Academic Psychiatry

, Volume 38, Issue 6, pp 716–719 | Cite as

Using Breaking Bad to Teach About Defense Mechanisms

  • Justin M. JohnsonEmail author
  • Eugene V. Beresin
  • Theodore A. Stern
Column: Media


Defense mechanisms represent an important component of medical education that should be taught to all medical students, psychiatry residents, and other mental health trainees. Teaching about defense mechanisms can become more engaging by analyzing popular media. Using Breaking Bad, a well-known television show, we recommend specific scenes and episodes that can be used in teaching about defense mechanisms.

Keywords Defense mechanisms Psychiatry education Breaking Bad Television Media 



On behalf of all authors, the corresponding author states that there is no conflict of interest.


  1. 1.
    Hyler SE, Moore J. Teaching psychiatry? Let Hollywood help! Suicide in the cinema. Acad Psychiatry. 1966;20:212–9.CrossRefGoogle Scholar
  2. 2.
    Fritz GK, Poe RO. The role of a cinema seminar in psychiatric education. Am J Psychiatry. 1979;136:207–10.PubMedGoogle Scholar
  3. 3.
    Hyler SE. DSM-III at the cinema: madness in the movies. Compr Psychiatry. 1988;29:195–206.PubMedCrossRefGoogle Scholar
  4. 4.
    Hyler SE, Schanzer B. Using commercially available films to teach about borderline personality disorder. Bull Menn Clin. 1997;61:458–68.Google Scholar
  5. 5.
    Wedding D, Boyd MA. Movies and mental illness. In: Using films to understand psychopathology. New York: McGraw-Hill College; 1999.Google Scholar
  6. 6.
    Welsh CJ. OD’s and DT’s: using movies to teach intoxication and withdrawal syndromes to medical students. Acad Psychiatry. 2003;27(3):182–6.PubMedCrossRefGoogle Scholar
  7. 7.
    McNeilly DP, Wengel SP. The “ER” seminar: teaching psychotherapeutic techniques to medical students. Acad Psychiatry. 2001;25(4):193–200.PubMedCrossRefGoogle Scholar
  8. 8.
    Lewis MA. From victim to victor: “Breaking Bad” and the dark potential of the terminally empowered. Cult Med Psychiatry. 2013;37(4):656–69.PubMedCrossRefGoogle Scholar
  9. 9.
    Brownfield, P. The Writers Guild of America, West. = 4857; Retrieved August 16, 2013.
  10. 10.
    Datta V. Madness and the movies: an undergraduate module for medical students. Int Rev Psychiatry. 2009;21:261–6.PubMedCrossRefGoogle Scholar
  11. 11.
    Gramaglia C, Jona A, Imperatori F, Torre E, Zeppegno P. Cinema in the training of psychiatry residents: focus on helping relationships. BMC Med Educ. 2013;13:90.PubMedCentralPubMedCrossRefGoogle Scholar
  12. 12.
    Freud A. The ego and mechanisms of defense. London: Hogarth; 1937 (Original work published 1936).Google Scholar
  13. 13.
    Gabbard GO. Psychodynamic psychiatry in clinical practice. 4th Edition. American Psychiatric Publishing. 2005.Google Scholar
  14. 14.
    Reiser MF. Are psychiatric educators “losing the mind”? Am J Psychiatry. 1988;2:148–53.Google Scholar
  15. 15.
    Harper G, Becker DF, Copans SA, Flaherty LT, Gharib K, Krasner AJ, et al. Committee on adolescence, group for the advancement of psychiatry. Being with the patient: the use of “clinical evidence”, reconsidered. J Nerv Ment Dis. 2013;20(9):813–7.CrossRefGoogle Scholar
  16. 16.
    Dingle AD, Beresin E. Competencies. Child Adolesc Psychiatr Clin N Am. 2007;16(1):225–47.PubMedCrossRefGoogle Scholar
  17. 17.
    Beresin E, Mellman L. Competencies in psychiatry: the new outcomes-based approach to medical training and education. Harv Rev Psychiatry. 2002;10:185–91.PubMedCrossRefGoogle Scholar
  18. 18.
    Burke MJ, Campbell C, Dunstone D, Lamdan R, Levine R, Roman B, Rosenthal R, Waterman S, Sierles F, Brodkey A. Clinical learning objectives guide for psychiatry education of medical students. Association of Directors of Medical Student Education in Psychiatry (ADMSEP). Retrieved March 13, 2014.
  19. 19.
    Benbassat J, Baumal R. What is empathy, and how can it be promoted during clinical clerkships? Acad Med. 2004;79(9):832–9.PubMedCrossRefGoogle Scholar
  20. 20.
    Neumann M, Elizur A. Group experience as a means of training medical students. J Med Educ. 1979;54(9):714–9.PubMedGoogle Scholar
  21. 21.
    Functions and structure of a medical school. Liaison Committee on Medical Education. June 2013. r Retrieved March 13, 2014.
  22. 22.
    Gabbard GO. Theories of personality and psychopathology, from Sadock BJ and Sadock VA. Comprehensive textbook of psychiatry. Seventh Edition, Volume One. 2000; pages 584–585.Google Scholar
  23. 23.
    Laplanche J, Pontalis JB. The language of psychoanalysis. The Hogarth Press. 1973Google Scholar
  24. 24.
    Brenner C. An elementary textbook of psychoanalysis. Doubleday Anchor Books. 1957.Google Scholar

Copyright information

© Academic Psychiatry 2014

Authors and Affiliations

  • Justin M. Johnson
    • 1
    Email author
  • Eugene V. Beresin
    • 1
  • Theodore A. Stern
    • 1
  1. 1.Harvard Medical SchoolBostonUSA

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