The future of psychology in departments of psychiatry (original) (raw)

Partnerships with Psychiatry and Other Clinical Disciplines: A Key to Psychology's Success in U.S. Medical Schools

Journal of Clinical Psychology in Medical Settings, 2004

This paper describes the growth of psychology in medical schools and the distribution of psychologists across medical school departments. The Association of American Medical Colleges (AAMC) and American Psychological Association (APA) use different data collection approaches that reflect their different missions. AAMC focuses solely on medical school faculty, whereas APA tries to reach all psychologists working in academic health centers (AHCs). The number of psychologists in medical school settings has increased, largely due to their research expertise; but psychologists also contribute through teaching and clinical service. Psychologists hold appointments in wide variety of medical school departments, which has been a key factor in their success. Through partnership and interdisciplinary collaboration with a wide range of academic physicians, psychologists have gained increased support, become valued members of the AHC and medical school communities, and can rise to leadership positions in medical schools.

Current Status and Future Prospects of Clinical Psychology

Psychological Science in the Public Interest, 2008

The escalating costs of health care and other recent trends have made health care decisions of great societal import, with decision-making responsibility often being transferred from practitioners to health economists, health plans, and insurers. Health care decision making increasingly is guided by evidence that a treatment is efficacious, effective–disseminable, cost-effective, and scientifically plausible. Under these conditions of heightened cost concerns and institutional–economic decision making, psychologists are losing the opportunity to play a leadership role in mental and behavioral health care: Other types of practitioners are providing an increasing proportion of delivered treatment, and the use of psychiatric medication has increased dramatically relative to the provision of psychological interventions. Research has shown that numerous psychological interventions are efficacious, effective, and cost-effective. However, these interventions are used infrequently with pati...

Clinical Psychologists in the 2010s: 50 Years of the APA Division of Clinical Psychology

Clinical Psychology: Science and Practice, 2012

in 1960, researchers have chronicled the evolution of its membership and the transformation of clinical psychology in the United States. In this article, we highlight the continuity and change in clinical psychologists' demographics, educations, theories, employment, activities, and satisfactions over a 50-year span. Results from the most recent, 2010 study (N = 588, 46% return rate) are summarized in both contemporary and historical contexts. Among the prominent trends are steady increases in the proportion of female and ethnic minority psychologists, the rise of Psy.D. graduates, the domination of the cognitive orientation, a relative decline in psychological assessment in general and projective testing in particular, the ascendancy of independent practice, and a pattern of high career satisfaction.

Careers in psychiatry: Options for the future

Comprehensive Psychiatry, 1984

An examination of data on careers in psychiatry. Discusses the trends in psychiatric careers. mental health services, manpower needs, and academic psychiatry.

Current Status and Future Prospects of Clinical Psychology: Toward a Scientifically Principled Approach to Mental and Behavioral Health Care

Psychological Science in the Public Interest, 2008

The escalating costs of health care and other recent trends have made health care decisions of great societal import, with decision-making responsibility often being transferred from practitioners to health economists, health plans, and insurers. Health care decision making increasingly is guided by evidence that a treatment is efficacious, effective-disseminable, cost-effective, and scientifically plausible. Under these conditions of heightened cost concerns and institutional-economic decision making, psychologists are losing the opportunity to play a leadership role in mental and behavioral health care: Other types of practitioners are providing an increasing proportion of delivered treatment, and the use of psychiatric medication has increased dramatically relative to the provision of psychological interventions.

A New Day for Academic Psychiatry

Academic Psychiatry, 2014

Progress is impossible without change, and those who cannot change their minds cannot change anything. George Bernard Shaw Academic Psychiatry was born to serve the teachers, learners, and leaders of psychiatry. As academic medicine and the mental health professions have evolved, the journal has undergone a progressive transformation to fulfill its fundamental purpose of service to our field. The milestones on this path, occurring over nearly four decades, are many, including a name change; inclusion in the National Library of Medicine database; ongoing expansion of our authors, readers, and editors; addition of new sponsoring organizations; the creation of special theme issues; more frequent and online publication; and increasing visibility of the journal. With this January-February 2014 issue, we share two new milestones in our journal's life story. We begin with a new publisher, Springer International Publishing AG, one of the world's premier publishing houses-a move that will allow the influence of the journal to increase substantially. We are also

Decline of U.S. medical student career choice of psychiatry and what to do about it

American Journal of Psychiatry, 1995

In 1 994, only 3.2% of U.S. medicalschoolgraduates chose psychiatry, the lowest proportion since 1 929. Success in recruiting such graduates is necessary to maintain adequate numbers ofpsychiatrists. The authors' goal was to gain an understanding ofthe determinants ofspecialty selection to ensure adequate recruitment. Method: They reviewed all recruitmentrelated English-language publications since 1 959: 1 73 papers, 1 7 reports, and I 0 books. j iL1L They found that recruitment has been cyclical, with success from 1 940 to 1 969 and from 1985 to 1 988, decline from 1 970 to 1 984 and from 1 989 to 1 994, and a possible small upswing in 1 995. The 1 940-1 969 success began with 1) public recognition of a dramatic shortage of psychiatrists to serve in the military and treat casualties and 2) the fervor of the community mental health movement, which promised to prevent mental illness; massive resources were provided for psychiatry during this period. The declines were associated with 1) the failure of the community mental health movement to fulfill its promise, 2) psychiatry's becoming more biologically oriented and medically conventional, and 3) the effects of managed care and increased competition for patients. The psychiatry departments that have high recruitment rates are in public-supported schools, particularly in the South, or give considerable priority and resources for medical student psychiatric education. Conclusions: A study of the psychiatric workforce is needed to ascertain whether there is a surplus or a shortage of psychiatrists. Regardless, to ensure adequate recruitment, medical institutions and departments of psychiatry must commit resources for student education in psychiatry.

Clinical Psychology: A Potential Pool for Recruitment

Academic Psychiatry, 1984

In order to test the hypothesis that clinical psychologists might be a potential pool for recruitment into psychiatry, 126 clinical psychology graduate students and 81 psychiatry residents were surveyed. These groups are similar, particularly in their self descriptions, their interest in human motivation, and their perception of emotional difficulties in themselves and family members. These similarities could mean that the two groups represent a common pool of students that could be recruited into either profession. Since the mean age of decision for psychologists was nineteen, psychiatry must have an influence on these potential recruits in high school or early in college.

Rediscovering general psychiatry: creation of an academic division

Canadian journal of psychiatry. Revue canadienne de psychiatrie, 1997

To describe the rationale, origins, and goals of a newly created academic division of general psychiatry within a university setting. Literature review, observation, and description. Within 2 years of its inception, the General Psychiatry Division of the University of Toronto has begun to realize some of its goals and further elucidate specific objectives. In an era of increasing academic subspecialization, the preservation of core skills in psychiatry and the recognition of the continuing public need for psychiatric generalists must be enshrined within academic training programs.