Academic Psychiatry

, Volume 24, Issue 2, pp 99–104 | Cite as

Psychosocial Formulation Training Using Commercial Films

  • Donald A. Misch
New Idea


With the explosion of neurobiology research in psychiatry, the ability of psychiatry residents to construct psychosocial formulations for their patients appears to have declined. Although the traditional methods of teaching psychosocial case formulation (written references, individual psychotherapy supervision, clinical case conferences) remain important and effective, the changing orientation of academic psychiatry as well as the decreasing time allotted to psychotherapy suggest that psychosocial formulation training must increasingly compete with the myriad other aspects of psychiatry to which residents are exposed. Over the past 5 years, we have complemented the traditional psychosocial formulation curriculum with a highly structured teaching venue in which psychiatry residents regularly observe commercial films and then, as a group, construct psychosocial formulations for the principal characters. In this article, the author reviews the opportunities, advantages, and success of this complementary approach.


Academic Psychiatry Psychiatry Resident Borderline Personality Disorder Case Formulation Psychiatry Resi 
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. 1.
    Friedman RS, Lister P: The current status of psychodynamic formulation. Psychiatry 1987; 50: 126–141PubMedGoogle Scholar
  2. 2.
    Faulkner LR, Kinzie JD, Angell R, et al: A comprehensive psychiatric formulation model. Journal of Psychiatric Education 1985; 9: 189–203Google Scholar
  3. 3.
    Engel GL: The need for a new medical model: a challenge for biomedicine. Science 1977; 196: 129–136PubMedCrossRefGoogle Scholar
  4. 4.
    Engel GL: The clinical application of the biopsychosocial model. Am J Psychiatry 1980; 137: 535–544PubMedGoogle Scholar
  5. 5.
    Molina JA: Understanding the biopsychosocial model. Int J Psychiatry Med 1983; 13: 29–36PubMedCrossRefGoogle Scholar
  6. 6.
    Gabbard GO: Psychodynamic psychiatry in the “decade of the brain.” Am J Psychiatry 1992; 149: 991–998PubMedGoogle Scholar
  7. 7.
    Gabbard GO, Gabbard K: Psychiatry and the Cinema, 2nd Edition. Washington, DC, American Psychiatric Press, 1999Google Scholar
  8. 8.
    Hyler SE, Gabbard GO, Schneider I: Homicidal maniacs and narcissistic parasites: stigmatization of mentally ill persons in the movies. Hosp Community Psychiatry 1991; 42: 1044–1048PubMedGoogle Scholar
  9. 9.
    Schneider I: Images of the mind: psychiatry in the commercial film. Am J Psychiatry 1977; 134: 613–620PubMedGoogle Scholar
  10. 10.
    Rabkin LY: The Celluloid Couch: An Annotated International Filmography of the Mental Health Professional in the Movies and Television, From the Beginning to 1990. Lanham, MD, Scarecrow Press, 1998Google Scholar
  11. 11.
    Gabbard GO, Gabbard K: Countertransference in the movies. Psychoanal Rev 1985; 72: 171–184PubMedGoogle Scholar
  12. 12.
    Schill T, Harsch J, Ritter K: Countertransference in the movies: effects on beliefs about psychiatric treatment. Psychol Rep 1990; 67: 399–402PubMedGoogle Scholar
  13. 13.
    Gabbard GO, Gabbard K: The female psychoanalyst in the movies. J Am Psychoanal Assoc 1989; 37: 1031–1049PubMedCrossRefGoogle Scholar
  14. 14.
    Samuels L: Female psychotherapists as portrayed in film, fiction, and nonfiction. J Am Acad Psychoanal 1985; 13: 367–378PubMedGoogle Scholar
  15. 15.
    Hyler SE: DSM-III at the cinema: madness in the movies. Compr Psychiatry 1988; 29: 195–206PubMedCrossRefGoogle Scholar
  16. 16.
    Hyler SE, Schanzer B: Using commercially available films to teach about borderline personality disorder. Bull Menninger Clin 1997; 61: 458–468PubMedGoogle Scholar
  17. 17.
    Gabbard GO, Gabbard K: Vicissitudes of narcissism in the cinematic autobiography. Psychoanal Rev 1984; 71: 319–328PubMedGoogle Scholar
  18. 18.
    Hyler SE, Moore J: Teaching psychiatry? let Hollywood help! suicide in the cinema. Academic Psychiatry 1996; 20: 212–219Google Scholar
  19. 19.
    Gabbard GO: The psychoanalyst at the movies. Int J Psychoanal 1997; 78: 429–434PubMedGoogle Scholar
  20. 20.
    Wedding D, Boyd MA: Movies and Mental Illness: Using Films to Understand Psychopathology. New York, McGraw-Hill College, 1999Google Scholar
  21. 21.
    Fritz GK, Poe RO: The role of a cinema seminar in psychiatric education. Am J Psychiatry 1979; 136: 207–210PubMedGoogle Scholar
  22. 22.
    Hesley JW, Hesley JG: Rent Two Films and Let’s Talk in the Morning: Using Popular Movies in Psychotherapy. New York, Wiley, 1998Google Scholar
  23. 23.
    Yudofsky SC, Hales RE: The American Psychiatric Press Textbook of Neuropsychiatry, 3rd Edition. Washington, DC, American Psychiatric Press, 1997Google Scholar
  24. 24.
    Fogel BS, Schiffer RB, Rao SM: Neuropsychiatry. Baltimore, MD, Williams & Wilkins, 1996Google Scholar
  25. 25.
    Beck JS: Cognitive Therapy: Basics and Beyond. New York, Guilford, 1995Google Scholar
  26. 26.
    Brenner C: An Elementary Textbook of Psychoanalysis, Revised Edition. Garden City, NY, Doubleday, 1974Google Scholar
  27. 27.
    Brenner C: The Mind in Conflict. Madison, CT, International Universities Press, 1982Google Scholar
  28. 28.
    Hamilton NG: Self and Others: Object Relations Theory in Practice. Northvale, NJ, Jason Aronson, 1988Google Scholar
  29. 29.
    Summers F: Object Relations Theories and Psychopathology: A Comprehensive Text. Hillsdale, NJ, Analytic Press, 1994Google Scholar
  30. 30.
    Scharff DE: Object Relations Theory and Practice: An Introduction. Northvale, NJ, Jason Aronson, 1996Google Scholar
  31. 31.
    Baker HS, Baker MN: Heinz Kohut’s self psychology: an overview. Am J Psychiatry 1987; 144: 1–9PubMedGoogle Scholar
  32. 32.
    Siegel AM: Heinz Kohut and the Psychology of the Self. London, UK, Routledge, 1996Google Scholar
  33. 33.
    Wolf ES: Treating the Self: Elements of Clinical Self Psychology. New York, Guilford, 1988Google Scholar
  34. 34.
    Perry S, Cooper AM, Michels R: The psychodynamic formulation: its purpose, structure, and clinical application. Am J Psychiatry 1987; 144: 543–550PubMedGoogle Scholar
  35. 35.
    Melchiode GA: The psychodynamic formulation: how and why. Gen Hosp Psychiatry 1988; 10: 41–45PubMedCrossRefGoogle Scholar
  36. 36.
    MacKinnon RA, Michels R: The Psychiatric Interview in Clinical Practice. Philadelphia, PA, Saunders, 1971Google Scholar
  37. 37.
    Kline S, Cameron PM: I: Formulation. Can Psychiatr Assoc J 1978; 23: 39–42PubMedGoogle Scholar
  38. 38.
    Cameron PM, Kline S, Korenblum M, et al: II: A method of reporting formulation. Can Psychiatr Assoc J 1978; 23: 43–50PubMedGoogle Scholar
  39. 39.
    Sperry L: Psychiatric Case Formulations. Washington, DC, American Psychiatric Press, 1992Google Scholar
  40. 40.
    Wallace ER: Dynamic Psychiatry in Theory and Practice. Philadelphia, PA, Lea & Febiger, 1983Google Scholar
  41. 41.
    Bergner RM: Characteristics of optimal clinical case formulations: the linchpin concept. Am J Psychother 1998; 52: 287–300PubMedGoogle Scholar
  42. 42.
    Ben-Aron M, McCormick WO: The teaching of formulation: facts and deficiencies. Can J Psychiatry 1980; 25: 163–166PubMedGoogle Scholar
  43. 43.
    Schneider I: The theory and practice of movie psychiatry. Am J Psychiatry 1987; 144: 996–1002PubMedGoogle Scholar

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© Academic Psychiatry 2000

Authors and Affiliations

  1. 1.Department of Psychiatry and Health BehaviorMedical College of GeorgiaAugustaUSA

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