Psychiatrist or Sex Worker? Emotional Awareness in Ethics Education

2003 ◽  
Vol 11 (1) ◽  
pp. 71-73
Author(s):  
John Parkinson
Keyword(s):  
Ethics Education ◽  
Sexual Attraction ◽  
Psychiatric Treatment ◽  
Codes Of Conduct ◽  
Clinical Work ◽  
Emotional Awareness ◽  
Theoretical Background ◽  
Psychiatric Training ◽  
Dependent Child ◽  
Psychotic Experience

Objective: When too many psychiatrists have been behaving like prostitutes, it is instructive to compare and contrast that ancient profession with our own. The present paper sets out to do that. Methods: Codes of conduct are compared and clinical anecdotes discussed. Results: Both professions give time and services in exchange for money. Guidelines for each highlight limits and boundaries. A danger is ‘falling in love’, a quasi-psychotic experience that facilitates some phases of development but which can be destructive when uncontained. Since the advent of cognitive behavioural therapy (CBT), transference and countertransference are concepts no longer widely used. However, many behaviourists know the importance of a therapeutic alliance and see the therapist as a figure who can invoke idealization and dependence. All psychiatric treatment has a developmental aspect because it seeks to replace primitive feelings and impulsivity with mature behaviour. Adolescence brings not only sexual development but emotional change from the dependent child to the adult capable of care and bonding. Sexual attraction is more mature the more the element of neediness is modified by care and concern. Conclusions: Peer groups are commended for both professions. In psychiatric training, human development should be learnt not just as theoretical background but as lively reality in clinical work, alerting psychiatrists to monitor their own maturity in the doctor-patient setting. The value of personal therapy or analysis is discussed, together with possible adverse sideeffects.

Training Standards for Career Child Psychiatrists

1982 ◽  
Vol 27 (7) ◽  
pp. 543-545
Author(s):  
Philip Barker
Keyword(s):  
Full Range ◽  
Clinical Work ◽  
Psychiatric Training ◽  
Current State ◽  
Child Psychiatric ◽  
Wide Range ◽  
Training Standards ◽  
Special Expertise ◽  
Mentally Retarded Children ◽  
Main Components

The two main components of child psychiatric training should be supervised clinical work of high quality and training in the questing, scientific approach to the subject. These should be combined so that residents consider the assessment and management of all their clinical cases in a critical way, at the same time looking critically also at the pertinent literature. Management and treatment methods should be selected in the context of discussion of the current state of knowledge in the area. Trainees should see and treat children and adolescents of all ages and with the full range of psychiatric disorders. Ten percent of their caseload should consist of mentally retarded children. It may be necessary to teach about some rare syndromes by the use of videotapes. Residents should be familiar with the uses, and drawbacks, of a wide range of therapies, including residential treatment, but can only be expected to develop special expertise in a few. Didactic teaching unrelated to clinical work is probably of limited value.

Animal-Assisted Interventions and Psychiatric Disorders: Knowledge and Attitudes among General Practitioners, Psychiatrists, and Psychologists

2013 ◽  
Vol 21 (3) ◽  
pp. 284-293 ◽  
Author(s):  
Bente Berget ◽  
Sverre Grepperud ◽  
Olaf G. Aasland ◽  
Bjarne O. Braastad
Keyword(s):  
Psychiatric Disorders ◽  
General Practitioners ◽  
Treatment Effects ◽  
Psychiatric Treatment ◽  
Clinical Work ◽  
Motivation To Learn ◽  
Knowledge And Attitudes ◽  
Motivation For Learning

Abstract There appears to be a growing interest among farmers and researchers in animal-assisted interventions (AAI). However, less is known about the attitudes toward the use of such interventions among therapists. In this study, Norwegian general practitioners, psychiatrists, and psychologists were asked about their knowledge of, and experience with, AAI and their motivation for learning more about AAI. About two-thirds of the respondents had some or significant knowledge of AAI and were motivated to adapt AAI to their own practice. Almost 9 out of 10 thought that AAI should be used more in psychiatric treatment; however, GPs were not as positive as the psychiatrists/psychologists. More than 2 out of 3 respondents wanted to learn more about AAI, the men being more positive than the women. There were no professional differences on this question, while number of years with clinical work was negatively related, and earlier experiences with AAI positively related, to this motivation to learn more about AAI. Belief in treatment effects was a positive predictor.

scholarly journals Psychiatry, subjectivity and emotion – deepening the medical model

2014 ◽  
Vol 38 (3) ◽  
pp. 97-101 ◽  
Author(s):  
Jessica Yakeley ◽  
Rob Hale ◽  
James Johnston ◽  
Gabriel Kirtchuk ◽  
Peter Shoenberg
Keyword(s):  
Psychiatric Care ◽  
Medical Model ◽  
Emotional Awareness ◽  
Psychiatric Training ◽  
The Face ◽  
Subjective Perspective ◽  
Public Criticism

SummaryMorale among psychiatrists continues to be seriously challenged in the face of recruitment difficulties, unfilled posts, diagnostic controversies, service reconfigurations and public criticism of psychiatric care, in addition to other difficulties. In this article, we argue that the positivist paradigm that continues to dominate British psychiatry has led to an undervaluing of subjectivity and of the role of emotions within psychiatric training and practice. Reintegrating the subjective perspective and promoting emotional awareness and reflection may go some way towards restoring faith in the psychiatric specialty.

Professional codes of conduct and computer ethics education

1990 ◽  
Vol 20 (2) ◽  
pp. 18-29 ◽  
Author(s):  
Dianne C. Martin ◽  
David H. Martin
Keyword(s):  
Ethics Education ◽  
Codes Of Conduct ◽  
Computer Ethics ◽  
Professional Codes

scholarly journals Mill Hill Emergency Hospital: 1939–1945

2006 ◽  
Vol 30 (3) ◽  
pp. 106-108
Author(s):  
Claire Hilton
Keyword(s):  
Emergency Medical Service ◽  
Major Part ◽  
Medical Service ◽  
Psychiatric Treatment ◽  
Clinical Work ◽  
Second World War ◽  
World War ◽  
Historical Sources ◽  
Emergency Hospital ◽  
Second World

Have you ever wondered why the well-known Mill Hill Vocabulary Scale was named after a suburb of North London? Little known to most psychiatrists or to local people in Mill Hill, a major part of the Maudsley Hospital was evacuated there from central London during the Second World War. Mill Hill School had been evacuateden masseto St Bees in Cumberland. The vacant buildings were requisitioned by the Emergency Medical Service for the Maudsley Hospital. Much innovative psychiatric treatment and research took place there throughout the war with a star-studded cast, including some outstanding clinicians and researchers. This brief review of historical sources aims to give a flavour of the clinical work of the Mill Hill Maudsley.

scholarly journals Who owns research?

1991 ◽  
Vol 15 (7) ◽  
pp. 436-438
Author(s):  
M. R. Eastwood
Keyword(s):  
Teaching Hospital ◽  
Cost Effective ◽  
Clinical Work ◽  
Career Pathways ◽  
Laboratory Research ◽  
Psychiatric Training ◽  
Senior Registrar ◽  
Clear Cut ◽  
The Individual ◽  
The Uk

Once upon a time there were clear-cut career pathways for ambitious doctors, what are now called ‘inside tracks’. Forward-looking people in the UK, for example, realised early that in order to become a consultant or professor in a teaching hospital, it was essential to be well qualified and published. In psychiatry, this meant proof of being truly renaissance with qualifications in medicine, psychiatry and research. How this was achieved was up to the individual. At places like the Maudsley Hospital people often arrived bristling with degrees. About half the entrants had passed College exams or had research doctorates. During psychiatric training the others went for the extra qualifications. They had to; otherwise they would not make it to senior registrar. Some characters practised brinkmanship and passed the MRCP on the umpteenth occasion. Thereafter things varied, with some moving into personal analysis (no degree) and others into wet and dry laboratory research. Many eschewed both and headed for clinical work. There was a period, perhaps between 1945 and 1975, although the limits are arguable, which was halcyon. Medical trainees were actually committed to research. There were twin pathways; the scholarly going to the MRC unit or the Chair and the entrepreneurial to the teaching hospital consultant job and Harley Street practice. The teaching hospital wallahs needed about ten papers to be acceptable. An engaging feature of the system was that the pay was not particularly discrepant between researchers and clinicians. The somewhat subfusc role of researchers was, in any case, redressed in the mid 1960s and parity achieved. Amazingly, then, it was possible to have a career in research without losing money. To what did it all add up? In modern parlance, was it cost-effective and efficient? Did the clinicians with their ten papers or the MRC medical scientists give value for money? After all, with what can they be compared?

Challenges in Ethics Education

2016 ◽  
pp. 1938-1954
Author(s):  
Chi Anyansi-Archibong
Keyword(s):  
Research Ethics ◽  
Ethics Education ◽  
Ethical Reasoning ◽  
Codes Of Conduct ◽  
Control Group ◽  
University System ◽  
The North ◽  
Ethics Course ◽  
Knowledge And Attitude ◽  
And Training

Ethics, broadly defined, is having the integrity to act in a moral and civil manner. It calls for both organizations and individuals to act responsibly and with some trust. This chapter describes a collaborative and cooperative initiative to assess the effectiveness of research ethics education. A pre- and post-survey of over 200 graduate researchers in seven doctoral offering institutions of the North Carolina University System who participated in the open seminar research ethics course showed significant improvement on knowledge and attitude about ethics but did not show improvement in ethical reasoning skills assessment. Compared to the control group, these findings lead researchers to the conclusions that effective ethics education and training may be improved by developing programs that create a community of supportive peers and mentors rather than individual training designed to effect compliance regulations and codes of conduct.

Guiding Students in Assessing Ethical Behavior in the Pharmaceutical Industry

2019 ◽  
Vol 19 (1) ◽  
pp. 71-85
Author(s):  
Michael J. Murphy ◽  
Keyword(s):  
Pharmaceutical Industry ◽  
Ethics Education ◽  
Codes Of Conduct ◽  
Codes Of Ethics ◽  
Regulatory Compliance ◽  
Codes Of Practice ◽  
The Us ◽  
Rule Breaking ◽  
Us Fda ◽  
Ethical Failures

Holistic ethics education in the professions is never fully served by a reliance on regulatory compliance alone. Data obtained from penalties due to corporate non-compliance in specific professions rarely describe the underlying ethical failures that are the foundation for “rule-breaking” in the professions. However, “violations” data may serve as a springboard for an educational discussion and approach that helps professionals (and those studying to become professionals) to understand the basic moral reasoning that underlies the “good” that is served by adhering to professional Codes of Conduct, Codes of Practice, Codes of Ethics, and the professional regulatory environment. We here use data obtained from the US FDA, US DOJ, and from Violations Tracker and compare these data with the IFPMA (International Federation of Pharmaceutical Manufacturing Association) Ethos and guiding principles. These side-by-side linkages serve as a mechanism to help students assess which ethical principles are at the core of each such violation in the pharmaceutical industry. We further recommend that this approach be incorporated into ethics education, especially beginning at the undergraduate level, as prophylaxis to ethical lapses in later professional life.

Psychotic experiences and psychiatric treatment utilization in Buenos Aires

2020 ◽  
Vol 66 (4) ◽  
pp. 344-348
Author(s):  
Hans Oh ◽  
Ai Koyanagi ◽  
Jordan E DeVylder ◽  
Eduardo A Leiderman
Keyword(s):  
Mental Illness ◽  
Mental Disorders ◽  
Buenos Aires ◽  
Psychiatric Treatment ◽  
Psychological Treatment ◽  
Mental Illnesses ◽  
Treatment Utilization ◽  
Psychotic Experiences ◽  
Psychotic Experience ◽  
Psychopharmacological Treatment

Objective: Psychotic experiences are associated with psychiatric treatment utilization, though findings have not been entirely consistent. Furthermore, it is unclear how psychotic experiences relate to specific types of psychiatric treatment, and whether mental illness moderates these associations. Methods: In total, 1,036 adult residents of Buenos Aires were recruited through convenience sampling in public places. Multivariable logistic regression models examined the associations between psychotic experiences and psychiatric treatment, adjusted for age, sex and education. Analyses were then stratified by diagnosis of mental illness. Results: Approximately 17.95% ( N = 186) of the sample reported at least one psychotic experience over the past week, about 22.39% ( N = 232) of the sample was receiving some psychiatric or psychological treatment and 8.59% ( N = 89) was receiving psychopharmacological treatment. In the total sample, psychotic experiences were associated with greater odds of being in psychiatric/psychological treatment (adjusted odds ratio (AOR): 1.52; 95% confidence interval (CI): 1.05–2.21) and psychopharmacological treatment (AOR: 2.49; 95% CI: 1.52–4.09), adjusted for age, sex and education. Mental illness did not moderate the association between psychotic experiences and psychiatric/psychological treatment, but did moderate the association between psychotic experiences and psychopharmacological treatment. Among people with mental disorders, psychotic experiences were associated with greater odds of receiving psychopharmacological treatment (AOR: 14.63; 95% CI: 1.73–123.45) versus people without mental disorders (AOR: 1.75; 95% CI: 0.98–3.15). Conclusion: Psychotic experiences are associated with psychiatric treatment utilization, particularly psychopharmacological treatment among people with a co-occurring mental illnesses. Translational research should explore the utility of psychosis screens in assessing need for medication or clinical responsiveness to medications.

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