Abstract
Psychiatry has been practised in Australia in one form or another since the peopling of the continent, originally with the practices of the Aboriginal shamans, and later with the psychiatric treatment necessitated by convict transportation.Over most of the last half-century psychiatry has been administered by the Royal Australian and New Zealand College of Psychiatrists.There are over 2 000 psychiatrists in Australia, and num- bers are expected to increase in future.As in many other countries, there is ongoing pressure between the private and public sectors, with endemic under- funding of public and community services.Despite its small number of practitioners and relative isola- tion from major centres, Australian psychiatry has a distin- guished record in the field of research. The most famous dis- covery, by John Cade, was the use of lithium for treatment of mania.Recently governments at state and federal level have acknowledged the effect of psychiatric illness on patients and their families. This has led to the development of pro- grammes to improve public information and eliminate preju- dice.It is anticipated that the practice of psychiatry will flourish in Australia and that the country will remain a leading centre of excellence in psychiatric research and training.
Highlights
Psychiatry has been practised in Australia in one form or another since the peopling of the continent, originally with the practices of the Aboriginal shamans, and later with the psychiatric treatment necessitated by convict transportation
Over most of the last half-century psychiatry has been administered by the Royal Australian and New Zealand College of Psychiatrists
Despite its small number of practitioners and relative isolation from major centres, Australian psychiatry has a distinguished record in the field of research
Summary
Robert M Kaplan, MB ChB, FRANZCP, MA The Liaison Clinic, Wollongong, New South Wales, Australia. Psychiatry has been practised in Australia in one form or another since the peopling of the continent, originally with the practices of the Aboriginal shamans, and later with the psychiatric treatment necessitated by convict transportation. Governments at state and federal level have acknowledged the effect of psychiatric illness on patients and their families. This has led to the development of programmes to improve public information and eliminate prejudice. Australia has been populated for at least 40 000 years by the Aboriginal peoples,[1] a hunter-gatherer population Their close affinity with the land and complex spiritual system, broadly referred to as the Dreamtime, allowed them to mediate with a hostile world, and deal with emotional distress and group tensions. Designated individuals functioned as shamans and through ritual, ceremony and healing, alleviated illness and relieved distress.[2]
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