I.S. & Berrios, G.E. (2000) Paramnesias and delusions of memory. In Memory disorders in psychiatric practice (eds. G.E. Berrios & J.R. Hodges)Cambridge,UK: Cambridge University Press, pp 313-337.


Berrios, G.E., Marková, I.S. & Girala, N. (2000) Functional memory complaints: hypochondria and disorganization. In Memory disorders in psychiatric practice (eds. G.E. Berrios & J.R. Hodges)Cambridge,UK: Cambridge University Press, pp 384-399.


Contact details
i.s.markova@hull.ac.uk
01482 463071

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