Evidence map›Paper›PMID 40921913›Full record

ArticleAcademic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry2025

Using Shakespeare's Lear to Deepen Formulation Skills in Geriatric Psychiatry.

Mark Rapoport, Certina Ho, Rex Kay, Adrienne Tan, David Ferry, Rachel Antinucci, Petal Abdool

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Article in Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Mental Health Care Training for an Aging Population: Envisioning the Future.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mark RapoportSunnybrook Health Sciences Centre, Toronto, Ontario, Canada. Mark.Rapoport@sunnybrook.ca.ORCID http://orcid.org/0000-0003-2670-1975
Certina HoUniversity of Toronto, Toronto, Ontario, Canada.
Rex KayUniversity of Toronto, Toronto, Ontario, Canada.
Adrienne TanUniversity of Toronto, Toronto, Ontario, Canada.
David FerryAppledore Productions, Toronto, Ontario, Canada.
Rachel AntinucciCentre for Addiction and Mental Health, Toronto, Ontario, Canada.
Petal AbdoolUniversity of Toronto, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveA deep understanding of patients in psychiatry requires an ability to appreciate and describe the biopsychosocial determinants of health. Great works of theatre portray a nuanced observation of the human condition, but these have not been formally evaluated in psychiatric literature as teaching tools. The purpose of this study was to explore Shakespeare's King Lear as an educational intervention in supporting formulation skills training in geriatric psychiatry residency.

methodsSeven residents attended a half-day educational session where they interacted with four professional actors of diverse backgrounds in creating five scenes from King Lear, with faculty debriefing. Residents completed pre-and post-surveys measuring confidence on topics related to the workshop learning objectives. Three-month follow-up surveys and semi-structured interviews were conducted with all participants.

resultsA non-parametric Friedman test among repeated measures indicated statistically significant improvements in confidence in formulating a biopsychosocial understanding (chi-square 9.30, p = 0.01), in communicating an understanding of social and cultural determinants of health (7.60, p = 0.02), and in describing the role of ageism and stigma associated with mental disorders in older adulthood (8.09, p = 0.02). Key themes from the semi-structured interviews included the importance of contextualizing and taking a holistic approach to formulation. This experience was deemed helpful and recommended for inclusion in the residency program.

conclusionsThe study demonstrates the potential benefits of using live performance of ancient text on residents' confidence in formulation, communicating determinants of health, and in describing ageism in geriatric psychiatry.

Indexed as

Clinical CompetenceDramaGeriatric PsychiatryInternship and ResidencyFemaleHumansMaleGeriatric psychiatry residencyMedical humanitiesPsychiatric educationPsychiatric formulationShakespeare

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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.