Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-25T13:12:27.307Z Has data issue: false hasContentIssue false
  • English
  • Français

Consequences of Recent Changes in Research and Practice for the Identity of Psychiatrists

Published online by Cambridge University Press:  16 April 2020

J Guimón
J Guimón*
Affiliation:
Department of Psychiatry, 47, rue du XXXI décembre, 1207 Geneva, Switzerland
Get access

Summary

The limits of the role of psychiatrists are becoming increasingly vague as a consequence of the confusion on the theoretical model, the excessive size of the field and the managed care movement that is deeply altering the way psychiatric services are delivered. A thorough reflection has to be made about the need to strengthen the professional identity of future psychiatrists in the course of their training. Theoretical orientation of psychiatrists depends, to a large extent, on the training that they received during residency and the type of practice they undertake. It is necessary, therefore, to consider that the institutional path and expected activities in the program of training postgraduates is particularly important for the development of the identity of the resident as a psychiatrist. The criteria for elaborating these programs have to take into account, not only the opinion of the teachers and of the residents, but also many other parameters, one of which is the description of what makes a true psychiatrist in his or her clinical practice, so as to adapt the content of programs to the realization of inherent objectives to the activities described.

Keywords

identity crisismanaged caretraining
Type
Symposia
Information
European Psychiatry , Volume 12 , Issue S2 , 1997 , pp. 92s - 98s

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Amat, ECarbonel, CCervera, Set al.The educational objectives of medical psychology and psychiatry in pregraduate and postgraduate medical curriculum. In: Lopez-Ibor, JJLenz, G eds. Training and Education in Psychiatry. Vienna: Facultas-Verlag, 1984Google Scholar
Armor, DJKlerman, GLPsychiatric treatment orientations and professional ideology. J Health Soc Behav 1968;9 (3):243–255CrossRefGoogle ScholarPubMed
Beitman, BDMaxim, PA survey of psychiatric practice: implications for psychiatric training. Psychiatr Educ 1984;149–154Google Scholar
Bodkin, JAKlitzman, RLPope, HGTreatment orientation and associated characteristics of North American academic psychiatrists. J Nerv Ment Dis 1995; 183: 729–735CrossRefGoogle ScholarPubMed
Brook, PWakeford, RContinuing medical education. A survey of consultant psychiatrists' attitudes and practices. Bull R Coll Psychiatr 1987; 11: 38–42CrossRefGoogle Scholar
Brown, SJPsychiatric group practice builds a ‘corridor’ to better income, less risk in managed care. Clin Psychiatr News 1993;3–20Google Scholar
Carey, GGottesman, IIReliability and validity in binary ratings. Arch Gen Psychiatry 1978; 35: 1454–1459CrossRefGoogle ScholarPubMed
Castilla del Pino, CEl biologismo en psicopatologia y en psiquiatria. Inf Psiquiatr 1986; 104: 148–159Google Scholar
DeWitt, PMThe psyche market. Am Demographics September 1992 62–65Google Scholar
Erikson, EHThe problem of Ego identity. In: Stein, MVidich, AJWhite, DM eds. Identity and Anxiety. New York: The Free Press, 1960Google Scholar
Fink, PJPsychiatrist's roles in managed care programs. Hosp Community Psychiatry 1993; 44: 723–724Google Scholar
Guimón, JThe biases of psychiatric diagnosisIn: Guimón, J, Berrios, GE, Mezzich, JE, eds Psychiatric Diagnosis. Br J Psychiatry. 1989;155 (suppl 4)33–38Google Scholar
Guimón, JPsiquiatras: De brujos a burocratas. Barcelona: Salvat Ed, 1990Google Scholar
Guimón, JAzkunga, DSacanell, EOrientación teórica de los psiquiatras españoles. Acta Luso-Esp Neurol Psiquiatr. 1987;15(4):173–183Google Scholar
Guimón, JFischer, WGoerg, DZbinden, EOrientations théoriques des psychiatres suisses. Ann Med Psychol (Paris) 1997;155(3):174–201Google Scholar
Herman, PClassification et épidémiologie. Cambridge: Cambridge University Press, 1984Google Scholar
James, CLAgreement measurement and the judgement process. J Nerv Ment Dis 1979; 167: 343–347CrossRefGoogle Scholar
Kendell, REThe concept of disease and its implications for psychiatry. Br J Psychiatry 1975; 127: 305–315CrossRefGoogle ScholarPubMed
Klein, DFA proposed definition of mental illness in critical issuesSpitzer, RLKlein, DFCritical Issues in Psychiatry Diagnosis. New York: Raven Press, 1978Google Scholar
Klerman, GLMental illness, the medical model and psychiatry. J Med Philos 1977; 2: 220–243CrossRefGoogle Scholar
Kreitman, NThe reliability of psychiatric diagnosis. J Ment Sci 1960; 107: 876–886CrossRefGoogle Scholar
Lazarus, AIs managed care psychiatry's internecine war?Lazarus, AControversies in Managed Mental Health Care. Washington, DC: American Psychiatric Press, 1996; 403–410Google Scholar
Lieberman, JARush, AJRedifining the role of psychiatry in medicine. Am J Psychiatry 1996; 153(11): 1388–1397Google Scholar
Marks, JTratamiento de la neurosisTeària y prática de la psicoterapia conductal. Barcelona: Martinez Roca, 1986Google Scholar
Maxwell, AECoefficients of agreement between observers and their interpretation. Br J Psychiatry 1977; 130: 79–83CrossRefGoogle ScholarPubMed
Olfson, MPincus, HDial, THProfessional practice patterns of US psychiatrists. Am J Psychiatry 1994; 151: 89–95Google Scholar
Pardes, HChanging psychiatry for the future. Am J Psychiatry 1996; 153(11): 1383–1386Google ScholarPubMed
Quitanilla, IEl biologismo en psicopatologiá y en psiquiatriá. Inf Psiquitr 1986; 104: 148–159Google Scholar
Siegler, MOsmons, MModels of madness. Br J Psychiatry 1966; 112: 1193–1203CrossRefGoogle ScholarPubMed
Simon, RJFleiss, JLGurland, BJDepression and schizophrenia in hospitalized black and white mental patients. Arch Gen Psychiatry. 1973;28:509–512CrossRefGoogle ScholarPubMed
Spitzer, RLKlein, DFCritical Issues in Psychiatric Diagnosis. New York: Raven Press, 1978Google Scholar
Tizon, JSalamero, Mde la Alama, EDiez Munguira, JMIntroduccion al biologismo; implicaciones teöricas, repercusiones en la asistencia. Inf Psiquiatr 1985;103:1–18Google Scholar
Wing, JKReasoning about Madness. London: Oxford University Press, 1978Google Scholar
Submit a response

Comments

No Comments have been published for this article.