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The Practice of Psychiatry in the 21stCentury: Challenges for Psychiatric Education

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Abstract

Objective

To consider how shifting scientific, technological, social, and financial pressures are likely to significantly alter psychiatric practice, careers, and education in the 21st century, this article reviews trends and innovations likely to have an effect on tomorrow’s psychiatrists and their educators.

Results

The psychiatric profession and its educators can anticipate great change, creating opportunities as well as challenges.

Conclusion and Implications

Although considerable adaptability will be required to keep up with current trends, personal and professional rewards for psychiatric educators and practitioners are likely to remain substantial.

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References

  1. http://www.marketingcharts.com/interactive/61%-of-American-adults-seek-online-medical-info-9464/ (searched Nov 15, 2010)

  2. Fisher ES: Building a medical neighborhood for the medical home. N Engl J Med 2008; 359:1202–1205

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  3. Keyser DJ, Houtsinger JK, Watkins K, et al: Applying the Institute of Medicine quality chasm framework to improving health care for mental and substance use conditions. Psychiatr Clin N Am 2008; 31:43–56

    Article  Google Scholar 

  4. Simon GE, Ludman EJ, Tutty S, et al: Telephone psychotherapy and telephone care management for primary care patients starting antidepressant treatment: a randomized, controlled trial. JAMA 2004; 292:935–942

    Article  CAS  PubMed  Google Scholar 

  5. Roy-Byrne P, Craske MG, Sullivan G, et al: Delivery of evidence-based treatment for multiple anxiety disorders in primary care: a randomized, controlled trial. JAMA 2010; 303:1921–1928

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  6. Deegan PE, Rapp C, Holter M, et al: Best practices: a program to support shared decision-making in an outpatient psychiatric medication clinic. Psychiatr Serv 2008; 59:603–605

    Article  PubMed  Google Scholar 

  7. Murphy E, Kapur N, Webb R, et al: Risk assessment following self-harm: comparison of mental health nurses and psychiatrists. J Adv Nurs 2011; 67:127–139

    Article  PubMed  Google Scholar 

  8. Yager J: The 2002 Psychologist Prescribing Law in New Mexico: the psychiatrist’s perspective. Maryland Med 2002; 3:21–25, 45

    Google Scholar 

  9. Arora S, Geppert C, Kalishman S, et al: Academic health center management of chronic diseases through knowledge networks: Project Echo. Acad Med 2007; 82:154–160

    Article  PubMed  Google Scholar 

  10. http://en.wikipedia.org/wiki/AmpliChip. (searched Nov 15, 2010)

  11. Nurnberger JI Jr: New hope for pharmacogenetic testing. Am J Psychiatry 2009; 166:637–638

    Google Scholar 

  12. Perlis RH, Holt DJ, Smoller JW, et al: Phenotype—Genotype Project on Addiction and Mood Disorders: association of a polymorphism near CREB1 with differential aversion processing in the insula of healthy participants. Arch Gen Psychiatry 2008; 65:882–892

    Article  PubMed Central  PubMed  Google Scholar 

  13. Tsankova N, Renthal W, Kumar A, et al: Epigenetic regulation in psychiatric disorders. Nat Rev Neurosci 2007; 8:355–367

    Article  CAS  PubMed  Google Scholar 

  14. da Rocha FF, Correa H, Teixeira AL: Obsessive-compulsive disorder and immunology: a review. Prog Neuropsychopharmacol Biol Psychiatry 2008; 32:1139–1146

    Article  PubMed  Google Scholar 

  15. Kayser MS, Kohler CG, Dalmau J: Psychiatric manifestations of paraneoplastic disorders. Am J Psychiatry 2010; 167:1039–1050

    Article  PubMed  Google Scholar 

  16. Kerr JN, Denk W: Imaging in vivo: watching the brain in action. Nat Rev Neurosci 2008; 9:195–205

    Article  CAS  PubMed  Google Scholar 

  17. http://www.nimh.nih.gov/research-funding/rdoc.shtml (searched Nov 15, 2010)

  18. Insel TR: Faulty circuits. Sci Am 2010; 302:44–51

    Article  PubMed  Google Scholar 

  19. Shin LM, Liberzon I: The neurocircuitry of fear, stress, and anxiety disorders. Neuropsychopharmacology 2010; 35:169–191

    Article  PubMed  Google Scholar 

  20. Iacoboni M: Mirroring People: The New Science of How We Connect With Others. New York, Farrar, Straus & Giroux, 2008

    Google Scholar 

  21. King-Casas B, Sharp C, Lomax-Bream L, et al: The rupture and repair of cooperation in borderline personality disorder. Science 2008; 321:806–810

    Article  CAS  PubMed  Google Scholar 

  22. Folensbee R: Neuroscience of Psychological Therapies. Cambridge UK, Cambridge University Press, 2007

    Book  Google Scholar 

  23. http://www.selectcourses.com/blog/2009/100-apps-to-turn-your-iphone-into-the-ultimate-personal-assistant/ (searched Nov 15, 2010)

  24. http://www.shinyshiny.tv/2010/06/psychology_iphone_app.html (searched Nov 15, 2010)

  25. http://www.signalpatterns.com/iphone/livehappy_std.html (searched Nov 15, 2010)

  26. Swendsen J, Ben-Zeev D, Granholm E: Real-Time Electronic Ambulatory Monitoring of Substance Use and Symptom Expression in Schizophrenia. Am J Psychiatry, AJP in Advance. Published Nov 15, 2010 (doi: 10.1176/appi.ajp. 2010. 10030463), 2011; 168:202–209

    Article  Google Scholar 

  27. www.neurovigil.com/ (searched Nov 15, 2010)

  28. Oller DK, Niyoqi P, Gray S, et al: Automated vocal analysis of naturalistic recordings from children with autism, language delay, and typical development. PNAS 2011; 107: 13354–13359

    Article  Google Scholar 

  29. http://www.imagination-engines.com/thaler.htm (searched Nov 15, 2010)

  30. Rothbaum BO, Rizzo AS, Difede J: Virtual-reality exposure therapy for combat-related posttraumatic stress disorder. Ann N Y Acad Sci 2010; 1208:126–132

    Article  PubMed  Google Scholar 

  31. Robillard G, Bouchard S, Fournier T, et al: Anxiety and presence during VR immersion: a comparative study of the reactions of phobic and non-phobic participants in therapeutic virtual environments derived from computer games. Cyberpsychol Behav 2003; 6:467–476

    Article  PubMed  Google Scholar 

  32. http://www.wired.com/culture/lifestyle/commentary/sexdrive/2007/01/72524 (searched Nov 27, 2010)

  33. http://www.virtualworldlets.net/Resources/ResourceList.php?ID=46 searched Nov 27, 2010

  34. Eyding D, Lelgemann M, Grouven U, et al: Reboxetine for acute treatment of major depression: systematic review and meta-analysis of published and unpublished placebo and selective serotonin reuptake inhibitor controlled trials. BMJ 2010; 341:c4737

    Article  PubMed Central  PubMed  Google Scholar 

  35. Wiseler B, McGauran N, Kaiser T: Finding studies on re-boxetine: a tale of hide-and-seek. BMJ 2010; 341:c4942

    Article  Google Scholar 

  36. http://vrpsych.ict.usc.edu/research.html (searched Nov 27, 2010)

  37. Mojtabai R, Olfson M: National trends in psychotherapy by office-based psychiatrists. Arch Gen Psychiatry 2008; 65: 962–970

    Article  PubMed  Google Scholar 

  38. Alexander B, Warner-Schmidt J, Eriksson T, et al: Reversal of depressed behaviors in mice by p11 gene therapy in the nucleus accumbens. Sci Transl Med 2010; 2:54ra76

    Article  PubMed Central  PubMed  Google Scholar 

  39. Knöpfel T, Lin MZ, Levskaya A, et al: Toward the second generation of optogenetic tools. J Neurosci 2010; 30:14998–15004

    Article  PubMed Central  PubMed  Google Scholar 

  40. Kluge MG: The Haphazard Construction of the Human Mind. New York, Houghton Mifflin, 2008

    Google Scholar 

  41. McGuire MT, Troisi A: Darwinian Psychiatry. Oxford, UK, Oxford U Press, 1998

    Google Scholar 

  42. Stevens A, Price J: Evolutionary Psychiatry, 2nd Edition. Philadelphia, PA, Routledge/Taylor & Francis, 2000

  43. Brune M: Textbook of Evolutionary Psychiatry. Oxford, UK, Oxford Univ. Press, 2008

    Google Scholar 

  44. Kupfer DJ, First M, Regier DA: A Research Agenda For DSM-V: Defining Psychopathology in the 21st Century. Arlington, VA, American Psychiatric Press, Inc., 2002

    Google Scholar 

  45. Hyman SE: The diagnosis of mental disorders: the problem of reification. Annu Rev Clin Psychol 2010; 6:155–179

    Article  PubMed  Google Scholar 

  46. Lambert M (ed.): Bergin and Garfield’s Handbook of Psychotherapy and Behavior Change, 5th Edition. New York, Wiley, 2004

    Google Scholar 

  47. Prochaska JO, Norcross JC (eds.): Systems of Psychotherapy: A Transtheoretical Analysis, 6th Edition. Pacific Beach, CA, Thomson/Brooks/Cole, 2007

    Google Scholar 

  48. Jacques E: Requisite Organization: Total System for Effective Managerial Organization and Managerial Leadership for the 21st Century. London, UK, Gower, 1997

    Google Scholar 

  49. Caplow T: How to Run any Organization. Hinsdale IL, Dryden, 1976

    Google Scholar 

  50. Postman N, Weingartner C: Teaching as a Subversive Activity. New York, Delta Books, 1969

    Google Scholar 

  51. Yager J, Feinstein RE: Medical education meets pharma: moving ahead. Acad Psychiatry 2010; 34:92–97

    Article  PubMed  Google Scholar 

  52. Stalmeijer R: Health Sci Educ 2009; 14:535–546

    Article  Google Scholar 

  53. Clive M, Gray CM, Loubser S, et al: Immunology for clinicians: a “Trojan horse” approach. Science 2010; 329:1613–1614

    Article  Google Scholar 

  54. http://www.sciencemag.org/special/spore/ (searched Nov 27, 2010)

  55. Epstein R: Assessment in medical education. N Engl J Med 2007; 356:387–396

    Article  CAS  PubMed  Google Scholar 

  56. Yager J, Kay J: Assessing psychotherapy competence in psychiatric residents: getting real. Harvard Rev Psychiatry 2003; 11:109–112

    Google Scholar 

  57. Gardner H, Csikszentmihalyi M, Damon W: Good Work: When Excellence and Ethics Meet. New York, Basic Books, 2002

    Google Scholar 

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Authors and Affiliations

  1. Dept. of Psychiatry, University of Colorado, Aurora, CO

    Joel Yager M.D.

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  1. Joel Yager M.D.
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Correspondence to Joel Yager M.D..

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Yager, J. The Practice of Psychiatry in the 21stCentury: Challenges for Psychiatric Education. Acad Psychiatry 35, 283–292 (2011). https://doi.org/10.1176/appi.ap.35.5.283

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  • DOI: https://doi.org/10.1176/appi.ap.35.5.283

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