Responsibilities Of Psychiatry Research Articles

Psychiatry vs. Antipsychiatry: Facts set against Protests

Psychiatry is, indeed, basically similar to the rest of medicine. It is based upon making reliable diagnoses and applying evidence - based treatments that have success rates comparable with those used in other specialties. Psychiatric syndromes may be defined as disorders that are conventionally treated with treatments used by psychiatrists. The illnesses in which psychiatrists have developed proficiency have tended to be those that either manifest with disordered psychological functioning (thinking, perception, emotion, and memory) or those which have no obviously established organic basis. However, scientific developments are showing us that these so - called psychological ailments are linked with abnormalities of the brain, just as so - called medical illnesses are deeply affected by psychological factors. Modern psychiatry is an evolving field that is becoming less hospital based, more evidence based, and more neuroscience based. Nonetheless, during the last decades, random antipsychiatry attitudes have amalgamated and turned into a conjectural effort, which has a humanistic appearance, too. On the other hand, publicized criticisms by some associates, including known psychiatrists or psychotherapists, have, radically, stirred and reinforced the movement. Anyway, though various criticisms or worries about psychiatry, either as a subdivision in science or as a clinical practice in medicine are understandable due to existing scientific or diagnostic deficits, anti-psychiatry stance, which comprises many historical exaggerations based on happenings and primitive conditions from a century ago, may help to keep us rigorous and honest about what we do and inspiring us to insistently seek better diagnostic prototypes and management standards. In the present article, the said antagonism, in addition to the existing facts and expected responsibilities of psychiatry has been discussed concisely.

The crisis in psychiatry: A public health perspective

The role and responsibilities of psychiatry and psychiatrists have changed significantly in recent decades as a consequence of changes in society. The target of psychiatrists has moved from the treatment of specific mental disorders to the management of a wide range of psychological conditions. Following these changes, a public health approach has been claimed as necessary for psychiatric practice and research, given the current ongoing crisis in mental health. If we want to promote a public health approach, the following actions should be responsibly taken by modern mental health professionals: (1) the identification of causes of mental disorders, (2) the refinement of diagnoses, (3) the social inclusion of patients, (4) the involvement of users and carers in mental health research and practice, and (5) the improvement of psychiatric treatments and services. This crisis should represent a stimulus for all psychiatrists and a reconceptualization of psychiatry as public health is not in question.

Unhinged: The Trouble With Psychiatry—A Doctor's Revelations About a Profession in Crisis

Unhinged: The Trouble With Psychiatry—A Doctor's Revelations About a Profession in Crisis

Évolution des attentes et des représentations en clinique dans les rapports entre psychiatrie et justice

Relationships are difficult between psychiatry and Justice. Psychiatry is regarded either as an enemy of freedom or as too liberal. One criticizes it for its disengagement from the hospital and for its responsibility regarding a so-called excess of hospital beds. The responsibility of Psychiatry in the accumulation in jails of mental patients is often denounced. However, since the birth of the diagnosis of mental disorders, psychiatry evolves by extending its field of competence beyond the recognized psychoses to an operative clinic in the borderline disorders. Our societies are not satisfied and ask the psychiatrist to be present in any violence and with each delinquent. Crime and psychiatric disorders are regularly confused. Are our societies sick of their fears while confusing in its representations crime and madness, care and punishment?

Is dementia a mental illness?

To examine whether dementia is a mental illness. An analysis of decisions in the Supreme Court of New South Wales that dementia per se was not a mental illness in terms of the 1958 Mental Health Act. A brief review of the extrusion of other diseases from psychiatry. Concepts in legislation are based on a dichotomy between mental infirmity and mental illness that has changed over time. This change is the result of shifting perceptions about the basis of illness and disease and the causation of mental symptoms. Mental health legislation is aimed as much at social control of feared behaviour as protecting the ill/incompetent. Guardianship legislation offers a more holistic response that better meets the patient's needs and could be extended to supplant mental health legislation. Dementia's departure from mental illness reflects psychiatry's continuing marginalization within medicine on an outdated mind/body or illness/disease split. This underlines one of the psychiatrist's roles as the vehicle to 'medically' explain abnormal behaviour. This model means that behaviour, once explained in terms of disease as opposed to illness, can be moved from the direct responsibility of psychiatry into other areas of medicine. Paradoxically, this suggests that the future of psychiatry will be in a completely different direction from its current biological focus.

Effective psychiatric day treatment: historical lessons

This paper describes a successful day treatment program that provides four months of intensive psychodynamic group-oriented milieu treatment for patients with long-standing personality disorders, who commonly experience recurrent major depression, dysthymia, and excessive anxiety. The authors outline three factors that have contributed to the success of the program--optimal treatment-patientmatching, judicious use of authority in milieu therapy, and careful attention to maintaining close working relationships with referral sources. They provide an overview of the historical evolution of day treatment programs from earlier day hospital model to show day programs' neglect of these factors may have led to treatment failures. Such failures may have spurred recent suggestions that psychiatric day treatment programs should be replaced entirely by assertive community treatment. The authors argue that such a move could amount to abdication of psychiatry's responsibility to provide intensive milieu treatment that can be effectively offered only on a day treatment basis.

Roles and Responsibilities of Psychiatry

Roles and Responsibilities of Psychiatry

The Responsibilities of Psychiatry to Medicine: A Debate

The Responsibilities of Psychiatry to Medicine: A Debate

The Responsibilities of Psychiatry to Medicine: A Debate

Back to table of contents Previous article Next article ArticleNo AccessThe Responsibilities of Psychiatry to Medicine: A DebateKERMIT H. GRUBERGKERMIT H. GRUBERGSearch for more papers by this authorPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.130.2.226AboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail "The Responsibilities of Psychiatry to Medicine: A Debate." American Journal of Psychiatry, 130(2), p. 226 Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - American Journal of Psychiatry $35.00 Add to cart PPV Articles - American Journal of Psychiatry Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.). FiguresReferencesCited byDetailsCited ByNone Volume 130Issue 2 February 1973Pages 226-226 Metrics PDF download History Published online 1 April 2006 Published in print 1 February 1973

The Responsibilities of Psychiatry to Medicine: A Debate

The Responsibilities of Psychiatry to Medicine: A Debate

The Responsibilities of Psychiatry to Medicine: A Debate

The Responsibilities of Psychiatry to Medicine: A Debate

The Responsibilities of Psychiatry to Medicine: A Debate

The Responsibilities of Psychiatry to Medicine: A Debate

The Responsibilities of Psychiatry to Medicine: A Debate

The Responsibilities of Psychiatry to Medicine: A Debate

The Responsibility of Psychiatry to the Elderly

The Responsibility of Psychiatry to the Elderly

And what of the children? Psychiatry's responsibility for establishing services.

And what of the children? Psychiatry's responsibility for establishing services.

Psychiatry's responsibility to medicine and to religion

Psychiatry's responsibility to medicine and to religion

Organized Psychiatry's Responsibility to Clinical Medicine

Organized Psychiatry's Responsibility to Clinical Medicine