Academic Psychiatry

, Volume 38, Issue 2, pp 177–184 | Cite as

Neuroscience and Humanistic Psychiatry: a Residency Curriculum

  • James L. Griffith
Empirical Report



Psychiatry residencies with a commitment to humanism commonly prioritize training in psychotherapy, cultural psychiatry, mental health policy, promotion of human rights, and similar areas reliant upon dialogue and collaborative therapeutic relationships. The advent of neuroscience as a defining paradigm for psychiatry has challenged residencies with a humanistic focus due to common perceptions that it would entail constriction of psychiatric practice to diagnostic and psychopharmacology roles. The author describes a neuroscience curriculum that has taught psychopharmacology effectively, while also advancing effectiveness of language-based and relationship-based therapeutics.


In 2000, the George Washington University psychiatry residency initiated a neuroscience curriculum consisting of (1) a foundational postgraduate year 2 seminar teaching cognitive and social neuroscience and its integration into clinical psychopharmacology, (2) advanced seminars that utilized a neuroscience perspective in teaching specific psychotherapeutic skill sets, and (3) case-based teaching in outpatient clinical supervisions that incorporated a neuroscience perspective into traditional psychotherapy supervisions. Curricular assessment was conducted by (1) RRC reaccreditation site visit feedback, (2) examining career trajectories of residency graduates, (3) comparing PRITE exam Somatic Treatments subscale scores for 2010–2012 residents with pre-implementation residents, and (4) postresidency survey assessment by 2010–2012 graduates.


The 2011 RRC site visit report recommended a “notable practice” citation for “innovative neurosciences curriculum.” Three of twenty 2010–2012 graduates entered neuroscience research fellowships, as compared to none before the new curriculum. PRITE Somatic Treatments subscale scores improved from the 23rd percentile to the 62nd percentile in pre- to post-implementation of curriculum (p < .001). Recent graduates rated effectiveness of clinical psychopharmacology training as 8.6 on ten-point Likert scale.


From multiple vantage points of assessment, these outcome results support effectiveness of this neuroscience curriculum for a residency committed to humanistic psychiatry as its primary mission. As a naturalistic study, further examination of its methods in pretest and posttest assessments and a multisite comparison is warranted.


Neuroscience education Humanism 



The author has no competing interests to disclose.


  1. 1.
    Kirmayer L, Gold I. Re-socializing psychiatry: critical neuroscience and the limits of reductionism, in critical neuroscience. In: Choudhury S, Slaby J, editors. A handbook of the social and cultural contexts of neuroscience. West Sussex: Wiley Blackwell; 2012. p. 307–30.Google Scholar
  2. 2.
    Bracken P, Thomas P, Timimi S, et al. Psychiatry beyond the current paradigm. Br J Psychiatry. 2012;201(6):430–4.PubMedCrossRefGoogle Scholar
  3. 3.
    Havens L. Approaches to the mind: movement of the psychiatric schools from sects toward science. Boston: Little, Brown, & Co; 1973. p. 156–7.Google Scholar
  4. 4.
    Solomon R. Phenomenology and existentialism. Lanham: Rowman & Littlefield; 1980. p. 1–41.Google Scholar
  5. 5.
    Levinas E. Totality and infinity (A. Lingis, trans.). Pittsburgh: Duquesne University Press; 1961.Google Scholar
  6. 6.
    Buber M. I and thou (2nd edition). New York: Macmillan; 1958.Google Scholar
  7. 7.
    Kleinman A. Rethinking psychiatry: from cultural category to personal experience. New York: The Free Press; 1988.Google Scholar
  8. 8.
    Bateson G. Mind and Nature. New York: EP Dutton; 1979.Google Scholar
  9. 9.
    Bateson G. Steps to an ecology of mind. Northvale: Jason Aronson; 1987.Google Scholar
  10. 10.
    Shotter J. Conversational realities revisited: life, language, body, and world. Chagrin Falls: Taos Publications; 2008.Google Scholar
  11. 11.
    Geertz C. Local knowledge: further essays in interpretive anthropology. New York: Basic Books; 1993.Google Scholar
  12. 12.
    Maturana H, Varela FJ. The tree of knowledge. Boston: Shambhala Pub; 1987.Google Scholar
  13. 13.
    Lambert MJ, Bergin AE. The effectiveness of psychotherapy. In: Bergin AE, Garfield S, editors. Handbook of Psychotherapy and Behaviour Change, Fourth Edition. New York: Wiley; 1994. p. 143–89.Google Scholar
  14. 14.
    Snyder CR, editor. Handbook of hope: theory, measurements, and applications. New York: Academic; 1994.Google Scholar
  15. 15.
    Arnsten AF. Stress signalling pathways that impair prefrontal cortex structure and function. Nat Rev Neurosci. 2009;10(6):410–22.PubMedCentralPubMedCrossRefGoogle Scholar
  16. 16.
    Brewer MB. Intergroup relations. New York: Open University Press; 2003. p. 28.Google Scholar
  17. 17.
    Fliessback K, Weber B, Trautner P, et al. Social comparison affects reward-related brain activity in the human ventral striatum. Science. 2007;318:305–8.Google Scholar
  18. 18.
    Singer T, Seymour B, O’Doherty JP, et al. Empathic neural responses are modulated by the perceived fairness of others. Nature. 2009;439:466–9.CrossRefGoogle Scholar
  19. 19.
    Roozendaal B, McEwen BS, Chattarji S. Stress, memory, and the amygdala. Nat Rev Neurosci. 2009;10:423–33.PubMedCrossRefGoogle Scholar
  20. 20.
    Rothschild B. The body remembers: the psychophysiology of trauma and trauma treatment. New York: WW Norton; 2000.Google Scholar
  21. 21.
    Dingle AD, editor. Psychiatry resident in-training examination: American College of Psychiatrists; 2011.Google Scholar

Copyright information

© Academic Psychiatry 2014

Authors and Affiliations

  1. 1.The George Washington University Medical CenterWashingtonUSA

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