Skip to main content

Advertisement

Log in

Education in Psychopathology in Europe: Results from a Survey in 32 Countries

  • Empirical Report
  • Published:
Academic Psychiatry Aims and scope Submit manuscript

Abstract

Objectives

The aim of the present paper is to assess the current status of training on psychopathology in Europe and to identify the unmet needs of training on psychopathology.

Methods

An online survey was carried out during the period July–December 2013. Forty-one representatives of early career psychiatrists of their national associations were invited to participate. Each respondent was asked to provide the collective feedback of the association rather than that of any of its individual officer or member.

Results

Thirty-two associations returned the questionnaire out of the 41 contacted (response rate, 78 %). All respondents recognized psychopathology as a core component of training in psychiatry. According to respondents, the primary aims of psychopathology are (a) to assess psychiatric symptoms (47 %), (b) to understand patients’ abnormal experiences (33 %), and (c) to make nosographical diagnosis (20 %). A formal training course in psychopathology is available in 29 out of the 32 surveyed countries. In most countries, (a) there is not a defined number of hours dedicated to psychopathology, (b) teaching is mainly theoretical, and (c) a structured training on psychometric tools is missing. At the end of the training, about half of trainees is not satisfied with received training in psychopathology.

Conclusions

According to European early career psychiatrists, there is the need to rethink training in psychopathology, which should be at the heart of training in psychiatry and the key element of psychiatric practice. Education in psychopathology is affected by several unmet needs, such as lack of appropriate training in the use of psychometric instruments, lack of supervision, and lack of practical skills.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Stanghellini G. Psychopathology: re-humanizing psychiatry. Acta Psychiatr Scand. 2013;127:436–7.

    Article  PubMed  Google Scholar 

  2. Stanghellini G, Fuchs T. One century of Karl Jaspers’ general psychopathology. Oxford/New York: Oxford University Press; 2013.

    Google Scholar 

  3. Nordgaard J, Parnas J. A haunting that never stops: psychiatry’s problem of description. Acta Psychiatr Scand. 2013;127:434–5.

    Article  PubMed  Google Scholar 

  4. Andreasen NC. DSM and the death of phenomenology in America: an example of unintended consequences. Schizophr Bull. 2007;33:108–12.

    Article  PubMed Central  PubMed  Google Scholar 

  5. Raballo A, Krueger J. Phenomenology of the social self in the prodrome of psychosis: from perceived negative attitude of others to heightened interpersonal sensitivity. Eur Psychiatr. 2011;26:532–3.

    Article  CAS  Google Scholar 

  6. Stanghellini G. The meanings of psychopathology. Curr Opin Psychiatr. 2009;22:559–64.

    Article  Google Scholar 

  7. Stanghellini G, Broome MR. Psychopathology as the basic science of psychiatry. Br J Psychiatry. 2014;205:169–70.

    Article  PubMed  Google Scholar 

  8. Maj M. From “madness” to “mental health problems”: reflections on the evolving target of psychiatry. World Psychiatr. 2012;11:137–8.

    Article  Google Scholar 

  9. Pingani L, Luciano M, Sampogna G, De Rosa C, Pinna F, Volpe U, et al. The crisis in psychiatry: a public health perspective. Int Rev Psychiatr. 2014;26:530–34.

    Article  Google Scholar 

  10. Katschnig H. Are psychiatrists an endangered species? Observations on internal and external challenges to the profession. World Psychiatr. 2010;9:21–8.

    Article  Google Scholar 

  11. Jablensky A. Psychiatry in crisis? Back to fundamentals. World Psychiatr. 2010;9:29.

    Article  Google Scholar 

  12. Maj M. Preface. Psicopatologia fenomenologica: percorsi di lettura. In: Ballerini A, Editor. Roma: CIC Edizioni Internazionali, 2002. Pp. 1–2.

  13. Fiorillo A, Malik A, Luciano M, Del Vecchio V, Sampogna G, Del Gaudio L, et al. Challenges for trainees in psychiatry and early career psychiatrists. Int Rev Psychiatr. 2013;25:431–7.

    Article  Google Scholar 

  14. Union Européenne des Médecins Specialistes. Report of the UEMS Section for Psychiatry, The Profile of a Psychiatrist. UEMS. 2005. http://www.uemspsychiatry.org/section/reports/2005Oct-PsychiatristProfile.pdf.

  15. Lotz-Rambaldi W, Schäfer I, Doesschate R, Hohagen F. Specialist training in psychiatry in Europe—results of the UEMS-survey. Eur Psychiatr. 2008;23:157–68.

    Article  Google Scholar 

  16. Oakley C, Malik A. Psychiatric training in Europe. Psychiatr Bull. 2010;34:447–50.

    Article  Google Scholar 

  17. Muijen M. Training psychiatrists in Europe: fit for purpose? Commentary on psychiatric training in Europe. Psychiatr Bull. 2010;34:450–51.

    Article  Google Scholar 

  18. Kuzman MR, Giacco D, Simmons M, Wuyts P, Bausch-Becker N, Favre G, et al. Psychiatry training in Europe: views from the trenches. Med Teach. 2012;34:e708–17.

    Article  PubMed  Google Scholar 

  19. Rojnic Kuzman M, Giacco D, Simmons M, Wuyts P, Bausch-Becker N, Favre G, et al. Are there differences between training curricula on paper and in practice? Views of European trainees. World Psychiatr. 2012;11:135.

    Article  Google Scholar 

  20. Mayer S, van der Gaag RJ, Dom G, Wassermann D, Gaebel W, Falkai P, et al. European Psychiatric Association [EPA] guidance on post-graduate psychiatric training in Europe. Eur Psychiatr. 2014;29:101–6.

    Article  CAS  Google Scholar 

  21. Fiorillo A, Luciano M, Giacco D, Del Vecchio V, Baldass N, De Vriendt N, et al. Training and practice of psychotherapy in Europe: results of a survey. World Psychiatr. 2011;10:238.

    Article  Google Scholar 

  22. Fiorillo A, Sampogna G, Del Vecchio V, Luciano M, Del Gaudio L, De Rosa C, et al. What is the current status of training and practice of early intervention in psychiatry? Results from a survey in 35 countries. Early Interv Psychiatr. 2015;9:70–5.

    Article  Google Scholar 

  23. Fiorillo A, Luciano M, Del Vecchio V, Sampogna G, Obradors-Tarragó C, Maj M, et al. Priorities for mental health research in Europe: a survey among national stakeholders’ associations within the ROAMER project. World Psychiatr. 2013;12:165–70.

    Article  Google Scholar 

  24. Riese F, Oakley C, Bendix M, Piir P, Fiorillo A. Transition from psychiatric training to independent practice: a survey on the situation of early career psychiatrists in 35 countries. World Psychiatr. 2013;12:82–3.

    Article  Google Scholar 

  25. European Psychiatric Association. http://www.europsy.net. Accessed Jan 28, 2015.

  26. World Psychiatric Association. http://www.wpanet.org. Accessed Jan 28, 2015.

  27. Available at: Available atSPSS Inc. Released 2009. PASW Statistics for Windows, Version 18.0. Chicago: SPSS Inc.

  28. Fiorillo A, Brambhatt P, Elkholy H, Lattova Z, Picon F. Activities of the WPA early career psychiatrists council: the action plan is in progress. World Psychiatr. 2011;10:159.

    Article  CAS  Google Scholar 

  29. Parnas J, Sass LA, Zahavi D. Rediscovering psychopathology: the epistemology and phenomenology of the psychiatric object. Schizophr Bull. 2013;39:270–7.

    Article  PubMed Central  PubMed  Google Scholar 

  30. Fusar-Poli P. One century of allgemeine psychopathologie (1913 to 2013) by Karl Jaspers. Schizophr Bull. 2013;39:268–9.

    Article  PubMed Central  PubMed  Google Scholar 

  31. Stanghellini G, Fiorillo A. Five reasons for teaching psychopathology. World Psychiatr. 2015;14:107–8.

    Article  Google Scholar 

  32. Parnas J. The Breivik case and “conditio psychiatrica”. World Psychiatr. 2013;12:22–3.

    Article  Google Scholar 

  33. More Comunicazione. http://morecomunicazione.it/archivio-eventi/evento/psychopathology-basic-course-2015/ Accessed Jan 28, 2015.

  34. More Comunicazione. http://morecomunicazione.it/archivio-eventi/evento/psychopathology-advanced-course-2015/ Accessed Jan 28, 2015.

  35. Fiorillo A, Del Vecchio V, Luciano M, Sampogna G, Beezhold J. This is why there is hope for psychiatry. World Psychiatr. 2014;13:98–9.

    Article  Google Scholar 

  36. Nawka A, Rojnic-Kuzman M, Giacco D. Trainees’ views on the future of psychiatry: a plethora of challenges ahead of us. World Psychiatr. 2012;11:203.

    Article  Google Scholar 

  37. Bolton D. Should mental disorder be regarded as brain disorders? 21st century mental health sciences and implications for research and training. World Psychiatr. 2013;12:24–5.

    Article  Google Scholar 

  38. Maj M. Mental disorders as “brain disease” and Jaspers’ legacy. World Psychiatr. 2013;12:1–3.

    Article  Google Scholar 

  39. Stanghellini G. The portrait of the psychiatrist as a globally minded citizen. Curr Opin Psychiatr. 2013;26:498–501.

    Article  Google Scholar 

  40. Stanghellini G. Did Karl Jaspers miss psychiatry or is psychiatry missing Jaspers’ legacy? Reply Acta Psychiatr Scand. 2013;128:491–2.

    Article  PubMed  Google Scholar 

  41. Frances A. The past, present and future of psychiatric diagnosis. World Psychiatr. 2013;12:111–2.

    Article  Google Scholar 

  42. Regier DA, Kuhl EA, Kupfer DJ. The DSM-5: classification and criteria changes. World Psychiatr. 2013;12:92–8.

    Article  Google Scholar 

  43. Regier DA, Kuhl EA, Narrow WE, Kupfer DJ. Research planning for the future of psychiatric diagnosis. Eur Psychiatr. 2012;27:553–6.

    Article  CAS  Google Scholar 

  44. Maj M. “Clinical judgment” and the DSM-5 diagnosis of major depression. World Psychiatr. 2013;12:89–91.

    Article  Google Scholar 

  45. Riecher-Rössler A. Prospects for the classification of mental disorders in women. Eur Psychiatr. 2010;25:189–248.

    Article  Google Scholar 

  46. Stanghellini G, Rossi R. Pheno-phenotypes: a holistic approach to the psychopathology of schizophrenia. Curr Opin Psychiatr. 2014;27:236–41.

    Article  Google Scholar 

  47. Parnas J, Sass L, Zahavi D. Phenomenology and psychopathology. Philosophy, Psychiatr Psychol. 2011;18:37–9.

    Article  Google Scholar 

  48. Maj M. Psychiatric diagnosis: pros and cons of prototypes vs operational criteria. World Psychiatr. 2011;10:81–2.

    Article  Google Scholar 

  49. Volpe U, Sass H. Why, what and how should early career psychiatrists learn about phenomenological psychopathology? In: Fiorillo A, Calliess IT, Sass H, editors. How to succeed in psychiatry. Chichester: Wiley-Blackwell; 2012. p. 98–121.

    Chapter  Google Scholar 

Download references

Disclosure

The authors declare that they have no conflicts of interest concerning this article.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Andrea Fiorillo.

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

ESM 1

(DOC 78 kb)

ESM 2

(DOCX 80 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Fiorillo, A., Sampogna, G., Del Vecchio, V. et al. Education in Psychopathology in Europe: Results from a Survey in 32 Countries. Acad Psychiatry 40, 242–248 (2016). https://doi.org/10.1007/s40596-015-0333-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40596-015-0333-x

Keywords

Navigation