Psychodynamic Psychiatrists Research Articles

Heinz Kohut: The Making of a Psychoanalyst

Heinz Kohut: The Making of a Psychoanalyst

Freud: Political and Social Thought, 3rd ed.

Freud: Political and Social Thought, 3rd ed.

Attitudes toward DSM-IV dissociative disorders diagnoses among board-certified American psychiatrists.

The authors assessed the opinions of American psychiatrists regarding the diagnostic status and scientific validity of the DSM-IV categories of dissociative amnesia and dissociative identity disorder. A one-page questionnaire was mailed to a random national sample of 367 board-certified American psychiatrists. Three hundred one responses were received-a rate of 82%. Only about one-third of respondents replied that dissociative amnesia and dissociative identity disorder should be included without reservations in DSM-IV; a larger proportion replied that these categories should be included only as proposed diagnoses. Only about one-quarter of respondents felt that diagnoses of dissociative amnesia and dissociative identity disorder were supported by strong evidence of scientific validity. Among board-certified American psychiatrists, there currently appears to be little consensus regarding the diagnostic status or scientific validity of dissociative amnesia and dissociative identity disorder.

Training of a psychiatrist-psychoanalyst.

Training of a Psychiatrist-PsychoanalystRoy R. Grinker Sr.Roy R. Grinker Sr.Search for more papers by this authorPublished Online:July 2017https://doi.org/10.1521/jaap.1.1994.22.2.343PDFPDF PLUS ShareShare onFacebookTwitterLinkedInRedditEmail ToolsAdd to favoritesDownload CitationsTrack Citations About Previous article Next article FiguresReferencesRelatedDetails Cited byCited by1. The biopsychosocial model – history, controversy and EngelOnline publication date: 8 November 2021. Go to citation Crossref Google Scholar2. An Integrated Bio-psycho-social Approach to Psychiatric DisordersOnline publication date: 10 November 2019. Go to citation Crossref Google ScholarAdam Brenner and Fuad Khan3. The Training of Psychodynamic Psychiatrists: The Concept of “Psychodynamic Virtue”Online publication date: 12 March 2013. Go to citation Crossref Google Scholar Volume 22Issue 2Jun 1994 Information© 1994 The American Academy of PsychoanalysisPDF download

From Asylum to Community: Mental Health Policy in Modern America

This book represents another effort at chronicling the process of deinstitutionalization that began after World War II. Unlike Out of Bedlam by Ann Braden Johnson (Basic Books, 1990), the text is neither cynical nor angry but, rather, matter-of-factly explains the role organized psychiatry and politics played in the process of moving patients from the asylum to the community. It is a well-documented historical perspective, drawing on organized psychiatric documents and governmental reports to describe what happened, rather than focusing on the external forces that shaped deinstitutionalization, as was done quite well in Madness in the Streets by Rael Jean Isaac and Virginia C. Armat (Free Press, 1990). The book begins with the cogent observation that the Second World War taught psychiatry that environmental stressors could precipitate mental illness, and, by using psychotherapy along with environmental changes, neurotic and more extreme symptoms could be arrested. As a result, psychodynamic psychiatrists became

Psychotherapy Supervision: The Attitudes of General Psychiatrists

Do consultant psychiatrists believe that psychotherapy supervision should be an integral part of the training of the junior doctors? If they do, when, where, for how long and by whom do they feel that supervision should be done? In the South West Thames Region we circulated a questionnaire to all general psychiatric consultants in an attempt to answer these questions. We report on some results of our survey and raise important immediate issues which would seem a subject for debate. The major issue is the debate about specialist psychotherapists versus psychodynamic psychiatrists. Although the College seems to favour strongly that psychotherapy teaching for general psychiatrists should be done by psychotherapy specialists, the ‘consumer’ appears to have a conflicting view, at least in our region.

Psychotherapy Supervision: The Attitudes of General Psychiatrists

Do consultant psychiatrists believe that psychotherapy supervision should be an integral part of the training of the junior doctors? If they do, when, where, for how long and by whom do they feel that supervision should be done? In the South West Thames Region we circulated a questionnaire to all general psychiatric consultants in an attempt to answer these questions. We report on some results of our survey and raise important immediate issues which would seem a subject for debate. The major issue is the debate about specialist psychotherapists versus psychodynamic psychiatrists. Although the College seems to favour strongly that psychotherapy teaching for general psychiatrists should be done by psychotherapy specialists, the ‘consumer’ appears to have a conflicting view, at least in our region.

Some thoughts on the training of the psychiatrist

E DUCATION in the professions is usually more responsive to practice than to theory. The psychiatrist is an example of a practitioner whose role has seen a number of changes over the past half century. His education is more likely to be related to empirically derived changes in practice than to new discoveries in the chemistry laboratory. A setting like the one in which his practice will occur is likely to be the locus of his education. The psychiatrist originally was a caretaker of the insane in an asylum. With the development of treatment for mental illness, he became a medically oriented specialist-often a neuropsychiatrist-hoping to find an explanation for mental illness in organic changes in the central nervous system. Later, when dynamic psychology opened new vistas, the psychiatrist became an office practitioner treating patients from a behavioral-science point of view. The newest phase in American psychiatric practice is represented by the community mental-health movement. Here the psychiatrist has become more responsive to social problems and works as a member of a multidisciplinary team dealing in prevention of mental disease as well as in direct treatment. In this role, the locus of his education has shifted from hospital to clinic and finally to a multiservice center in the community itself. The psychiatrist of the nineteenth century was a diagnostician, influenced by schools that classified mental disorder and then consigned the patient to long-term custodial care in a hospital usually far removed from population centers. Out of the medical orientation that functional change must be related to altered structure, the psychiatrist was often a physician who examined his patient for neurological disease and, not infrequently, a neuropathologist who examined the brain postmortem. The turn of the century saw the development of psychoanalysis and a concomitant growing interest in psychotherapy. Psychoanalytic education generally took place in institutes not associated with medical schools. Only after World War II did psychoanalysis begin to make a real impact on the practice of psychiatry and consequently upon the training of the psychiatrist. The Flexnerian reforms in the second decade of the twentieth century moved medical education out of its trade-school orientation into university settings. At the same time, the rapid expansion of knowledge and research in the health sciences resulted in the growth of the specialization movement. One school of psychiatrists identified with other medical specialists who treated their patients on specialized wards in general hospitals. They saw only the most seriously ill, followed them briefly after hospital treatment, and were inclined to use somatic therapy and biological explanations. The psychodynamic psychiatrists, on the other hand, viewed mental disorder as resulting from intrapsychic conflict; their approach was usually