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Psychiatry's identity crisis : The Lancet
The Lancet, Volume 379, Issue 9823, Page 1274, 7 April 2012
doi:10.1016/S0140-6736(12)60540-6
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Cite or Link Using DOIPsychiatry's identity crisis
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The Lancet Last week, the American Psychiatric Association issued a press release highlighting an ongoing decline in the recruitment of medical students into the specialty—at a time when the numbers of practising psychiatric professionals in the USA is falling. Various reasons are proposed, including the short-term nature of placements (usually just 4 weeks); the sheer breadth of an evolving specialty, which is drawing students towards newer areas such as clinical neuroscience; and concerns that psychiatry is not as lucrative as other specialties.
Tom Brown, Assistant Registrar of Recruitment at the Royal College of Psychiatrists (RCPsych), UK, views psychiatry's identity crisis as an international problem, and for profound reasons. He told The Lancet: “Common perceptions within the medical profession include the view that psychiatry is just not scientific enough, is too remote from the rest of medicine, is often viewed negatively by other medical professionals, and is a specialty too often characterised by difficult doctor—patient relationships and limited success rates of therapeutic interventions”.
So, what kind of therapy is psychiatry in need of? The RCPsych views the current problem crucial enough for a concerted campaign to promote the specialty, not just to medical students and doctors at foundation stage, but even to senior-school pupils studying psychology. While such initiatives may help raise the profile of psychiatry, perhaps there are more fundamental issues that need to change.
Psychiatrists, first and foremost, are clinicians. Evidence-based approaches should be at the core of the psychiatrist and non-clinical members of any mental health team. The evidence that psychiatric patients have poorer overall health than the general population should ensure that psychiatry is strongly connected to other medical specialties. But more fundamental still, it is time for the specialty to stop devaluing itself because of its chequered history of mental asylums and pseudo-science, and to realign itself as a key biomedical specialty at the heart of mental health.
via The Lancet by The Lancet on 4/6/12
Last week, the American Psychiatric Association issued a press release highlighting an ongoing decline in the recruitment of medical students into the specialty—at a time when the numbers of practising psychiatric professionals in the USA is falling. Various reasons are proposed, including the short-term nature of placements (usually just 4 weeks); the sheer breadth of an evolving specialty, which is drawing students towards newer areas such as clinical neuroscience; and concerns that psychiatry is not as lucrative as other specialties.
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Author: Ihsan M. Salloum, Juan E. Mezzich
Psychiatric Diagnosis: Challenges and Prospects (World Psychiatric Association)
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via Forensic and General Psychiatry News Review by Mike Nova on 4/25/12
Psychiatric Diagnosis: Challenges and Prospects: Patterns and Prospects (World Psychiatric Association) by Ihsan M. Salloum, Juan E. Mezzich
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Psychiatric Diagnosis: Challenges and Prospects: Patterns and Prospects (World Psychiatric Association)
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- Author: Ihsan M. Salloum, Juan E. Mezzich
- List Price: GBP£85.95
- Publication Date: 2009
- Subjects: Books > Scientific, Technical & Medical
Books > Science & Nature
Books > Health, Family & Lifestyle - Hardcover: 332 pages
- Publisher: Wiley-Blackwell; 1 edition
- Language English
- ISBN-10: 0470725699
- ISBN-13: 978-0470725696
- Product Dimensions: 17.7x2.4x25.4cm
Product Description
Psychiatric diagnosis is one of the most important topics within the broad field of psychiatry. Clear, accurate definitions of the various disorders are essential for clinicians around the world to be confident that they are classifying patients in the same way, thereby enabling comparisons of treatment regimens and their outcomes. There are two major classification systems in use, one produced by the World Health Organization, the WHO International Classification of Diseases, Mental Disorders Chapter, and one by the American Psychiatric Association, the well known Diagnostic and Statistical Manual of Mental Disorders. Both of these are being revised so this book from the prestigious World Psychiatric Association is especially timely.In this book, leading experts in the field provide a broad and integrated coverage of the concepts, structure and context of psychiatric diagnosis. It begins by addressing mental health and illness around the world from historical, philosophical and cultural perspectives. Health is approached comprehensively, to include such aspects as resilience, resources and quality of life. The book then covers major specific psychopathology topics in Section II, including new categorizations and dimensional approaches. Section III concentrates on the complex problem of comorbidity, a primary challenge for modern diagnostic classifications in psychiatry. Finally, Section IV reviews emerging international diagnostic systems in psychiatry, considering innovative models and adaptations.This book will be essential reading for anyone involved in the diagnosis of psychiatric disorders.From the Back Cover
Improved diagnostic systems are necessary to enhance clinical care, teaching and research. Written by leading experts in the field, this book provides broad, integrated coverage of psychiatric diagnosis from historical and conceptual roots to novel diagnostic approaches.Divided into four accessible sections, the book covers: Concepts of mental health and illness around the world from historical, philosophical and cultural perspectives. Health is approached comprehensively, to include such aspects as resilience, resources and quality of life Major specific psychopathology topics, including new categorizations and dimensional approaches The complex problem of comorbidity in mental and general health, a major challenge for modern diagnostic classifications in psychiatry Emerging international diagnostic systems in psychiatry, considering innovative models and adaptationsPsychiatric Diagnosis: Challenges and Prospects presents innovative and helpful models for improved evaluation and care and should be read by all mental health professionals, as well as practising clinicians, researchers and postgraduate students in psychiatry and psychology.
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