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Fortschritte Der Neurologie-Psychiatrie Aug 2018The concerns and recommendations of the UN "Final Remarks" on the first German State Report are substantiated by up-to-date health reporting data. Their... (Review)
Review
The concerns and recommendations of the UN "Final Remarks" on the first German State Report are substantiated by up-to-date health reporting data. Their "recommendations" are substantiated by evidence-based care models and supplemented by additional content from the Special Rapporteur's report of 2017 as visions for German psychiatric care, thus demonstrating the path of psychiatry determined by respect for human rights and social inclusion. The avoidance of coercion through traumainformed treatment and the development of complex outpatient treatment structures through the models of open dialogue and the recovery approach are seen as the focus of a paradigm shift. The awareness that in today's psychiatry, especially through deficient structures, human rights violations are committed that could be avoided, should contribute to the determination for the necessary changes.
Topics: Coercion; Evidence-Based Medicine; Germany; Human Rights; Humans; Mental Disorders; Psychiatry
PubMed: 30125921
DOI: 10.1055/a-0646-4054 -
The Lancet. Psychiatry Oct 2019
Topics: Acupuncture Points; Emotions; Freedom; Psychiatry
PubMed: 31326369
DOI: 10.1016/S2215-0366(19)30276-7 -
L'Encephale Feb 2015For many years, the numerus clausus limiting the number of medical students has increased in France. The government wants to reform the residency process to homogenize... (Review)
Review
INTRODUCTION
For many years, the numerus clausus limiting the number of medical students has increased in France. The government wants to reform the residency process to homogenize medical studies. However, the suggested residency program changes would imply changes in the length of residency, in the mobility of residents after residency, their access to unconventional sectors, and more generally, the responsibility of the resident and his/her status in the hospital. In this context, we have investigated the future plans of all psychiatry residents in France.
GOALS
To study the desires of psychiatry residents in France, regarding their training, their short and long-term career plans, and to analyze the evolution of those desires over the last 40 years.
METHODOLOGY
A survey was carried out among residents in psychiatry from November 2011 to January 2012. An anonymous questionnaire including four parts (resident's description, residency training and trainees choice, orientation immediately after residency, professional orientation in 5-10 years) was sent by the French Federative Association of Psychiatrists Trainees (AFFEP) to all French psychiatrist trainees, through their local trainee associations (n=26) and through an on line questionnaire.
RESULTS
The questionnaire was answered by 853 of the 1615 psychiatry residents (53%), of which 71% were women. At the end of the residency, 76% of residents reported that they would like to pursue a post-residency position (chief resident, senior physician assistant university hospitals); 22% reported wanting to work in another city. Between 5 to 10 years after completion of the residency, 71% reported wanting to work in a hospital, and 40% preferred to have their own private practice. Almost a third of the trainees wished to work in the child and adolescent psychiatry field, for some of them in an exclusive way, for others, combined with a practice in adult psychiatry.
Topics: Adolescent Psychiatry; Career Choice; Career Mobility; Child Psychiatry; Curriculum; Education, Medical, Continuing; Female; France; Humans; Internship and Residency; Male; National Health Programs; Population Dynamics; Psychiatry; Surveys and Questionnaires
PubMed: 23993341
DOI: 10.1016/j.encep.2013.02.006 -
Der Nervenarzt Jul 2019Coercion and violence in psychiatric inpatient settings represent a serious challenge. This challenge cannot be successfully met just by denying any legitimation of... (Review)
Review
Coercion and violence in psychiatric inpatient settings represent a serious challenge. This challenge cannot be successfully met just by denying any legitimation of coercive measures or by assuming that violence from the patients' side is a fateful complication. Coercive measures are essentially approximative solutions of interpersonal and intrapersonal conflicts of autonomy, if these cannot be resolved without violence. Therefore, prevention of coercive measures can only succeed when the focus is on the needs and rights for autonomy of all subjects involved, including patients, relatives and staff. Autonomy-focused psychiatry targets transparency of conflicts of interests and aims at limiting coercive measures to the absolute minimum necessary by preventive means. A number of effective measures are available to achieve a comprehensive implementation strategy. Using these measures in clinical practice must evolve, however, during a dynamic continuous improvement process and implementation should be based on the local as well as legal, administrative and architectural situation and the available human resources. The presently widespread prioritization of opening closed psychiatric wards is insufficient to effectively minimize coercion and violence in psychiatric inpatient settings.
Topics: Coercion; Humans; Mental Disorders; Psychiatric Department, Hospital; Psychiatry; Restraint, Physical
PubMed: 31073675
DOI: 10.1007/s00115-019-0714-6 -
History of Psychiatry Sep 2023The term psychiatry () was first used in 1800, in the early work of Leipzig Romantic natural philosopher and later neuroanatomist Karl Friedrich Burdach; it was a...
The term psychiatry () was first used in 1800, in the early work of Leipzig Romantic natural philosopher and later neuroanatomist Karl Friedrich Burdach; it was a recherché reference to medical animism. This little-known instance of neologism by a young ambitious author invites a brief lexicological study of psychiatry as a specialty in search of its place among the medical specialties, methods and applications. The European historical lexicology of recalls the philosophical commentary tradition on Aristotle's , eventually (. 1525) honoured with the mononym . The battle for the soul's science was superseded by the increasingly diverse theoretical, empirical, forensic and literary-humanitarian interests in mental medicine during the second half of the eighteenth century.
Topics: Humans; History, 19th Century; Psychiatry
PubMed: 37060238
DOI: 10.1177/0957154X231167330 -
Canadian Bulletin of Medical History =... 2018As American psychiatrists moved from the asylum to the private clinic during the early twentieth century, psychiatry acquired a growing presence within medical school...
As American psychiatrists moved from the asylum to the private clinic during the early twentieth century, psychiatry acquired a growing presence within medical school curricula. This shift in disciplinary status took place at a time when medical education itself was experiencing a period of reform. By examining medical school registers at Harvard University, records from the Dean's office of Harvard's medical school, and oral histories, this paper examines the rise in prominence of psychiatry in medical education. Three builders of Harvard psychiatry - Elmer E. Southard, C. Macfie Campbell, and Harry C. Solomon - simultaneously sought to mark territory for psychiatry and its relevance. In doing so, they capitalized on three related elements: the fluidity that existed between psychiatry and neurology, the new venues whereby medical students gained training in psychiatry, and the broader role of patrons, professional associations, and certification boards, which sought to expand psychiatry's influence in the social and cultural life of twentieth-century America.
Topics: Curriculum; Education, Medical; History, 20th Century; Massachusetts; Psychiatry; Schools, Medical
PubMed: 29661008
DOI: 10.3138/cbmh.210-062017 -
Missouri Medicine Nov 1989
Topics: Humans; Interprofessional Relations; Mental Disorders; Psychiatry; Specialization; United States
PubMed: 2811830
DOI: No ID Found -
Scientific American Mar 1997
Topics: Culture; Developing Countries; Humans; Mental Disorders; Psychiatry
PubMed: 9046110
DOI: 10.1038/scientificamerican0397-86 -
Academic Psychiatry : the Journal of... 2010
Topics: Education, Medical; Education, Medical, Continuing; Humans; Internship and Residency; Physician-Patient Relations; Psychiatry; Role; Sexual Dysfunctions, Psychological; Sexuality
PubMed: 20833897
DOI: 10.1176/appi.ap.34.5.321 -
Tijdschrift Voor Psychiatrie 2016
Topics: Education, Medical, Continuing; Evidence-Based Medicine; Netherlands; Psychiatry; Quality of Health Care
PubMed: 27075217
DOI: No ID Found