Administration in mental health

, Volume 15, Issue 1, pp 47–57 | Cite as

Stresses, supports and job satisfactions of psychiatrist executives

  • Ellen Sherwood
  • Milton Greenblatt


Impressed that psychiatrists are leaving executive posts in large numbers, we sought clues to reversing this trend by studying responses of 250 subjects who, in their residency years, seemed promising as future leaders. Some 87 percent had experience as administrators in either public or private sectors. Their stresses fell into the general areas: job related, professional identity, and scrutiny. Support systems included personal relations, consultants, continuing professional education, and public representatives. Private sector administrators reported significantly less job related stress, used consultants more, and were more satisfied with remunerative aspects of jobs and with their work in general. Suggestions are made for training psychiatrists in executive medicine.


Public Health Private Sector Support System Personal Relation Professional Education 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Andrulis, D.P., & Mazade, N.A. (1983). American mental health policy: Changing directions in the 80s.Hospital Community Psychiatry, 34(7), 601–606.Google Scholar
  2. Arce, A.A. (1978, July). State hospital administration: An occupational dilemma.Psychiatric Opinion, 17–21.Google Scholar
  3. Astrachan, B.M. (1980). Regulation, adaptation, and leadership in psychiatric facilities.Hospital Community Psychiatry, 31(3), 169–174.Google Scholar
  4. Baltzer, D.J., & Jensen, J.M. (1983, July/August). The administrative residency in a multi-institutional system.Hospital Health Service Administration, 95–105.Google Scholar
  5. Barton, W.E. (1983). What's new in administration?Hospital Community Psychiatry, 34(5) 441–443.Google Scholar
  6. Comrey, A.L. (1973). A First Course in Factor Analysis. New York: Academic Press.Google Scholar
  7. Dentzer, S. Hagar M. Zuckerman, S. Buckley, J. Michael, R. Wang, P. (1983, October). The big business of medicine.Newsweek 62–74.Google Scholar
  8. Feldman, S. (1974, Summer). Educating the future mental health executive—A graduate curriculum.Administration in Mental Health, 74–85.Google Scholar
  9. Feldman, S. (1981). Leadership in mental health: Changing the guard for the 1980s.Am. J Psychiatry, 138(9). 1147–1153.Google Scholar
  10. Gaver, K., Norman, M., & Greenblatt, M. (1984). Life at the state summit: Views and experiences of 18 psychiatric leaders.Hospital Community Psychiatry, 35(33) 233–238.Google Scholar
  11. Greenblatt, M. (1971). The elongated shadow.Compr Psychiatry 12:293–301.Google Scholar
  12. Greenblatt, M. (1972). Administrative psychiatry.American Journal Psychiatry, 129 373–386.Google Scholar
  13. Greenblatt, M. (1974). Psychopolitics.American Journal Psychiatry, 131, 11 1197–1203.Google Scholar
  14. Greenblatt, M. (1978).Psychopolitics. New York: Grune & Stratton.Google Scholar
  15. Greenblatt, M. (1983). The unique contribution of psychiatrists to leadership roles.Hopital Community Psychiatry, 34(3), 260–262.Google Scholar
  16. Greenblatt, M., & Rose, S. (1977). Illustrious psychiatric administrators.American Journal Psychiatry, 134(6), 626–630.Google Scholar
  17. Greenblatt, M., Gaver, K. D., & Norman, M. (1983). Psychiatric leadership: The paths to the summit: The risks and the rewards. American College of Mental Health Administrators Annual Meeting. St. Petersberg, Florida.Google Scholar
  18. Greenblatt, M., Gaver, K.D., & Sherwood, E. (1986). After Commissioner, what?American Journal Psychiatry, 143(6), 764–767.Google Scholar
  19. Holder, H. (1971). Delivery of mental health services in the city of the future.American Behavioral Scientist, 14 893–908.Google Scholar
  20. Keill, S.L. (1978, July). Psychiatrists and state mental health systems.Psychiatric Opinion. 10–18.Google Scholar
  21. Maslow, A.H. (1954).Motivation and personality. New York: Harper.Google Scholar
  22. Relman, A. (1980, October). The new medical-industrial complex.New England Journal of Medicine, 960–965.Google Scholar
  23. Ryan, R.M. (1974, Summer). Managing mental health professionals: An alternative future.Administration in Menial Health, 68–73.Google Scholar
  24. Talbott, J.A. (1979). Why psychiatrists leave the public sector.Hospital Community Psychiatry, 30(11), 778–782.Google Scholar
  25. Tatsuoka, M.M. (1971).Multivariate analysis. New York: John Wiley & Sons.Google Scholar
  26. Whittington, H.G. (1974, Spring). “Re-privatization” in mental health.Administration in Mental Health 23–28.Google Scholar

Copyright information

© Human Sciences Press 1987

Authors and Affiliations

  • Ellen Sherwood
  • Milton Greenblatt

There are no affiliations available

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