Doctors’ recruitment in psychiatry - possible causes and solutions

2011 ◽  
Vol 26 (S2) ◽  
pp. 1738-1738
Author(s):  
A. Mihai

The psychiatry is a relatively new field of medicine, which appeared because of the society's demands in taking care of a specific group of patients. These needs still exist and some studies showed that the demand for psychiatrists (Workforce NHS), or at least for psychiatric services (Vernon, 2009), will grow, above all also in developing countries (Patel, 2009).Concern about recruitment and retention of psychiatrists is longstanding.Purpose of this study was the evaluation of studies and data related with recruitment issues. Method consist in analysis of data published related with this topic and trying to find the causes and the ways to improve the actual situation.ResultsWas remarqued the insufficient representation of psychiatrists in the physician workforce throughout the world (Rao, 2003) and the increasing number of unoccupied vacancies in psychiatry (Brokington, 2002). Most developing countries need to increase and improve training of mental health professionals. Once trained, these professionals should be encouraged to remain in their country in positions that make the best use of their skills.ConclusionsRecruitment in psychiatry remain a problem, strongly related with definition of identity of psychiatrists and with community view regarding this need of taking care for this category of patients.

1991 ◽  
Vol 25 (4) ◽  
pp. 481-490 ◽  
Author(s):  
Derrick Silove ◽  
Ruth Tarn ◽  
Robin Bowles ◽  
Janice Reid

Growing recognition that the world faces a modern epidemic of torture has stimulated widespread interest amongst mental health professionals in strategies for the treatment of survivors. In this article we outline the distinctive experiences of torture survivors who present for treatment in western countries. These survivors are usually refugees who, in addition to torture, have suffered a sequence of traumatic experiences and face ongoing linguistic, occupational, financial, educational and cultural obstacles in their country of resettlement. Their multiple needs call into question whether “working through” their trauma stories in psychotherapy will on its own ensure successful psychosocial rehabilitation. Drawing on our experience at a recently established service [1], we propose a broader therapeutic aim.


Author(s):  
Dan P. McAdams

As a short digression into the world of psychiatric diagnosis, the chapter “Goldwater” discusses the controversy over whether or not mental health professionals should diagnose President Trump with a mental illness, such as narcissistic personality disorder (NPD). The chapter’s title recalls the 1964 U.S. presidential election wherein the results of a survey of psychiatrists were published in an American magazine, concluding that the Republican candidate Barry Goldwater was mentally unfit to hold office. Goldwater later sued the magazine, and the case led to what has become known as the Goldwater Rule, prohibiting psychiatrists from diagnosing public officials from afar. The chapter makes a clear distinction between psychiatric diagnosis, which adopts the language of medicine and illness, on the one hand, and psychological commentary on the other. The latter conception better characterizes what the current book aims to accomplish. Psychological commentary draws from psychological science to develop a personality portrait of a person, without diagnosis and without judgment regarding mental health and illness. Moreover, Donald Trump is much stranger than any psychiatric label can convey.


Author(s):  
Beatriz Gómez ◽  
Shigeru Iwakabe ◽  
Alexandre Vaz

Interest in psychotherapy integration has steadily expanded over the past decades, reaching most continents of the world and more mental health professionals than ever. Nevertheless, a country’s cultural and historical background significantly influences the nurturance or hindrance of integrative endeavors. This chapter seeks to explicate the current climate of psychotherapy integration in different continents and specific countries. With the aid of local integrative scholars, brief descriptions are presented on integrative practice, training, and research, as well as on cultural and sociopolitical issues that have shaped this movement’s impact around the world.


Author(s):  
Renata Targetti Lenti

Since the beginning of the 90’s inequality, once again, become one of the central issues of the economic debate from different perspectives: theoretical, applied and of policy. Not only increased the attention toward the inequality within countries, but also toward the global one, that is the inequality between countries and between citizens of the world as they belong to a single community. The effects of globalization on inequality are still very controversial. According to some authors international integration has produced not only instability and recurring crises, but also a growing inequality within and between countries. For other authors, instead, inequality and poverty decreased with the globalization. This paper will analyze the issue of global inequality mainly from an empirical standpoint. First of all, however, it will be discussed some issues related to the definition of the phenomenon with reference to the theoretical as well to the normative aspects. The empirical analysis will be undertaken by distinguishing the weight of the inequality between countries from that within countries on global inequality. Changes of synthetic indexes will be calculated, but also the differences in income’s distribution in each country will be analyzed. This kind of analysis, innovative with respect to the traditional ones, will allow to observe how the differences in the income’s distribution of industrialized and of developing countries can justify phenomena of the global economy such as, for example, migratory flows.


2019 ◽  
Vol 59 (1) ◽  
pp. 113-134 ◽  
Author(s):  
Edyta Charzyńska ◽  
Irena Heszen-Celińska

Abstract This qualitative study involved a sample of 121 Polish mental health professionals who were interviewed about their definitions of spirituality and their opinions and practices concerning the inclusion of clients’ spirituality in therapy. Using inductive content analysis, we identified seven categories regarding the definitions of spirituality: (1) relationship, (2) transcendence, (3) dimension of functioning, (4) a specific human characteristic, (5) searching for the meaning of life, (6) value-based lifestyle, and (7) elusiveness and indefinability. The majority of respondents claimed to include elements of spirituality in therapy. However, some participants included spirituality only under certain circumstances or conditions, or did not include it at all, citing lack of need, lack of a clear definition of spirituality, their own insufficient knowledge, lack of experience, fear, or concern over ethical inappropriateness. Implicit techniques were primarily used when working on clients’ spirituality. This article deepens the knowledge on including spirituality in mental health care, with special consideration for a specific context of a highly religious and religiously homogenous culture.


1979 ◽  
Vol 46 (5) ◽  
pp. 211-213 ◽  
Author(s):  
Allan Michael Hoffman

As many of you are probably well aware, the concept of mandatory continuing education as a requirement for practicing health professionals is currently being debated or enacted by many licensing bodies and professional organizations. This mandatory continuing education debate is not only a heated issue here in Canada and the United States, but is also an extremely important issue in many other highly developed industrialized nations of the world. It is quite safe to assume that by the end of this century most, if not all, licensed health professionals will have a mandatory continuing education requirement. What the author intends to do in this analysis is first present a brief definition of continuing education, discuss some salient variables as they relate to continuing education, and finally discuss professionalism and professional obsolescence.


1983 ◽  
Vol 13 (1) ◽  
pp. 119-129 ◽  
Author(s):  
Paolo Crepet ◽  
Giovanni De Plato

In 1978, Italy became the first country in the world to pass a law eliminating mental hospitals and replacing them with services in the community. This victory was in large part due to the foresight and commitment of psychiatrist Franco Basaglia and his colleagues, whose work showed how psychiatric assistance could be realized in practice without asylums and without force and violence. This article analyzes why the anti-institutional reform took place in Italy when it did, and reviews twenty years of reform activity involving an alliance between democratic mental health professionals, politicians, workers' organizations, and private citizens. Although the reform gives psychiatry the opportunity to transform itself into a science of liberation, conservative political and scientific forces are attempting to maintain the logic of the asylum and replace the mental hospital with other institutions which continue to practice segregation in a decentralized form. The outcome of this radical experiment in creating a nonrepressive psychiatry remains uncertain.


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