Training for Child Psychiatry

Author(s):  
Donald W. Winnicott

In this contribution to a symposium on the training for child psychiatry—a new specialty in medicine at this time—Winnicott proposes that doctors who have trained in paediatrics and psychoanalysis should also train as child psychiatrists. Becoming an adult psychiatrist who then trains in child psychiatry is not advisable because the trainee doctor will have missed the development of child physical and emotional health during its maturation.

2021 ◽  
Vol 4 (2) ◽  
pp. 247-252
Author(s):  
Myron L. Belfer ◽  
Gordon Harper ◽  
Jianping Lu

Chinese child psychiatrists have recognised a need to secure training that represents the most advanced ideas in their field. Turning to senior child psychiatrists in the United States, Dr Jianping Lu worked with them to design a training programme for child psychiatrists in Shenzhen, which then expanded to become a national model. This article details the reasons for the programme, its origins and history, and the outline of the current programme that now reaches child psychiatrists throughout China.


1982 ◽  
Vol 6 (7) ◽  
pp. 116-117 ◽  
Author(s):  
Dora Black ◽  
Michael Black

In 1974 we published a pilot study on the use of consultant time in child psychiatry, based on detailed timesheets kept by a group of child psychiatrists in and near London (1). The group, which is still meeting, decided to see what changes, if any, have occurred over the last seven years in the way we allocate our time. The primary purpose of the group, now, as then, is ‘the provision of a forum where members can exchange views and compare experiences relating to the problems encountered while engaging in and often being professionally responsible for administering a child psychiatric service.’ A nucleus of about six consultants took part in both studies.


1960 ◽  
Vol 106 (444) ◽  
pp. 815-826 ◽  
Author(s):  
W. Warren

For the Chairman's Address to the Child Psychiatry Section in 1955, Cameron (5) decided to survey the scene of Child Psychiatry. His survey was historical and he described the various influences that have in turn borne on and helped to shape the practice of Child Psychiatry as it is today. Kanner (9), in the Maudsley Lecture of 1958, took the same theme and elaborated on it further. It is significant that they both felt that the time had come to do this for a young speciality and, indeed, their lectures were of considerable interest and use to those of us who have not lived through—in Child Psychiatry—the times described. However, Child Psychiatry has not become static; the scene will continue to change and to enlarge as more new influences come to bear. It seems that we who are engaged in its active practice now, and in the future, have need to watch where we are going; especially, as comparative success has brought some rewards and we foresee the likelihood of further rapid expansion in the speciality, with the need, to recruit more child psychiatrists. Again, the joint or liaison committees that have sprung up with other medical professional bodies are in a sense a recognition of our significance; they are also a responsi bility and may be a test of our loyalty to psychiatry as a whole.


1988 ◽  
Vol 12 (9) ◽  
pp. 366-367
Author(s):  
Stephen Isaacs

There is a trend for new consultant posts in child psychiatry to be linked to Social Services Departments. I recently took up such a post, with four of my sessions funded by the local Social Services Department. Training of child psychiatrists for such consultative posts is variable, but I was fortunate to have trained as a senior registrar at the Tavistock Clinic, where one of the training options was a link with Camden Social Services through a placement at Camden Assessment Centre.


PEDIATRICS ◽  
1966 ◽  
Vol 37 (6) ◽  
pp. 1000-1004
Author(s):  
Reginald S. Lourie

We Have Come a long way from the thirties when Brenneman was writing about "The Menace of Psychiatry"1 and Crothers described the confusion of " The Pediatrician in Search of Mental Hygiene."2 On the surface at least we seem to have come to the opposite pole. A pediatrician sits on the Child Psychiatry Committee of the American Board of Psychiatry and Neurology. Most teaching services in pediatrics have at least a consultant in child psychiatry, and many hospitals and medical have divisions and departments of child psychiatry closely allied to pediatrics. In the late fifties Dr. Janeway3 as a member of a panel with Anna Freud, said that whereas 25 years ago the presence of a professor of pediatrics on such a platform lent respectability to psychoanalysis, "it now lends respectability to the pediatrician." When, however, one looks below the surface where child psychiatrists and pediatricians function together, mutual dissatisfaction is not infrequent. Probably the pediatricians have more complaints about the psychiatrists than the other way. A frank and critical look at these complaints reveals that they are consistently related to problems in orientation and in understanding each other. On analysis, their differences usually fall into the following relatively few patterns. TYPES OF DISAGREEMENT AND COMMUNICATION DIFFICULTIES A common complaint concerns the communication system, or better, the lack of communication between psychiatrist and pediatrician. Starting sometimes with the differences of professional language, this often goes on to involve the psychiatrist's confidently stated basic assumptions which the pediatrician may refuse to take for granted, or may flatly disbelieve.


1998 ◽  
Vol 43 (6) ◽  
pp. 614-618 ◽  
Author(s):  
Mark Hanson ◽  
Brian Hodges ◽  
Nancy McNaughton ◽  
Glenn Regehr

Objective: To integrate child psychiatry into a psychiatry clerkship Objective Structured Clinical Examination (OSCE). Method: Child psychiatry OSCE stations were designed to evaluate clerks' skills in the identification of 4 common conditions. Child psychiatrists wrote case scenarios and checklists and supported standardized patient (SP) training for these stations. A bank of 4 child psychiatry OSCE stations is now available for use in the psychiatry OSCE. Child psychiatry faculty have been trained as examiners for ongoing administration of this OSCE. Results: This bank of child psychiatry OSCE stations has examined 402 clerks. Mean student scores for content were 68% to 86% and for process were 69% to 76%. Station reliability and examiner feedback were acceptable. Conclusions: Child psychiatry has been successfully integrated into a psychiatry clerkship OSCE. Although the commitment in terms of monetary and faculty costs has been considerable, the accompanying educational benefits of such integration warranted this expense.


1997 ◽  
Vol 21 (5) ◽  
pp. 294-296
Author(s):  
Oonagh Bradley

The experience of a paediatric placement is described. Difficulties encountered mirror those experienced in liasion child psychiatry and the basis for this is dicussed. Early collaboration during specialist training of paediatricians and child psychiatrists can enhance the working relationships between the disciplines and the clinical skills of both.


1995 ◽  
Vol 19 (1) ◽  
pp. 10-12 ◽  
Author(s):  
Anne Thompson ◽  
Maurice Place

There are good reasons for Improving liaison between child psychiatrists and general practitioners. This study examined whether characteristics of the GP, patient or service influenced the referral of patients from primary care to the local child psychiatry service. Data collected by semi-structured interview from two samples of general practitioners who had either referred frequently or not at all over a two year period failed to show many of the associations found in other studies. Referral behaviour appears to be a complex phenomenon which may be influenced by increasing personal contact between professionals.


PEDIATRICS ◽  
1977 ◽  
Vol 60 (4) ◽  
pp. 649-650
Author(s):  
Michael B. Rothenberg

Anders' survey, the report of which appears in this issue of Pediatrics (p. 616), was much needed, and I am grateful to him for it. The data that he presents certainly reflect my own experience in three major training centers during the last 25 years. I have some trouble with his contention that "the source of the difficulty stems from the fact that neither child psychiatrists nor behavioral pediatricians have defined their areas of collaborative responsibility and effectiveness sufficiently." Also, I am not comfortable with his recommended solution to this problem. The American tendency to stand in awe of the "scientific," especially on a molecular level, leaves many pediatric faculty members with a conscious or unconscious feeling that they would somehow lose prestige and status were they to focus their teaching efforts in the behavioral pediatrics arena.1


1989 ◽  
Vol 23 (4) ◽  
pp. 512-516 ◽  
Author(s):  
Helen M. Connell

Child psychiatry is becoming increasingly involved with the law. Other professionals have expertise in interpreting children's needs and behaviours to the courts, but child psychiatrists have unique skills and lawyers should be helped to understand what they have to offer. Difficulties in the dialogue between child psychiatry and the law are discussed. Training child psychiatrists to function efficiently in the legal system must be given priority by the newly established Faculty of Child Psychiatry.


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