Recruitment and workforce issues in late 20th century American psychiatry

Conclusion

In the waning years of this decade, American psychiatry faces a new set of challenges as it prepares for a new century. The challenges of this era, unlike those of one hundred years ago are more political and economic than scientific. We have established a scientific basis for our knowledge of the biology and psychology of behavior. We have firmly anchored ourselves in the rich traditions of science and medicine. However, we need to secure a definition of our field that maintains the union of psychology and biology. From our definition, we need to sustain and develop diverse therapies which include pharmacotherapy and psychotherapy. Our choice will lead either to our remaining a broad energetic discipline whose science and ideas readily attract new recruits or a dull restrictive one with few recruits and limited possibilities. Having accomplished this, we can address the political and economic basis of American life which has less resources to commit to medicine. Our success in society's accepting and supporting our broad definition coupled with a commitment of essential resources for psychiatric education will assure our future.