Subspecialty Of Psychiatry Research Articles

Consultation-liaison psychiatry: Possibilities for the 1990s

In order for consultation-liaison ( C L ) psychiatry to enhance its acceptance and funding, carefully designed outcome studies that will demonstrate its clinical effectiveness to other disciplines in medicine, departments of psychiatry, hospital administration, third-party payors, and patients are required. The development of alternative methods of funding C L services is described: (1) high-risk screening, renal transplant, geriatric units (Medicare); (2) salary stipends from collaborating disciplines, e.g., medicine, ENT, neoplastics; (3) consultation fees; (4) ambulatory C L clinics (Medicaid); and (5) grants from collaborative research. With a change in structure when it can be employed (from consultation to the screen methodology), the development of scientifically derived outcome data of C L psychiatry interventions, adequate documentation of the evaluation and treatment by C L psychiatry, and the new tools biological psychiatry and psychopharmacology will provide, the 1990s could and should be an exciting time for this subspecialty of psychiatry.

Neuropsychiatry as a subspecialty of psychiatry

Neuropsychiatry as a subspecialty of psychiatry

Neuropsychiatry as a Subspecialty of Psychiatry

Back to table of contents Previous article Next article ArticleNo AccessNeuropsychiatry as a Subspecialty of PsychiatryBARRY S. FOGEL, and RANDOLPH SCHIFFERBARRY S. FOGELSearch for more papers by this author, and RANDOLPH SCHIFFERSearch for more papers by this authorPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.145.8.1049-bAboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail "Neuropsychiatry as a Subspecialty of Psychiatry." American Journal of Psychiatry, 145(8), pp. 1049-b–1050 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 byThe Essentials of Neuropsychiatry: Teaching Residents and Fellows the Interface Between Psychiatry and NeurologyHarvard Review of Psychiatry, Vol. 13, No. 5 Volume 145Issue 8 August 1988Pages 1049-b-1050 Metrics PDF download History Published online 1 April 2006 Published in print 1 August 1988

Ethical issues in forensic psychiatry.

Forensic psychiatry has been established as a subspecialty of psychiatry in the past two decades. The initiation of the American Academy of Psychiatry and the Law as the outstanding organization of forensic psychiatrists in the country, the founding of the American Board of Forensic Psychiatry in the late 1970s, and finally, the development of specialized training programs and fellowships in forensic psychiatry, all attest to the growth and presence of the subspecialty. In many ways, forensic psychiatrists serve as the spokespersons for psychiatry, as they attain exposure, both in court and in the media, commenting on principles of psychiatry and mental health. The changes in mental health legislation and the increase in psychiatric malpractice claims have also served to enhance the subspecialty of forensic psychiatry.

Antisocial conduct: whose concern?

The differing perceptions of practitioners in child psychiatry and general psychiatry of antisocial behaviour are outlined, and an account is given of the change of attitudes towards deviancy that has taken place in the U.K. over the past twenty years. Attention is drawn to the fact that constitutional as well as experimental factors contribute to the causation of delinquent conduct, and the characteristics of "schizoid" antisocial young people are described. A plea is made for strengthening the links in training, research and practice between the subspecialties of psychiatry, and for a renewal of psychiatric interest in the sociopathies.

Consultation-liaison psychiatry: The first half century

Consultation-liaison psychiatry is over 50 years old. Its main goal has been to bring medicine and psychiatry closer together so as to improve patient care in its psychosocial and psychiatric aspects. The history of this field may be divided into four overlapping phases: the beginnings, the organizational phase, the phase of conceptual development, and the phase of rapid growth. The highlights of each phase are outlined. The author concludes that C-L psychiatry has achieved the status of a full-fledged subspecialty of psychiatry, one whose main contribution has been to draw attention of clinicians and researchers to psychosocial aspects of physical illness, and to the psychiatric complications of such illness and of the medical and surgical therapies.

Current trends in consultation-liaison psychiatry.

Consultation-psychiatry has grown rapidly and become a subspecialty of psychiatry in the past decade. The author reviews the history of this field at the interface of psychiatry and medicine, offers its definition, and discusses current trends pertaining to the organization of liaison services and to the teaching and research activities of liaison psychiatrists. He concludes that a liaison service has become a recognized division of a general hospital psychiatric unit for the provision of psychiatric consultation and teaching to the nonpsychiatric departments of the hospital. Consultation-liaison psychiatry (or liaison psychiatry for short) has emerged in the past decade as a subspecialty of psychiatry, one concerned with mental health problems among medical and surgical patients. Diagnosis, treatment, study and prevention of psychiatric disorders in those patients constitute the proper domain of liaison psychiatry. I will review in this article the major current trends in this field as they pertain to matters of organization, education, and research. A brief historical note and a definition of liaison psychiatry will introduce my review.

Discussion: Liaison psychiatry and the quest for new knowledge

Liaison psychiatry has become a subspecialty of psychiatry. This Symposium illustrates a new trend for liaison psychiatrists to become involved in collaborative research at the interface of medicine and psychiatry. The contributors have shown how such research can be organized with help of consultation-liaison clinical work. Liaison psychiatry's future will depend on the provision of competent clinical service and high quality research of the type reported here.

The psychiatrist-administrator: odd man out?

The development of community psychiatry as a recognized subspecialty of psychiatry and the concomitant growth of community mental health programs have once again brought into focus the role of the psychiatrist-administrator in the practice of public psychiatry. This paper explores the principal conflicts that the psychiatrist-administrator faces in his multiple roles as a physician, psychiatrist, administrator, community services planner, and clinician. Unless he can work toward a resolution of the conflicts and problems that arise, he is in danger of becoming the "odd man out"--the psychiatrist-adminstrator who does not have complete acceptance from any of the groups to which he belongs and within which he is trying to define his combined and complex role.

Mental Health Services for Youth

This paper discusses some of the mental health problems that occur among Youth, and some of the services that have been set up to deal with them in the United Kingdom. While fairly widespread, they are limited through their rather narrow scope. Some of the difficulties encountered are pointed out, including shortages of trained man-power. Suggestions are made on what further could be done to widen these services. It is realised, however, that what is applicable to one country is not necessarily so to another. Psychiatric services especially for adolescents are nevertheless spreading. Can Adolescent Psychiatry yet qualify as another sub-specialty in psychiatry?

TRAINING OF PSYCHIATRISTS

The formation of the Royal College of Psychiatrists and the introduction of its membership have stimulated discussion concerning the aims and objectives of psychiatric training. It is not clear whether the purpose of a three-year training programme is to produce a general psychiatrist equipped with basic knowledge or a qualified expert in one of psychiatry's subspecialties. The membership examination attempts to be both a test of general knowledge and a specialist qualification. The tutorial system should still be the core of any teaching programme; but such a system is available to few trainees. The College now has the opportunity, through its policy of accreditation, to lay down minimum standards for psychiatric training and practice and to exert pressure to ensure that such standards are met.

COMMUNITY PSYCHIATRY: THE NEWEST THERAPEUTIC BANDWAGON.

THE PROPOSAL to add community psychiatry to the ever-widening list of psychiatric specialties deserves a critical examination. Thus, my purpose in this paper is fourfold. First, I intend to examine the nature of community psychiatry as it is taking shape. Second, I want to consider our continuing uncertainty about mental illness which is manifested in a widening of its definition. Third, I discuss some of the historical landmarks and cultural forces that have brought about the proposal for this new subspecialty of psychiatry. Finally, I examine some of its hidden aspects with respect to the future role of psychiatry. <i>Community Psychiatry: The Newest Subspecialty</i>.—Let us begin by examining the nature of community psychiatry that is apparently emerging as judged by a mounting chorus of voices from those who jump on any bandwagon as long as it is moving. In doing this I will