Skip to main content

Teaching Psychiatry to Primary Care Physicians

  • Chapter
Biopsychosocial Approaches in Primary Care
  • 130 Accesses

Abstract

In another five years, psychiatry will have had approximately a one-hundred year history of trying to reintegrate physical medicine with psychological medicine. If one were to graph the course of this history, one would quickly see the oscillations that Freedman1 called the “to and fro” of trends in psychiatry toward medicalization, demedicalization and remedicalization. In almost a century of persevering efforts, we have come not very far in achieving the objective of teaching nonpsychiatrist physicians to synthesize psyche-medicine and soma-medicine. The first part of this chapter will examine some of the many efforts which have been made over time to overcome the barriers to biopsychosocial practice. The second part will offer some speculative reasons for their degree of success or failure.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Freedman DX: The search: Body, mind, and human purpose. Am J Psychiatry 149: 858–866, 1992

    PubMed  CAS  Google Scholar 

  2. Borus JF, Howes MJ, Devins NP, Rosenberg R, Livingston WW: Primary health care providers’ recognition and diagnosis of mental disorders in their patients. Gen Hosp Psychiatry 10: 317–321, 1988

    Article  PubMed  CAS  Google Scholar 

  3. Jencks SF: Recognition of mental distress and diagnosis of mental disorder in primary care. JAMA 253: 1903–1907, 1985

    Article  PubMed  CAS  Google Scholar 

  4. Kessler LG, Amick BC, Thompson J: Factors influencing the diagnosis of mental disorder among primary care patients. Med Care 23: 50–62, 1985

    Article  PubMed  CAS  Google Scholar 

  5. Dunbar HF: Emotions and Bodily Changes. New York, Columbia Universities Press, 1935

    Google Scholar 

  6. Lipowski ZJ: Consultation-liaison psychiatry: the first half century. Gen Hosp Psychiatry 8: 305–315, 1986

    Article  PubMed  CAS  Google Scholar 

  7. Witmer HL: Teaching Psychotherapeutic Medicine. New York, Commonwealth Fund, 1947

    Google Scholar 

  8. Kaufman MR: Role of the psychiatrist in the general hospital. Psychiat Quart 27: 367–381, 1953

    Article  PubMed  CAS  Google Scholar 

  9. Cohen-Cole S, Bird J, Boker J et al. Psychiatric education for internists. A randomized controlled comparison of two teaching models. Psychosom Med 44: 122, 1982

    Google Scholar 

  10. Cohen-Cole S: Training outcome in liaison psychiatry: literature review and methodological proposals. Gen Hosp Psychiatry 2: 282–288, 1980

    Article  PubMed  CAS  Google Scholar 

  11. Lipsitt DR: Primary care: an “unrivaled opportunity for psychiatry”? (editorial) Psychiatric Opinion 15:8, 1978

    Google Scholar 

  12. Engel GL: Resolving the conflict between medicine and psychiatry. Res Staff Physician 26: 73–79, 1979

    Google Scholar 

  13. Luban-Plozza B: Empowerment techniques: from doctor-centered (Balint approach) to patient-centered discussion groups. Patient Educ and Counseling 26: 257–263, 1995

    Article  CAS  Google Scholar 

  14. Broadhead WE, Leon AC, Weissman MM, et al. Development and validation of the SDDS-PC screen for multiple mental disorders in primary care. Arch Fam Med 4: 211–219, 1995

    Article  PubMed  CAS  Google Scholar 

  15. Spitzer RL, Williams JBW, Kroenke K, et al. Utility of a new procedure for diagnosing mental disorders in primary care; the PRIME-MD 1000 study. JAMA 272: 1749–1756, 1994

    Article  PubMed  CAS  Google Scholar 

  16. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th ed., Primary Care (DSM-IV-PC). Washington, DC, American Psychiatric Press, Inc., 1995

    Google Scholar 

  17. Lipsitt DR: The influence of dualistic thinking on the role of psychiatry in medicine, in General Hospital Psychiatry. Edited by Lopez-Ibor Jr JJ, Saiz J, Lopez-Ibor JM. Amsterdam, Excerpta Medica, 1983, pp 18–24

    Google Scholar 

  18. Brown TM: Cartesian dualism and psychosomatics. Psychosomatics 30: 322–331, 1989

    Article  PubMed  CAS  Google Scholar 

  19. Winnicott DW: Psycho-somatic illness in its positive and negative aspects. Int J Psycho-Anal 47: 510–516, 1966

    CAS  Google Scholar 

  20. Brown HN, Zinberg NE: Difficulties in the integration of psychological and medical practices. Am J Psychiatry 139: 1576–1580, 1982

    PubMed  CAS  Google Scholar 

  21. Levinson W, Roter D: Physicians’ psychosocial beliefs correlate with their patient communication skills. J Gen Int Med 10: 375–379, 1995

    Article  CAS  Google Scholar 

  22. Webster TG: Learning processes in physician education: integrating psyche and soma. Psychiat Med 2: 67–80, 1971

    Article  CAS  Google Scholar 

  23. Leigh H, Reiser MF: Major trends in psychosomatic medicine. Ann Intern Med 87: 233–239, 1977

    PubMed  CAS  Google Scholar 

  24. Leigh H, Reiser MF: The Patient: Biological, Psychological, and Social Dimensions of Medical Practice, 3rd ed. New York, Plenum, 1992

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer Science+Business Media New York

About this chapter

Cite this chapter

Lipsitt, D.R. (1997). Teaching Psychiatry to Primary Care Physicians. In: Leigh, H. (eds) Biopsychosocial Approaches in Primary Care. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-5957-3_12

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-5957-3_12

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-7730-6

  • Online ISBN: 978-1-4615-5957-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics