Divergent Fates of the Medical Humanities in Psychiatry and Internal Medicine: Should Psychiatry be Rehumanized?
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.
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.
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.
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.
KeywordsMedical Humanity Academic Psychiatry Narrative Medicine York State Psychiatric Institute Medicine Journal
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- 1.Kandel E: Banquet Speech, Nobel Prize in Physiology or Medicine, Dec 10, 2000Google Scholar
- 3.Stevens R: American Medicine and the Public Interest. New Haven, Conn., Yale University Press, 1971Google Scholar
- 4.Greenhalgh T, Hurwitz B (eds): Narrative Based Medicine: Dialogue and Discourse in Clinical Practice. London, BMJ Books, 1998Google Scholar
- 5.Illich I: Limits to medicine: medical nemesis, the expropriation of health. New York, Pantheon Books, 1976Google Scholar
- 6.Snow C: The two cultures and the scientific revolution: the Rede Lecture 1959. Cambridge, Cambridge University Press, 1961Google Scholar
- 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
- 10.Kleinman A: The Illness Narratives: Suffering, Healing, and the Human Condition. New York, Basic Books, 1988Google Scholar
- 15.Halpern J: From detached concern to empathy: humanizing medical practice. New York, Oxford University Press, 2001Google Scholar
- 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.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.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.Jones E: Essays in applied Psycho-analysis. London, The Hogarth Press, 1951Google Scholar
- 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.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
- 30.Dukakis K, Tye L: Shock: The Healing Power of Electroconvulsive Therapy. New York, Avery, 2006Google Scholar
- 31.Solomon A: The Noonday Demon: An Atlas of Depression. New York, Scribner, 2002Google Scholar
- 35.Jamison KR: An Unquiet Mind. New York, Alfred A Knopf, 1995Google Scholar
- 36.Jamison KR: Touched with Fire: Manic Depressive Illness and the Artistic Temperament. New York, Free Press, 1996Google Scholar
- 37.Sapolsky R: A Primate’s Memoir: An Unconventional Neuroscientist’s Life among the Baboons. New York, Scribner, 2002Google Scholar
- 38.Sacks O: The Man Who Mistook His Wife for a Hat and Other Clinical Tales. New York, Harper & Row, 1985Google Scholar