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Academic Psychiatry

, Volume 32, Issue 3, pp 206–213 | Cite as

Divergent Fates of the Medical Humanities in Psychiatry and Internal Medicine: Should Psychiatry be Rehumanized?

  • Bret R. Rutherford
  • David J. Hellerstein
Original Article

Abstract

Objective

To determine the degree to which the medical humanities have been integrated into the fields of internal medicine and psychiatry, the authors assessed the presence of medical humanities articles in selected psychiatry and internal medicine journals from 1950 to 2000.

Methods

The journals searched were the three highest-ranking psychiatry and internal medicine journals on the Institute for Scientific Information’s Impact Factor rankings that were published in English and aimed at a clinical audience. Operationalized criteria defining the medical humanities allowed the percentage of text in the selected journals constituting medical humanities to be quantified. Journals were hand searched at 10-year intervals from 1950 to 2000. Mixed effects models were used to describe the change in medical humanities over time.

Results

The percentage of text within psychiatry journals meeting the criteria for medical humanities declined from a peak of 17% in 1970 to a low of 2% in 2000, while the percentage of humanities articles in internal medicine journals roughly doubled from 5% to 11% over the same time period. A linear model increasing over time best fit the medical humanities in the internal medicine journals, while a cubic model decreasing over time best fit the psychiatry humanities data. Humanities articles in medical journals had a greater breadth and diversity than those in psychiatry journals.

Conclusion

Medical humanities publications dramatically decreased over time in psychiatry journals while they more than doubled in internal medicine journals. These data suggest the need for further empirical research and discussion of the potential roles of the humanities in psychiatry.

Keywords

Medical Humanity Academic Psychiatry Narrative Medicine York State Psychiatric Institute Medicine Journal 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Kandel E: Banquet Speech, Nobel Prize in Physiology or Medicine, Dec 10, 2000Google Scholar
  2. 2.
    Charon R: Literature and medicine: origins and destinies. Acad Med 2000; 75: 23–27PubMedCrossRefGoogle Scholar
  3. 3.
    Stevens R: American Medicine and the Public Interest. New Haven, Conn., Yale University Press, 1971Google Scholar
  4. 4.
    Greenhalgh T, Hurwitz B (eds): Narrative Based Medicine: Dialogue and Discourse in Clinical Practice. London, BMJ Books, 1998Google Scholar
  5. 5.
    Illich I: Limits to medicine: medical nemesis, the expropriation of health. New York, Pantheon Books, 1976Google Scholar
  6. 6.
    Snow C: The two cultures and the scientific revolution: the Rede Lecture 1959. Cambridge, Cambridge University Press, 1961Google Scholar
  7. 7.
    Ernst E, White A: Life-threatening adverse reactions after acupuncture? A systematic review. Pain 1997; 71: 123–126PubMedCrossRefGoogle Scholar
  8. 8.
    Charon R. The narrative road to empathy, in Empathy and the Practice of Medicine: Beyond Pills and the Scalpel. Edited by Spiro H, Curnen MGM, Peschel E, et al. New Haven, Conn., Yale University Press, 1993, pp 147–159Google Scholar
  9. 9.
    Gordon J: Medical humanities: to cure sometimes, to relive often, to comfort always. Med J Australia 2005; 182: 5–8PubMedGoogle Scholar
  10. 10.
    Kleinman A: The Illness Narratives: Suffering, Healing, and the Human Condition. New York, Basic Books, 1988Google Scholar
  11. 11.
    Charon R: Reading, writing, and doctoring: literature and medicine. Am J Med Sci 2001; 319: 285–291CrossRefGoogle Scholar
  12. 12.
    Charon R: Narrative medicine: a model for empathy, reflection, profession, and trust. JAMA 2001; 286: 1897–1902PubMedCrossRefGoogle Scholar
  13. 13.
    Charon R, Banks JT, Connoly JE, et al: Literature and medicine: contributions to clinical practice. Ann Intern Med 1995; 122: 599–606PubMedCrossRefGoogle Scholar
  14. 14.
    Charon R: Narrative and medicine. N Engl J Med 2004; 350: 862–864PubMedCrossRefGoogle Scholar
  15. 15.
    Halpern J: From detached concern to empathy: humanizing medical practice. New York, Oxford University Press, 2001Google Scholar
  16. 16.
    Skelton JR, Macleod JA, Thomas CP: Teaching literature and medicine to medical students, part II: why literature and medicine? Lancet 2001; 356: 2001–2003CrossRefGoogle Scholar
  17. 17.
    Baum M: Teaching the humanities to medical students. Clin Med 2002; 2: 246–249PubMedCrossRefGoogle Scholar
  18. 18.
    DasGupta S, Charon R: Personal illness narratives: using reflective writing to teach empathy. Acad Med 2004; 79: 351–356PubMedCrossRefGoogle Scholar
  19. 19.
    Novack DH, Epstein RM, Paulsen RH: Toward creating physician-healers: fostering medical students’ self-awareness, personal growth, and well being. Acad Med 1999; 74: 516–520PubMedCrossRefGoogle Scholar
  20. 20.
    Evans M, Greaves D: Medical Humanities at the University of Wales Swansea. Med Humanit 2001; 27: 51–52PubMedCrossRefGoogle Scholar
  21. 21.
    Journals Ranked by Impact: Psychiatry. Institute for Scientific Information 2005. Available at http://in-cities.com/research/2006/july_31_2006-2.html
  22. 22.
    Shorter E: A History of Psychiatry: From the Era of the Asylum to the Age of Prozac. New York, John Wiley & Sons, 1997Google Scholar
  23. 23.
    Kraepelin EK: Clinical Psychiatry: A Text-Book for Students and Physicians, Abstracted and Adapted From the Sixth German Edition of Kraepelin’s Lehrbuch der Psychiatrie. New York, MacMillan, 1915Google Scholar
  24. 24.
    Jones E: Essays in applied Psycho-analysis. London, The Hogarth Press, 1951Google Scholar
  25. 25.
    Perry S, Cella DF, Klar H, et al: Medical students selecting psychiatric careers: a distinct breed. J Psychiatr Education 1988; 12: 170–181Google Scholar
  26. 26.
    Zeleznik C, Hojat M, Veloski JJ: Baccalaureate preparation for medical school: does type of degree make a difference? J Med Education 1977; 52: 548–554Google Scholar
  27. 27.
    Druss RG: Piano sonata in A major. Am J Psychiatry 2006; 163: 195–197CrossRefGoogle Scholar
  28. 28.
    Oyebode F: Literature and psychiatry. Adv Psychiatr Treatment 2002; 8: 397–398CrossRefGoogle Scholar
  29. 29.
    Morgan DG: “Please see and advise”: a qualitative study of patient experiences of outpatient care. Soc Psychiatry Psychiatr Epidemiol 1999; 34: 442–450PubMedCrossRefGoogle Scholar
  30. 30.
    Dukakis K, Tye L: Shock: The Healing Power of Electroconvulsive Therapy. New York, Avery, 2006Google Scholar
  31. 31.
    Solomon A: The Noonday Demon: An Atlas of Depression. New York, Scribner, 2002Google Scholar
  32. 32.
    Walter G: The stereotype of the mad psychiatrist. Aust N Z J Psychiatry 1999; 23: 547–554CrossRefGoogle Scholar
  33. 33.
    Lewis B: Listening to Chekhov: narrative approaches to depression. Lit Med 2006; 25: 46–71PubMedCrossRefGoogle Scholar
  34. 34.
    Baker A, Richmond R, Haile M, et al: A randomized controlled trial of a smoking cessation intervention among people with a psychotic disorder. Am J Psychiatry 2006; 163: 1934–1942PubMedCrossRefGoogle Scholar
  35. 35.
    Jamison KR: An Unquiet Mind. New York, Alfred A Knopf, 1995Google Scholar
  36. 36.
    Jamison KR: Touched with Fire: Manic Depressive Illness and the Artistic Temperament. New York, Free Press, 1996Google Scholar
  37. 37.
    Sapolsky R: A Primate’s Memoir: An Unconventional Neuroscientist’s Life among the Baboons. New York, Scribner, 2002Google Scholar
  38. 38.
    Sacks O: The Man Who Mistook His Wife for a Hat and Other Clinical Tales. New York, Harper & Row, 1985Google Scholar

Copyright information

© Academic Psychiatry 2006

Authors and Affiliations

  1. 1.Department of PsychiatryNew York State Psychiatric InstituteNew YorkUSA
  2. 2.AdministrationNew York State Psychiatric InstituteNew YorkUSA

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