scholarly journals The training of child psychiatrists in Thailand

1996 ◽  
Vol 20 (8) ◽  
pp. 487-488
Author(s):  
L. B. Bartlet ◽  
Vanpen Boonyaprakob

In most Asian countries child psychiatry is still in its infancy and the few specialists operating in this field have received their training overseas, usually in Europe or the USA. There is a perceived need for more expertise in child mental health and the unsatisfactory solution often adopted is for psychiatrists trained in adult work to move in and learn from experience.

1996 ◽  
Vol 20 (5) ◽  
pp. 301-303
Author(s):  
L. B. Bartlet

Educational pressure on children is worldwide. In the United Kingdom this is seen in the growth of structured classes and courses for two- to four-year-olds such as ‘Making French Fun’ and ‘Musical Appreciation for Under Fours' (Matthews, 1995). Such programmes are of particular interest to aspiring middle-class parents but other groups also have high educational expectations. Some parents with a West Indian background, believing the British educational system to be superior to that in their country of origin, look for high attainments which often results in their children showing psychosomatic symptoms. In developing countries the signs of educational pressure are especially evident.


2019 ◽  
Vol 23 (3) ◽  
pp. 421-428
Author(s):  
Rheanna Platt ◽  
Nomi S. Weiss-Laxer ◽  
Timothy B. Creedon ◽  
Maria Jose Sanchez Roman ◽  
Esteban V. Cardemil ◽  
...  

2008 ◽  
Vol 45 (1) ◽  
pp. 56-61 ◽  
Author(s):  
Sun-Mi Cho ◽  
Hyun-Soo Kim ◽  
Hyun-Jung Kim ◽  
Yun-Mi Shin

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e030354 ◽  
Author(s):  
Fiona McNicholas ◽  
Sonita Sharma ◽  
Cliodhna Oconnor ◽  
Elizabeth Barrett

Physician burnout has reached epidemic levels in many countries, contributing to adverse personal, patient and service outcomes. Adverse socioeconomic conditions, such as the economic downturn in the Ireland post 2008, contribute to a situation of increased demand but inadequate resources. Given a recent unprecedented increase in referrals to Irish child and adolescent mental health services (CAMHS), coupled with a fragmented and poorly resourced service, it is important to reflect on consultant child psychiatrists’ well-being.ObjectivesTo report on the level of burnout among consultants working in CAMHS in Ireland using a cross-sectional design.SettingCommunity CAMHS in Ireland.ParticipantsAn online questionnaire was sent to all consultant child psychiatrists registered with the Irish Medical Council (n=112). Fifty-two consultants replied (46% response rate).Primary outcome measuresQuestions assessed demographic and occupational details, career satisfaction and perceived management, government and public support. The Copenhagen Burnout Inventory measured personal, work and patient-related burnout.ResultsThe prevalence of moderate or higher levels of work-related and personal burnout was 75% and 72.3%, respectively. Fewer (n=14, 26.9%) experienced patient-related burnout. There was a strong correlation between work burnout and personal (r=0.851, n=52, p<0.001) and patient-related burnout (r=0.476, n=52, p<0.001). Lack of confidence in government commitment to investment in CAMHS (p<0.001) and perceived ineffective management by health authorities (p=0.002) were associated with higher burnout scores. Few consultants (n=11, 21%) felt valued in their job. The majority (n=36, 69%) had seriously considered changing jobs, and this was positively associated with higher burnout (p<0.001). Higher burnout scores were present in those (n=15, 28.8%) who would not retrain in child psychiatry (p=0.002).ConclusionThe high level of burnout reported by respondents in this study, and ambivalence about child psychiatry as a career choice has huge professional and service implications. Urgent organisational intervention to support consultant psychiatrists’ well-being is required.


2017 ◽  
Vol 24 (1) ◽  
Author(s):  
Karin Zetterqvist Nelson ◽  
Frank Van der Horst ◽  
René Van der Veer

The mismatch between John Bowlby and post-war Swedish child psychiatry: Account of a research visit In the first half of 1950, the British psychiatrist and psychoanalyst John Bowlby visited France, Sweden, the Netherlands, and the USA to gain information about the state of the art in the care of homeless children. e World Health Organization published Bowlby’s conclusions as Maternal Care and Mental Health (1952). e article aims to present an account and discussion of Bowlby’s weeklong visit to Sweden, based on previously unpublished notebooks and letters. e analysis shows a clear mismatch between Bowlby’s ideas and those of his Swedish hosts working in child psychiatry and social care. At rst sight, Bowlby seemed to align with the Swedish psychoana- lytically oriented child psychiatrists, while rejecting those Swedish experts who represented a biological approach with ideas about heredity, but it was more complicated than that. Bowlby also appreciated the methodological rigor and statistical methods of the latter current. What he did not appreciate, however, was that both Swedish currents, despite their mutual disagreements, shared a similar view of the importance of the environment for child development that was much broader than his own. For Bowlby’s hosts, environmental factors such as housing, schooling, parental care, number of siblings, social contacts, etc. were all important for the understanding of poor mental health and social maladjustment in childhood. As also becomes clear from the title of his book, Bowlby rejected such a broad approach and focused exclusively on mother-child bon- ding as determining children’s mental development and health. is mismatch between Bowlby and the Swedish experts explains why Bowlby paid only scarce attention to Swedish views in his WHO report, why this report and his later ideas about the importance of mother-child attach- ment initially met with little enthusiasm, and why he remained a ”queer fish” in Sweden.


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