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Instituto de Psiquiatria - FMUSP: o contexto histórico social em São Paulo entre as décadas de 1920 a 1950 para recepção da psiquiatria como um saber médico; The historical social context in between the decades of 1920 and 1950 for the reception of psychiatry as a medical knowledge

Seixas, Andre Augusto Anderson
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 08/08/2012 PT
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A hist,,ria da psiquiatria vem despertando maior interesse nos ...ltimos anos. Contudo, ainda h+ grande escassez de informaEUROEes a respeito da hist,,ria desta +rea da medicina, o que , fundamental para uma melhor compreenso das transformaEUROEes do pensamento m,dico-psiqui+trico em nosso meio. O conhecimento profundo dos conceitos relativos

Análise sociológica da "biologização" do TDA/H na psiquiatria brasileira; Sociological analyses of the ADHD "biologization" in brazilian psychiatry

Rodrigo Saraiva Cheida
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 27/02/2013 PT
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Esta dissertação tem como objetivo investigar a "biologização" do Transtorno de Déficit de Atenção/Hiperatividade (TDA/H) na vertente organicista de doença mental da psiquiatria no Brasil, a partir do recorte metodológico dos Estudos Sociais da Ciência e Tecnologia (ESCT), especificamente os aportes teóricos da construção social da doença. O objetivo do estudo é investigar histórica e sociologicamente a forma pela qual o transtorno veio a ser investigado como uma patologia de origens biológicas pelas práticas psiquiátricas brasileiras. Para identificar os sentidos históricos pelos quais as fronteiras diagnósticas do transtorno possuem bases biológicas, foi feito um levantamento histórico para retomar as principais tradições da vertente organicista de pesquisa das doenças mentais da Psiquiatria no Brasil. Outro levantamento histórico buscou identificar, a partir do próprio conhecimento biológico do TDA/H, as contingências sociais do transtorno. A proposta de ambas as historiografias é investigar quais atores sociais mobilizaram técnicas e conhecimentos científicos oriundos da neurologia e da biologia até a sua atual classificação no Manual Diagnóstico e Estatístico de Distúrbios Mentais em sua quarta versão revisada - Diagnostic and Statistical Manual of Mental Disorders - DSM-IV/RT - e a Classificação Internacional de Doenças - CID-10. Em seguida...

European guidelines for training in consultation-liaison psychiatry and psychosomatics: report of the EACLPP Workgroup on Training in Consultation-Liaison Psychiatry and Psychosomatics

Sollner, W; Creed, F; European Association of Consultation–Liaison Psychiatry; Psychosomatics Workgroup on Training in Consultation–Liaison; Cardoso, G
Fonte: Elsevier Publicador: Elsevier
Tipo: Artigo de Revista Científica
Publicado em //2007 ENG
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OBJECTIVE: The European Association of Consultation-Liaison Psychiatry and Psychosomatics (EACLPP) has organized a workgroup to establish consensus on the contents and organization of training in consultation-liaison (C-L) for psychiatric and psychosomatic residents. METHODS: Initially, a survey among experts has been conducted to assess the status quo of training in C-L in different European countries. In several consensus meetings, the workgroup discussed aims, core contents, and organizational issues of standards of training in C-L. Twenty C-L specialists in 14 European countries participated in a Delphi procedure answering a detailed consensus checklist, which included different topics under discussion. RESULTS: Consensus on the following issues has been obtained: (1) all residents in psychiatry or psychosomatics should be exposed to C-L work as part of their clinical experience; (2) a minimum of 6 months of full-time (or equivalent part-time) rotation to a C-L department should take place on the second part of residency; (3) advanced training should last for at least 12 months; (4) supervision of trainees should be clearly defined and organized; and (5) trainees should acquire knowledge and skills on the following: (a) assessment and management of psychiatric and psychosomatic disorders or situations (e.g....

Forensic psychiatry: contemporary scope, challenges and controversies

ARBOLEDA-FLÓREZ, JULIO
Fonte: Masson Italy Publicador: Masson Italy
Tipo: Artigo de Revista Científica
Publicado em /06/2006 EN
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Forensic psychiatry is the branch of psychiatry that deals with issues arising in the interface between psychiatry and the law, and with the flow of mentally disordered offenders along a continuum of social systems. Modern forensic psychiatry has benefited from four key developments: the evolution in the understanding and appreciation of the relationship between mental illness and criminality; the evolution of the legal tests to define legal insanity; the new methodologies for the treatment of mental conditions providing alternatives to custodial care; and the changes in attitudes and perceptions of mental illness among the public. This paper reviews the current scope of forensic psychiatry and the ethical dilemmas that this subspecialty is facing worldwide.

Reflections On Psychiatry And International Mental Health

Herrman, Helen
Fonte: Medknow Publications & Media Pvt Ltd Publicador: Medknow Publications & Media Pvt Ltd
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
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This paper reflects on the needs for close interaction between psychiatry and all partners in international mental health for the improvement of mental health and advancement of the profession, with a particular view to the relationships between mental health, development and human rights. The World Health Organisation identifies strong links between mental health status and development for individuals, communities and countries. In order to improve population mental health, countries need effective and accessible treatment, prevention, and promotion programmes. Achieving adequate support for mental health in any country requires a unified approach. Strong links between psychiatrists, community leaders and patients and families that are based on negotiation and respect, are vital for progress. When strong partnerships exist, they can contribute to community understanding and advancement of psychiatry. This is the first step towards scaling up good quality care for those living with mental illnesses, preventing illnesses in those at risk, and promoting mental health through work with other community sectors. Partnerships are needed to support education and research in psychiatry, and improvements in quality of care wherever psychiatry is practiced...

Undergraduate teaching of child and adolescent psychiatry in Australia: survey of current practice

Sawyer, M.; Giesen, F.
Fonte: Blackwell Publishing Asia Publicador: Blackwell Publishing Asia
Tipo: Artigo de Revista Científica
Publicado em //2007 EN
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Objective: To identify the goals, content, and time allocated for undergraduate child psychiatry teaching programmes in Australian medical schools. Method: A structured questionnaire designed specifically for the present study was used to identify the goals, content, and time allocated to child psychiatry teaching for undergraduate medical students. Staff responsible for child psychiatry teaching programmes at all 15 medical schools in Australia were contacted and those in 12 schools (80%) agreed to participate. Results: All 12 medical schools provided some teaching relevant to child psychiatry. Teaching was commonly provided as part of general psychiatry and/or paediatric teaching programmes. Between 4 and 12 h were allocated for child psychiatry teaching, with the exception of one school, which assigned 46 h. Ten schools (83%) offered clinical placements in child psychiatry to some or all students, with placements ranging in length from 0.5 days to 8 weeks. However, only four schools (33%) offered clinical placements to all students. Two schools (17%) offered no clinical placements or electives in child psychiatry. The skills required to assess children and families, and knowledge about normal child development were identified as key teaching goals. Barriers to teaching child psychiatry included the lack of academic child psychiatrists in Australia...

Child psychiatry curricula in undergraduate medical education

Sawyer, M.; Giesen, F.; Walter, G.
Fonte: Lippincott Williams & Wilkins Publicador: Lippincott Williams & Wilkins
Tipo: Artigo de Revista Científica
Publicado em //2008 EN
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OBJECTIVE: To review the literature describing the content and time allocated to undergraduate medical education curricula in child and adolescent psychiatry and make recommendations about child and adolescent psychiatry teaching goals and curricula content. METHOD: A literature search from 1970 to February 2007 using the key words undergraduate, curriculum, teaching, education, psychiatry, child, adolescent, and medical school, was conducted using PubMed, PsycINFO, and Web of Science. RESULTS: There is limited agreement about curricula content for undergraduate child and adolescent psychiatry teaching programs in medical schools, with a wide range of objectives identified by different programs. On average, the time allowed for teaching child and adolescent psychiatry is small. There is also great variation in the time allocated by different medical schools. In many countries, the number of child and adolescent psychiatrists with academic appointments is limited, and child and adolescent psychiatry programs are developed and taught by a small number of teaching staff at each medical school. CONCLUSIONS: Medical schools should reconsider the relatively low priority given to teaching child and adolescent psychiatry to medical students. The child and adolescent psychiatry profession must identify clear learning goals for a longitudinal developmentally appropriate model of child and adolescent psychiatry education commencing at an undergraduate level in medical schools and continuing through residency and fellowships. There is a need to promote national and international standards for teaching in this area and to encourage stronger collaborations between teaching staff across different medical schools.; Sawyer...

Psychiatry Training Towards a Global Future: Trainees’ Perspective in Portugal; Internato de Psiquiatria Rumo a Um Futuro Global: A Perspectiva dos Internos em Portugal

Pinto da Costa, Mariana; Psychiatry Department. Hospital de Magalhães Lemos. Porto. Portugal.; Guerra, Cátia; Psychiatry Department. Centro Hospitalar São João. Porto. Portugal.; Malta, Rui; Psychiatry Department. Centro Hospitalar São João. Porto.
Fonte: Ordem dos Médicos Publicador: Ordem dos Médicos
Tipo: info:eu-repo/semantics/article; article; info:eu-repo/semantics/publishedVersion Formato: application/pdf
Publicado em 30/08/2013 ENG
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Introduction: Psychiatry is influenced by society changes, so it should be permanently updating itself, foreseeing future behaviours and pathologies. This study aims to describe psychiatry trainee’s opinion in Portugal concerning their training and the modifications they would want to witness in the near future.Material and Methods: A structured questionnaire of 26 questions was developed by the Portuguese Association of Psychiatry Trainees and sent via email.Results: The percentage of responses was 41.5%. The majority of the trainees were satisfied with their formation. However, some changes were pointed out concerning obligatory and optional placements. Most trainees claimed psychotherapy should be included in their training, along with an easier access to investigational procedures and clinical training opportunities abroad.Discussion and Conclusion: This detailed perspective can facilitate the transformation of the curricula throughout Portugal and Europe, allowing the improvement of psychiatry training, as well as the enhancement of mental health care.; Introdução: A psiquiatria é influenciada pelas mudanças que ocorrem na sociedade, devendo estar em constante renovação, antevendo futuros comportamentos e doenças. Este estudo pretende descrever a opinião dos internos de psiquiatria em Portugal relativamente ao seu internato e às modificações que nele gostariam de assistir no futuro próximo.Material e Métodos: Um questionário estruturado de 26 perguntas foi desenvolvido pela Associação Portuguesa de Internos de Psiquiatria e enviado por email.Resultados: A percentagem de respostas obtidas foi de 41...

Is psychiatry an art or a science? The views of psychiatrists and trainees

Chur-Hansen, A.; Parker, D.
Fonte: Informa Healthcare-Taylor & Francis Publicador: Informa Healthcare-Taylor & Francis
Tipo: Artigo de Revista Científica
Publicado em //2005 EN
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Objective: It is generally considered by many practitioners that psychiatry is an art, that is, one of the humanities, as well as being a science. We systematically collected the views of practitioners and trainee psychiatrists regarding the question ‘Is psychiatry an art or a science?’ Method: Eleven supervisors and nine trainees were interviewed and their responses analysed, using a qualitative method, the modified framework approach. Results: Several themes emerged from the data: that ‘art’ and ‘science’ are different; psychiatry as a discipline is difficult to define; psychiatry demands a broader range of skills than other medical specialties; the relationship of psychology to psychiatry; supervisor cynicism to the ‘science’ of psychiatry; and the ‘art’ and ‘science’ of the assessment process. Conclusions: The tension that exists within the profession's identity as a discipline has important implications for teaching, learning, and clinical and research practices.; Anna Chur-Hansen and Damon Parker; The definitive version is available at www.blackwell-synergy.com

Instruction in developmental psychiatry: preliminary findings at the undergraduate level in Brazil; Educação em psiquiatria do desenvolvimento: resultados preliminares em estudantes de graduação no Brasil

MORAES, Erika Neves de Souza; SCIVOLETTO, Sandra; FOSSALUZA, Vitor; VIEIRA, Joaquim Edson; MIGUEL, Euripedes Constantino; ALVARENGA, Pedro Gomes de
Fonte: Associação Brasileira de Psiquiatria - ABP Publicador: Associação Brasileira de Psiquiatria - ABP
Tipo: Artigo de Revista Científica
ENG
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BACKGROUND: Although knowledge on developmental psychiatry is fundamental for the early recognition, treatment, and prevention of mental disorders, this subject has not been incorporated into the medical curriculum or psychiatric practice in Brazil. OBJECTIVE: To evaluate the effect of a short course on developmental psychiatry for undergraduate students and to expand education policies concerning developmental psychiatry in Brazil. METHODS: Before and after attending an extracurricular 12-hour, 4-day course on the fundamentals of developmental psychiatry, undergraduate health sciences students were tested regarding their knowledge of the subject. The pre-test/post-test included 12 randomly selected multiple-choice questions designed to evaluate knowledge related to developmental psychiatry and was administered together with a questionnaire designed to evaluate students' attitudes. To compare performances between groups, nonparametric analyses of ordinal categorical data were employed. RESULTS: The final sample comprised 43 students. The mean post-test score was significantly higher than the mean pre-test score (65.0% vs 39.9%; p < 0.0001). We found that strongly positive attitudes correlated with better performance. The 3rd and 4th year medical students performed better than the 1st and 2nd year medical students and the non-medical students. Sex differences favoring males were also observed. CONCLUSION: Our findings encourage additional educational policies related to developmental psychiatry which may result in direct clinical implications.; CONTEXTO: Apesar de vital para o reconhecimento precoce...

Uma fabrica de loucos : psiquiatria x espiritismo no Brasil (1900-1950); An insanity factory : psychiatry x spiritism in Brazil (1900-1950)

Angelica Aparecida Silva de Almeida
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 27/02/2007 PT
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história do Espiritismo e da Psiquiatria apresenta vários pontos de contato, mas este tem sido um tema pouco explorado pelos historiadores. No Brasil, particularmente, houve um acirrado, mas pouco investigado, confronto entre psiquiatras e espíritas na primeira metade do século XX em torno da "loucura espírita". o objetivo deste estudo foi investigar o processo de construção da representação da mediunidade 'enquanto loucura, aqui definida como "loucura espírita", ou seja, como as experiências mediúnicas espíritas passaram a ser interpretadas pelos psiquiatras como causa e/ou manifestação de doenças mentais. Este estudo se concentrou no local e período onde este conflito foi mais intenso, ou seja, no sudeste brasileiro, entre 1900 e 1950 No Brasil da primeira metade do século XX, tanto a Psiquiatria como o Espiritismo estavam em busca de legitimação, de seu espaço cultural, científico e institucional dentro da sociedade brasileira. Estes dois atores sociais estavam ligados às classes urbanas intelectualizadas e defendiam diferentes visões e abordagens terapêuticas relacionadas à questão da mente e da loucura. Ambos disputavam um mesmo espaço no campo científico, cultural, social e institucional, buscando a afirmação da própria legitimidade. Este conflito se manifestou através de constantes embates entre psiquiatras e espíritas. Os médicos publicaram teses...

Instruction in developmental psychiatry: preliminary findings at the undergraduate level in Brazil

Moraes,Erika Neves de Souza; Scivoletto,Sandra; Fossaluza,Vitor; Vieira,Joaquim Edson; Miguel,Euripedes Constantino; Alvarenga,Pedro Gomes de
Fonte: Associação Brasileira de Psiquiatria - ABP Publicador: Associação Brasileira de Psiquiatria - ABP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2011 EN
Relevância na Pesquisa
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BACKGROUND: Although knowledge on developmental psychiatry is fundamental for the early recognition, treatment, and prevention of mental disorders, this subject has not been incorporated into the medical curriculum or psychiatric practice in Brazil. OBJECTIVE: To evaluate the effect of a short course on developmental psychiatry for undergraduate students and to expand education policies concerning developmental psychiatry in Brazil. METHODS: Before and after attending an extracurricular 12-hour, 4-day course on the fundamentals of developmental psychiatry, undergraduate health sciences students were tested regarding their knowledge of the subject. The pre-test/post-test included 12 randomly selected multiple-choice questions designed to evaluate knowledge related to developmental psychiatry and was administered together with a questionnaire designed to evaluate students' attitudes. To compare performances between groups, nonparametric analyses of ordinal categorical data were employed. RESULTS: The final sample comprised 43 students. The mean post-test score was significantly higher than the mean pre-test score (65.0% vs 39.9%; p < 0.0001). We found that strongly positive attitudes correlated with better performance. The 3rd and 4th year medical students performed better than the 1st and 2nd year medical students and the non-medical students. Sex differences favoring males were also observed. CONCLUSION: Our findings encourage additional educational policies related to developmental psychiatry which may result in direct clinical implications.

O retrato da psiquiatria pelos cinemas norte-americano e brasileiro; The portrayal of psychiatry in American and Brazilian cinema

Oliva, Vitor Hugo Sambati; Zorzetto Filho, Dirceu; Lotufo Neto, Francisco
Fonte: Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria Publicador: Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; Formato: application/pdf
Publicado em 01/01/2010 POR
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INTRODUÇÃO: Em virtude de sua fácil acessibilidade, o cinema parece influenciar bastante a imagem que a sociedade faz da Psiquiatria. OBJETIVO: Realizar uma revisão sistemática da literatura sobre o retrato da Psiquiatria pelos cinemas norte-americano e brasileiro. MÉTODOS: Sem limite de data, fez-se uma busca bibliográfica manual e nos seguintes bancos de dados: LILACS, MedLine, PsychLit, PsycINFO e SciELO. Usaram-se as seguintes combinações de descritores em inglês e, nas bases LILACS e SciELO, os correspondentes em português: "psychiatry" E/OU "motion pictures as topic". Estipularam-se critérios precisos de inclusão e exclusão. RESULTADOS: Vinte artigos indexados e dois livros. No cinema norte-americano, tais fontes evidenciaram um constante retrato estereotipado de diferentes aspectos da Psiquiatria, cuja imagem se mostrou ambivalente e com cinco fases distintas de sua representação. No cinema brasileiro, os escassos estudos se limitaram praticamente à fase de "Retomada" e mostraram que a maioria dos filmes apresentava algum conteúdo psicopatológico. DISCUSSÃO: Apesar da dificuldade de comparação entre as fontes encontradas, uma vez que quase todas eram descritivas, foi possível traçar um paralelo do retrato da Psiquiatria entre as películas dos Estados Unidos e as nacionais. CONCLUSÃO: A representação da Psiquiatria difere bastante entre os cinemas norte-americano e brasileiro...

Psychosomatic Psychiatry: a European View

Lobo,Antonio; Lozano,Maximino; Diefenbacher,Albert
Fonte: The European Journal of Psychiatry Publicador: The European Journal of Psychiatry
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/06/2007 ENG
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Background: Consultation-Liaison (C-L) psychiatry, the discipline practiced by psychiatrists working with medical patients, has expanded considerably and the approval as the newest psychiatric subspecialty in the USA has been welcomed. However, the new denomination chosen, Psychosomatic Medicine, has stirred-up controversies in Europe. Methods: Review of the literature and discussion of historical, empirical and philosophical bases for a new proposal. Results: We argue that a new denomination is appropriate, and consider the term psychiatry unnegotiable: we are dealing with a specialized area in the psychiatric field, the answer from psychiatry to meet doctors' demands; and the complexity of psychopathological problems presented in medical patients requires specialized experience. Furthermore, contrary to some reductionist, biological views, we consider psychiatry a conspicuous, humanistic medical discipline. We also support the adjective psychosomatic, which reflects the history of the humanistic and scientific 'psychosomatic movement' in medicine. However, the ambiguities surrounding the word should be minimized. Psychosomatic views have been and may still be a stimulus for productive research and for advance in the field, but the excesses of some psychogenetic...

Chromosomal abnormalities in clinical psychiatry: a report of two older patients

Verhoeven,W.M.A.; Tuerlings,J.H.A.M.; Ravenswaay-Arts,C.M.A. van; Boermans,J.A.J.; Tuinier,S.
Fonte: The European Journal of Psychiatry Publicador: The European Journal of Psychiatry
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/09/2007 ENG
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Background and Objectives: In clinical psychiatry genetic anomalies are infrequently part of the differential diagnosis, especially in the elderly. Two case reports are used to illustrate the relevance of a genetic workup for diagnosis, treatment and prognosis. Methods: A female and a male patient, aged 81 and 68 year respectively, were admitted because of psychotic symptoms. Despite their relatively low level of intelligence together with autistic-like behaviour in the female patient and dysmorphias in the male patient, a genetic disorder was previously never considered. Results: In the female patient a balanced translocation between chromosomes X and 19 was found, while in the male patient a mosaic trisomy 8 was demonstrated. Conclusions: Genetic analysis is indicated in patients with autism, lower intelligence, unexplained somatic anomalies and dysmorphias.

Ambiguity at the crossroads of psychiatry and demoralization: Reflections and possibilities

Alarcón,Renato D.
Fonte: The European Journal of Psychiatry Publicador: The European Journal of Psychiatry
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/03/2013 ENG
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Background and Objectives: The concept and the impact of Ambiguity in the complex field of all human transactions have been captured by the texture of Culture and its many faces across the world. It generates intense debates reaching even most if not all areas of Science, once considered an unchallengeable source of precision and clarity. This article deals with the role Ambiguity plays in contemporary Culture and in the current state of Medicine in general, and Psychiatry in particular, in spite of advances in basic, clinical and technology-based research and practice. Ambiguity affects psychiatric nosology, diagnosis, treatment, prognosis and outcome. Almost inevitably, Ambiguity leads to polarities, disagreements and conflict. Examples of each if these situations are presented. Not surprisingly, it also influences the emergence of Demoralization, a psycho-existential feature that, paradoxically can be both the acme of failure, and the pathway towards hope, an essential ingredient in the psychotherapeutic encounter. As the latter, Demoralization cannot be a "mental disorder", although its ambiguous nature contributes to a pervasive uncertainty. At the crossroads of Ambiguity, Psychiatry and Demoralization must look for a better level of communication as a way to lessen the impact of Ambiguity and make it not only a core...

A proposal of basic guidelines for training in psychosomatic and liaison psychiatry in Spanish psychiatry training programs

Gómez-Reino,Ignacio; Ventura,Tirso; Estévez,Xaqueline; Espárrago,Guadalupe; Marco,Carlos
Fonte: The European Journal of Psychiatry Publicador: The European Journal of Psychiatry
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/09/2014 ENG
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Background and Objectives: The Psychosomatic and Liaison Psychiatry is an emerging psychiatric subspecialty. This article is intended to summarize the philosophy supporting training programmes in Spain, and the recommended training guidelines. Methods: Review of the literature and teaching experience. Results: The increasing complexity of diagnosis and treatment, and the demand by patients and providers of resources for higher and more efficient quality of care, make skills training a key tool for achieving these goals. The human being is biology, feelings, thoughts, experiences and thus individuality when sick. Understanding all this is the core on which to base our competencies in this exciting crossroads between psychiatry and other medical specialties. We propose a set of competencies to achieve, and point learning spaces and evaluation mechanisms. Conclusions: Based on accumulated experiences in Spain, and the review of European and international literature, it is possible to summarize a realistic set of norms and directions for training in Psychosomatic and Liaison Psychiatry in residency programmes.

Innovative methods in teaching psychiatry to medical students

Lobo,Antonio; Cámara,Concepción de-la; Campos,Ricardo; Ventura,Tirso; Marco,Carlos; Campayo,Antonio; Dourdil,Federico; Barcones,Mari Fé; Saz,Pedro
Fonte: The European Journal of Psychiatry Publicador: The European Journal of Psychiatry
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/03/2015 ENG
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Background and Objectives: To test the conjecture that the innovative method to teach psychosomatic psychiatry previously reported will be confirmed as beneficial in the training of medical students in the field of general psychiatry. Methods: The emphasis in this course is placed on the discussion of clinical cases, bed-side clinical teaching, and a research-oriented part. The “Innovative Teaching Plan” (ITP) is intended to train student-leaders to guide small groups (SG) of students. The results of an intensive clerkship on bedside teaching are also studied. Trainee performance was assessed by the marks in the final examination, and a reliable and valid tool, the Medical Tea­ching Quality Questionnaire (MTQQ) was used to document trainee satisfaction. The results of five academic courses are presented in this report. Results: External experts consulted assured that the content of the course was adequate. Eight hundred and thirty eight medical students have completed the learning course in the study period, and 418 (one of the two groups) completed the evaluation with the MTQQ. Most items related to the students' satisfaction were rated “high” or “very high”, including the items asking about the usefulness of the course for physicians...

Changes in the attitudes towards psychiatry among Spanish medical students during training in psychiatry

Bulbena,Antonio; Pailhez,Guillem; Coll,Joaquim; Balon,Richard
Fonte: The European Journal of Psychiatry Publicador: The European Journal of Psychiatry
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/06/2005 ENG
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Background: To gain an understanding of the process of recruitment, studying changes in attitudes and views towards psychiatry among Spanish medical students during their fourth academic year. Methods: A 33-item questionnaire was administered to 48 medical students before and after having completed training in psychiatry. Comparative data analysis was carried out using the Wilcoxon test. Results: The comparison showed that there was a reduction in the number of students reporting that "psychiatrists abuse their legal power", that "for most specialists in this area, psychiatry was not their preferred choice" and that "those students interested in psychiatry are regarded as odd or peculiar". However, the view that "psychiatry is an expanding frontier of medicine" decreased among the students. The percentage of students considering psychiatry as a future career rose from 4.2% to 10.4% after training. Conclusions: The students' opinions change with the experience of training in psychiatry and become more realistic. Alongside these changes in attitudes, there is an increase in the proportion of students willing to consider psychiatry as a future career, which suggests that there is no reduction in vocations for psychiatry among Spanish students.

Psychosomatic medicine: A new psychiatric subspecialty in the U.S. focused on the interface between psychiatry and medicine

Lyketsos,Constantine G.; Huyse,Frits J.; Gitlin,David F.; Levenson,James L.
Fonte: The European Journal of Psychiatry Publicador: The European Journal of Psychiatry
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/09/2006 ENG
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Background and Objectives: In the past, Psychosomatic Medicine (PM) has had ambiguous connotations, and there have been many other names for this specialized fields, including Consultation-Liaison Psychiatry. The objective of this report is to briefly review the background, the history and current status of PM, which recently was recognized in the U.S. a psychiatric subspecialty. Methods: Historical review and review of the literature. Results: PM has a rich history. Psychoanalysts and psychophysiologists pioneered the study of mind-body interactions, and crucial events in the development include the funding of PM units in several U.S. teaching hospitals by the Rockefeller Foundation, and the training grants and a research development program funded by the National Institute of Mental Health. By the 1980s, all psychiatry residency programs were requiered to provide substancial clinical experience in the field, and as of 2005 there were 32 fellowship programs in the Academy of Psychosomatic Medicine's (APM) directory. In 2001, The Academy of Psychosomatic Medicine (APM) applied for the recognition of PM as a subspecialty of psychiatry, and formal approval was granted by the American Board of Medical Specialties (ABMS) in March 2003. The foundation of PM is a specialized body of scientific knowledge regarding psychiatric aspects of medical illness. This has been articulated in contemporary textbooks...