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Cited by 10Historical Psychiatry and Medical PracticesMental Health and PsychiatryAcademic and Historical Perspectives in Psychology

Past, present, and future of psychiatry: personal reflections

Open access
Eisenberg, Leon·1997·The Canadian Journal of Psychiatry
DOI 10.1177/070674379704200702
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Abstract

Objective: To review the past half century of North American psychiatry from personal experience and to gauge its future prospects. Method: An examination of the relevant literature, recollections from a long academic career, and analysis of trends. Results: The pendulum of psychiatric theory continues its swing from its psychological to its biological pole; current economic forces are driving it toward reductionistic biology. The very considerable gains in the npsychosocial and neurobiogical knowledge base of our field will ultimately have a potent yield in patient care once the restrictive controls on its application to service provision are lifted. Conclusion: The future of research in the sciences basic to psychiatry has never been more promising. How rapidly rogress will occur will be a function of the resources society is willing to commit to mental health research. The prognosis for the translation of the new findings to clinical practice will depend on whether professionals can mobilize public support for quality care for the mentally ill.

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  • Market forces in health care delivery also drove the process of over-prescribing.

    “Market forces in health care delivery also drove the process of over-prescribing (78).”

    From Pediatric psychopharmacology: Too much or too little? (2013) · cites this paper as [78]

    In “Psychopharmacology and Psychiatric Practice” (page unavailable), Eisenberg says the ability to prescribe gave psychiatrists a competitive advantage and describes a shift toward drug prescribing. “The Imposition of Caps on Costs” (page unavailable) describes market and cost pressures on care. Neither passage says those pressures drove over-prescribing, so the claimed outcome is not established. (LLM, conf=0.78)

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Research works printed but not linked: 5

  1. [1]1. American Psychiatric Association. APA Newsletter 1962;14:5.
  2. [4]4. Medical Research Council. Streptomycin treatment for pulmonary tuberculosis. BMJ 1948;2:769-74.
  3. [7]7. Lehner GFT. Defining psychotherapy. Am Psychol 1952;7:547.
  4. [43]43. Jenike MA, Baer L, Minichiello WE, editors. Obsessive compulsive disorders: theory and treatment. 2nd ed. St Louis: Mosby Year Book; 1990.
  5. [79]79. Plato (350 BC). The Laws. Saunders TJ, translator. London: Penguin; 1970.

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Authors
Eisenberg, L.
Affiliations
Harvard University (US)
Corresponding author
Eisenberg, Leon
Venue
The Canadian Journal of Psychiatry
Publisher
SAGE Publications
Published
1997-09
Volume
42
Issue
7
Pages
705-713
ISSN
  • 0706-7437 (ISSN-L)
  • 1497-0015
DOI
10.1177/070674379704200702
OpenAlex
W2418900097
Cited by
10
References
88
Citations by year
2015: 1 · 2014: 2 · 2013: 1
Type
journal article
Language
en
Open access
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • The Canadian Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
  • Social Sciences › Psychology › General Psychology › Academic and Historical Perspectives in Psychology
Keywords
history of psychiatry, future of psychiatry, psychiatric theory, biological psychiatry, reductionism, mental health research funding, translation of research to clinical practice, mental health services
MeSH terms
Animals, Biological Psychiatry, Canada, Forecasting, Humans, Mental Health Services, Psychiatry

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