The rise of the psychiatric profession

2018 ◽  
pp. 3-23
Author(s):  
Geoffrey Baruch ◽  
Andrew Treacher
Keyword(s):  
Psychiatric Profession

scholarly journals Droperidol dropped; consultants not consulted

2003 ◽  
Vol 27 (08) ◽  
pp. 301-304
Author(s):  
Gavin Reid ◽  
Mark Hughson
Keyword(s):  
Questionnaire Survey ◽  
Clinical Care ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
The West ◽  
Abrupt Withdrawal ◽  
Before And After ◽  
Adequate Evaluation ◽  
Psychiatric Profession ◽  
The Impact

Aims and Method We conducted a postal questionnaire survey of the practice of rapid tranquillisation among 215 consultant psychiatrists in the West of Scotland, before and after the withdrawal of droperidol by the manufacturer. Results One hundred and eighty questionnaires (84% of those sent) were returned. Droperidol had been used extensively, often combined with lorazepam, for rapid tranquillisation. The main replacement suggested for droperidol was haloperidol. About half of the respondents to our survey chose to comment on the withdrawal of droperidol. More than half of the comments were unfavourable, including lack of an adequate replacement and lack of consultation with the psychiatric profession. Clinical Implications The abrupt withdrawal of droperidol, partly for commercial reasons, was regrettable. There was no time for an adequate evaluation of possible replacement medications and a lack of consultation with the profession regarding the impact on clinical care.

The Great Divergence

Madhouse ◽  
2017 ◽  
Author(s):  
Jennifer L. Lambe
Keyword(s):  
Gilded Age ◽  
Clinical Material ◽  
Hospital Patients ◽  
Great Divergence ◽  
Psychiatric Profession ◽  
The Revolution

During Cuba’s first “gilded age” (1909-26), Mazorra experienced a troubling divide from a psychiatric profession in development. Though psychiatrists drew on the hospital’s clinical material, especially a purported epidemic of “Spiritist madness,” to build a case for advancement and face down their professional competition, they often did so on the basis of a convergence with criminology. The resulting estrangement from hospital patients dovetailed with disillusionment outside it, fueled by asylum exposés that cohered in a vision of Mazorra as “Inferno.” But chapter 3 also seeks out the underbelly of the Inferno in the experience of patient captivity during a paradigmatic moment: the dictatorship of Gerardo Machado y Morales (1926-33) and the revolution that overturned it.

Anomie and Egoism in Relation to Contemporary Psychiatry

1993 ◽  
Vol 1 (3) ◽  
pp. 113-114
Author(s):  
John Spencer
Keyword(s):  
Psychiatric Illness ◽  
Western Society ◽  
Regulatory Function ◽  
Research Activity ◽  
Deliberate Self Harm ◽  
Self Harm ◽  
Legal Constraints ◽  
Self Help Groups ◽  
Role Boundaries ◽  
Psychiatric Profession

With increasing numbers of people in western society engaging in deliberate self-harm behaviours, psychiatric practitioners should reconsider some of the implications. 1. Psychiatry as a branch of medicine has a medical bias in assessing people who have engaged in deliberate self-harm behaviours and tends to view these behaviours as symptoms of psychiatric illness rather than sociological disorder. 2. The increasing number of these distressed people is causing an increasing psychiatric workload to the disadvantage of other patients, research activity and teaching. 3. The psychiatric profession should focus its attention on patients with formal psychiatric illness and encourage the involvement and participation of professionals from other agencies and services who are now trained and willing to become involved. Psychiatry cannot replace the enfeebled phenomena of collective sentiment or the regulatory function of a simpler, more cohesive society (as described by Durkheim) but many of the established self-help groups can help and links could be established with these agencies. To do this will require changes to established professional role boundaries and the loosening of medico-legal constraints which currently prevent relinquishing of responsibility when there is an obvious absence of psychiatric illness.

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