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1 results

  • Chapter 2 - The International Context

  • from Part I - Social and Institutional Contexts
  • Edited by George Ikkos, Nick Bouras, King's College London
  • Book:
    Mind, State and Society
    Published online:
    17 June 2021
    Print publication:
    24 June 2021, pp 13-22
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  • Summary

    British psychiatry is almost entirely publicly funded; in the United States, a tradition of well-remunerated private practice has prevailed. Despite similar therapeutics and nosology, psychiatry in Britain and the United States has developed in strikingly different ways. Psychoanalysis once dominated US psychiatry; in a big swing of the pendulum, it has been almost entirely replaced by psychopharmacology. In Britain, the research tradition in the past was weak; in the United States, it has been fuelled by large amounts of government funding. A British hesitancy about embracing large abstract theories has no US counterpart. In terms of training, a progressive agenda has been emphasised in Britain, more defensive postures in the United States.