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Psychiatric Education and Training

  • Aubrey Lewis
Part of the Psychiatrie der Gegenwart book series (2042, volume 3)

Abstract

Of all the branches of medicine which are taught to medical students and specialists none is so difficult to consider in isolation as psychiatry. Both the content and the manner of instruction will vary according to the conceptions of psychiatry’s role as a medical service, and of its scientific status, which prevail in medical circles and in the community at large. The manner in which medical education as a whole is viewed must greatly influence the teaching of so controversial, wide-ranging, important and unsettled a subject as psychiatry. The personal qualities of those who study medicine or who choose to train as specialists will govern the quality and outlook of the teachers of psychiatry, and affect the educational goals they set out to attain. It is easy to demonstrate that countries which, on a superficial view, subscribe to the same psychiatric tenets, accept the same body of psychiatric knowledge and use the same almost international textbooks, nevertheless devote very different amounts of time to the teaching of this subject to medical students and concentrate on quite different aspects, while for graduates who aspire to become psychiatrists they likewise make very discrepant provision. Often it can be readily discerned that the discrepancies are more directly connected with the economic, cultural and institutional conditions prevailing in the respective countries than with the state of medical knowledge in them or the structure of their medical curriculum. It is noteworthy that in reply to a questionnaire circulated in 1950 to twentyfive national medical associations, fifteen expressed the view that insufficient emphasis was laid on mental aspects of disease in the teaching of medical students, yet among these many gave much more time to the teaching of psychiatry than did those who were satisfied on this score (World Medical Association, 1950).

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References

  1. American Board of Psychiatry and Neurology: Requirements. J. Amer. med. Ass. 156, 539–541 (1954)Google Scholar
  2. American Medical Association: 57th Annual Report on Medical Education in the United States and Canada. J. Amer. med. Ass. 165, 1413–1414 (1957).Google Scholar
  3. Anderson, D. G., and V. Johnson: Influence of changing dimensions of medical knowledge upon medical education. J. Amer. med. Ass. 167, 54–57 (1958).CrossRefGoogle Scholar
  4. Arnott, W. M.: The aims of the medical curriculum. In Proceedings of the First World Conference on Medical Education. (Ed. H. Clegg ). London: Oxford University Press 1954.Google Scholar
  5. Bakst, H. J., and W. Malamud • Combined teaching in human ecology. J. med. Educ. 32, 603–609 (1957)PubMedGoogle Scholar
  6. Bally, G.: Die psychotherapeutische Ausbildung an einer psychiatrischen Universitätsklinik. Schweiz. Arch. Neurol. Psychiat. 77, 472–480 (1956).Google Scholar
  7. Black, D.: A modern liberal education in medicine ? J. med. Educ. 32, 751–766 (1957)PubMedGoogle Scholar
  8. Blacker, C. P.: Neurosis and the Mental Health Services. London: Oxford University Press 1946.Google Scholar
  9. Boshes, B.: The responsibility of the graduate educator in neurology and psychiatry. J. Amer. med. Ass. 161, 1213–1219 (1956).CrossRefGoogle Scholar
  10. Bowman, K. M.: In Psychiatry and Medical Education. Report of 1951 Conference on Psychiatric Education (Eds. J. C. WHITEHORN et al.), p. 53. Washington: American Psychiatric Ass. 1952.Google Scholar
  11. Bull, G. M.: An examination of the final examination in medicine. Lancet 1956 II, 368–372.CrossRefGoogle Scholar
  12. Cameron, D. E.: The teaching of psychiatry. J. ment. Sci. 104, 492–503 (1958).PubMedGoogle Scholar
  13. Capes, M.: The training of the child psychiatrist. In The Child in Hospital. Bull. Wld. Hlth. Org. 12, 449–452 (1955).Google Scholar
  14. Caughey, J. L.: Medical education based on interdepartmental co-operation. J. Amer. med. Ass. 161, 697–699 (1956).CrossRefGoogle Scholar
  15. Deitrick, J. E., and R. C. Berson: Medical Schools in the United States at Mid-Century. New York: McGraw-Hill 1953.Google Scholar
  16. Ebaugh, F. G., and C. A. Rymer: Psychiatry in Medical Education. New York Commonwealth Fund. 1942.Google Scholar
  17. Engel, G. L., W. L. Green, F. Reichman, A. Schmale and N. Ashen-Burg: A graduate and undergraduate teaching program on the psychological aspects of medicine. J. med. Educ. 32, 859–871 (1957).PubMedGoogle Scholar
  18. Ehrhardt, H.: Mitteilungen der deutschen Gesellschaft für Psychiatrie und Neurologie. Nervenarzt 26, 452–453 (1955).Google Scholar
  19. Ewing, J. A.: The role of psychiatry in medical education. Brit. med. J. 1956 II, 503–506.Google Scholar
  20. Ey, H. (Ed.): La psychiatrie dans le monde. Annexe au Traité de Psychiatrie Clinique. Encyclopédie MédicoChirurgicale, Paris 1955.Google Scholar
  21. Foulkes, S. H., and A. Parkin: Outpatient psychotherapy: a contribution towards a new approach. Internat. J. soc. Psychiat. 3, 44–28 (1957).Google Scholar
  22. Fry, C. C.: Mental Health in College. New York: Commonwealth Fund. 1942.Google Scholar
  23. Gärtner, H.: Welche Anregungen ergeben sich aus einer Analyse der ärztlichen Ausbildung in Frankreich für die Reform des deutschen klinischen Medizinstudiums ? Dtsch. med. Wschr. 82, 1659–1662 (1957).CrossRefGoogle Scholar
  24. General Medical Council: Recommendations as to the medical curriculum. London: General Medical Council 1957.Google Scholar
  25. Gill, M., R. Newman and F. C. Redlich: The Initial Interview in Psychiatric Practice. New York: International Universities Press 1954.Google Scholar
  26. Glover, E.: The Technique of Psychoanalysis. London: Baillière 1955.Google Scholar
  27. Ham, T. H.: Current trends in medical education: a research approach. J. med. Educ. 33, 297–309 (1958).PubMedGoogle Scholar
  28. Hargrove, E. A., G. C. Ham and W. L. Fleming• Multi-disciplinary teaching of human ecology in the first year of medicine. J. med. Educ. 32, 697–702 (1957).Google Scholar
  29. Holldack, K.: Medical education in Germany. J. med. Educ. 32, 631–634 (1957).PubMedGoogle Scholar
  30. Hollingshead, A. B., and F. C. Redlich: Social class and mental illness: a community study. New York: Wiley 1958.CrossRefGoogle Scholar
  31. Institute of Psychoanalysis: Training Prospectus 1957–1958. London: British Psychoanalytical Soc. and Institute of Psychoanalysis 1957.Google Scholar
  32. Johns Hopkins: A revised program of medical education at Johns Hopkins. Johns Hopkins Mag. 8 (1957); reprinted in J. med. Educ. 33, 225–233 (1958).Google Scholar
  33. Kauders, O.: Der psychiatrische Unterricht innerhalb des medizinischen Bildungsganges. Wien. klin. Wschr. 58, 709–714 (1946).Google Scholar
  34. Kolb, L. C.: The psychiatric viewpoint in training residents. J. Amer. med. Ass. 161, 21–24 (1956).CrossRefGoogle Scholar
  35. Kolle, K.: Neuordnung der ärztlichen Ausbildung. Munch. med. Wschr. 100, 586–592 (1958).Google Scholar
  36. Kretschmer, E.: Zur Frage der Lehranalyse und der Analyse Gesunder. Nervenarzt 22, 112 (1951).PubMedGoogle Scholar
  37. Kuan, R.: Über die Ausbildung zum Spezialarzt für Psychiatrie. Schweiz. Arch. Neurol. Psychiat. 77, 457–472 (1956).Google Scholar
  38. Levine, M.: A note on the methods of teaching psychiatry. In The Psychiatrist, His Training and Development. Report of the 1952 Conference on Psychiatric Education (Eds. J. C. Whitehorn et al.), p. 175. Washington: Amer. Psychiat. Ass. 1952.Google Scholar
  39. Lewis, A.: The education of psychiatrists. Lancet 1947 II, 79–83.Google Scholar
  40. Lewis, A.: Postgraduate study in mental health in Britain. Brit. med. Bull. 6, 185–187 (1949).Google Scholar
  41. Lewis, N. D. C.: The place of research in psychiatric residency programmes. In The Psychiatrist, his Training and Development. Report of the 1952 Conference on Psychiatric Education (Eds. J. C. Whitehorn et al.). Washington: Amer. Psychiat. Ass. 1953.Google Scholar
  42. Maccalman, D. R.: The place of mental health in the medical curriculum. Brit. med. Bull. 6, 188–191 (1949).Google Scholar
  43. Medical Research Council, Ministry of Health and Department of Health for Scotland: Clinical Research in Relation to the National Health Service. London: H.M.S.O. 1953.Google Scholar
  44. Merton, R. K., G. Reader and P. L.Kendall: The Student Physician. Cambridge (Mass.): Harvard Univ. Press for Commonwealth Fund. 1957.Google Scholar
  45. Meyer, A.: Preparation for psychiatry. Arch. Neurol. Psychiat. (Chicago) 30, 1111–1125 (1933).CrossRefGoogle Scholar
  46. Millar, W. M.: Teaching methods in psychiatry. Brit. J. med. Psychol. 27, 30–36 (1954).PubMedCrossRefGoogle Scholar
  47. Neumann, H.: Die Entwicklung der deutschen Facharztordnung. Nervenarzt 28, 278–279 (1957).PubMedGoogle Scholar
  48. O’connor, N., and J. Tizard: The Social Problem of Mental Deficiency. London: Pergamon Press 1956.Google Scholar
  49. Pfeiffenberger, J. M., and D. H. Smith: Current status of West German medical schools. J. Amer. med. Ass. 161, 1072–1077 (1956).CrossRefGoogle Scholar
  50. Pichot, P.: Personal communication (1958).Google Scholar
  51. Pickering, G. W.: The purpose of medical education. Brit. med. J. 1956 II, 113–116.Google Scholar
  52. Proceedings of the Fourth Conference on Psychiatric Education: Undergraduate Instruction. New York: National Committee for Mental Hygiene 1938.Google Scholar
  53. Royal College of Physicians: Interim Report on Undergraduate Education in Psychiatry. London: Royal College of Physicians, 1943. - Royal College ofGoogle Scholar
  54. Physicians: Second Interim Report on Postgraduate Education in Psychiatry. London: Royal College of Physicians, 1944.Google Scholar
  55. Hümke, H. C.: The teaching of social psychiatry. In Proceedings of the First World Conference on Medical Education (Ed. H. CLEGG ). London: Oxford University Press 1954.Google Scholar
  56. Schaefer, H.: Medizinische Studienreform. Munch. med. Wschr. 99, 613–614 (1957).Google Scholar
  57. Schilling, H. K.: A human enterprise. Science 127, 132–134 (1958).CrossRefGoogle Scholar
  58. Schlumberger, M., et P. Marty: In La Psychoanalyse d’Auj ourd’hui (Ed. S. Nacht). Paris: P.U.F. 1956.Google Scholar
  59. Schneider, M.: Zur Organisation von Lehre und Forschung an unseren medizinischen Fakultäten. Dtsch. med. Wschr. 82, 1117–1123 (1957).CrossRefGoogle Scholar
  60. Shryock, R. H.: The history and sociology of science. Items 10, 13–16 (1956).Google Scholar
  61. Sinclair, D. C.: Medical Students and Medical Sciences. London: Oxford University Press 1955.Google Scholar
  62. Stengel, E.: Reflections on the undergraduate and postgraduate teaching of psychiatry. J. ment. Sci. 104, 772–782 (1959).Google Scholar
  63. Sutherland, J. D.: Notes on psychoanalytic group therapy: therapy and training. Psychiatry 15, 111–117 (1952).PubMedGoogle Scholar
  64. Turner, E. L.: The education of a physician in the United States. The current scene. J. med. Educ. 33, 259–271 (1958).Google Scholar
  65. University of London:Regulations for internal students, 19571958, 2062–2065. London: University of London 1957.Google Scholar
  66. Whitehorn, J. C.: Psychiatric Education and Progress. Salmon Lecture. Springfield (Ill.): Thomas 1957.Google Scholar
  67. Whitehorn, J. C., and B. J. Betz: A comparison of psychotherapeutic relationships between physicians and schizophrenic patients when insulin is combined with psychotherapy and when psychotherapy is used alone. Amer. J. Psychiat. 113, 901–910 (1957).PubMedGoogle Scholar
  68. Whitehorn, J. C., F. J. Braceland, V. W. Lippard and W. Malamud (Eds.): The Psychiatrist, His Training and Development. Report of 1952 Conference on Psychiatric Education. Washington: Amer. Psychiat. Ass. 1953.Google Scholar
  69. Whitehorn, J. C., C. Jacobsen, M. Levine and V. W. Lippard (Eds.): Psychiatry and Medical Education. Report of 1951 Conference on Psychiatric Education. Washington: Amer. Psychiat. Ass. 1952.Google Scholar
  70. Winnicott, D.: Child Psychiatry. In Modern Trends in Pediatrics. Second Series. (Eds. A. HOLZEL and J. P. M. TIZARD ). London: Butterworth 1958.Google Scholar
  71. Winnicott, D.: World Medical Association: Standards of Medical Education. Report I. New York: World med. Ass. 1950.Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1961

Authors and Affiliations

  • Aubrey Lewis
    • 1
  1. 1.Institute of PsychiatryMaudsley HospitalLondon/GBEngland

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