ArticleWorld psychiatry : official journal of the World Psychiatric Association (WPA)2010
Are psychiatrists an endangered species? Observations on internal and external challenges to the profession.
Article in World psychiatry : official journal of the World Psychiatric Association (WPA), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.
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Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it, 186 citations in OpenAlex.
- Changes in Attitudes toward Mental Illness in Healthcare Professionals and Students.International journal of environmental research and public health · 2019Pooled it
- Leveraging the Metaverse for Enhanced Longevity as a Component of Health 4.0.Mayo Clinic proceedings. Digital health · 2024Review
- Factors associated with interest in psychiatry in UK medical students: qualitative study.BJPsych bulletin · 2023Article
- Psychiatric diagnosis and treatment in the 21st century: paradigm shifts versus incremental integration.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2022Article
- ["Psychiatry Takes its Time … " Why Does One Become a Psychiatrist? - A Qualitative Study].Psychiatrische Praxis · 2022Article
- "Communitas in Crisis": An Autoethnography of Psychosis Under Lockdown.Qualitative health research · 2021Article
- Career Choice and Attractiveness of Child and Adolescent Psychiatry as a Medical Specialty: A National French Questionnaire Survey.Frontiers in psychiatry · 2021Article
- Burnout in consultants in child and adolescent mental health services (CAMHS) in Ireland: a cross-sectional study.BMJ open · 2020Article
- Attitudes towards psychiatry amongst medical and nursing students in Singapore.BMC medical education · 2019Article
- There Is a Limit to Your Openness: Mental Illness Stigma Mediates Effects of Individual Traits on Preference for Psychiatry Specialty.Frontiers in psychiatry · 2019Article
- Impact of clinical posting in psychiatry on the attitudes towards psychiatry and mental illness in undergraduate medical students.General psychiatry · 2019Article
- Psychiatrists' Attitudes Toward Disruptive New Technologies: Mixed-Methods Study.JMIR mental health · 2018Article
- [Where can psychiatry go from here?]Der Nervenarzt · 2018Article
- Psychiatry's contribution to the public stereotype of schizophrenia: Historical considerations.Journal of evaluation in clinical practice · 2018Article
- Modern medicine and the one-size-fits-all approach: A clinician's comment to Alexandra Pârvan's "Mind Electric" article.Journal of evaluation in clinical practice · 2018Article
- Psychiatry as a career choice among medical students: a cross-sectional study examining school-related and non-school factors.BMJ open · 2018Article
- Predicting Medical Students' Current Attitudes Toward Psychiatry, Interest in Psychiatry, and Estimated Likelihood of Working in Psychiatry: A Cross-Sectional Study in Four European Countries.Frontiers in psychiatry · 2018Article
- Public attitudes towards psychiatry and psychiatric treatment at the beginning of the 21st century: a systematic review and meta-analysis of population surveys.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2017Article
- A social paradigm in psychiatry - themes and perspectives.Epidemiology and psychiatric sciences · 2016Article
- EPA guidance on improving the image of psychiatry.European archives of psychiatry and clinical neuroscience · 2016Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Based on recently voiced concerns about a crisis in psychiatry, six challenges to our profession are identified and discussed. As we approach the revisions of ICD-10 and DSM-IV, the validity of psychiatry's diagnostic definitions and classification systems is increasingly questioned also from inside psychiatry. In addition, confidence in the results of therapeutic intervention studies is waning. A further challenge is the existence of de facto subgroups with opposing ideologies, a situation which is responsible for an unclear role profile of the psychiatrist. Challenges from outside include mounting patient and carer criticism, intrusion of other professions into psychiatry's traditional field of competence, and psychiatry's low status within medicine and in society in general. Studies suggest that the decline of the recruitment into psychiatry, as it is observed in many countries, might be related to problems arising from these challenges. It is unclear whether psychiatry will survive as a unitary medical discipline or whether those segments which are more rewarding, both financially and in status, will break away, leaving the unattractive tasks to carry out by what remains of psychiatry. The demise of the generalist and the rise of the specialist in modern society may contribute to this development. Attempts are underway by professional bodies to define the profile of a "general psychiatrist". Such discussions should be complemented by an analysis of the incentives which contribute to the centrifugal tendencies in psychiatry.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.