Challenges of practicing psychiatry
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Transcript of Challenges of practicing psychiatry
International Challenges of
Practicing PsychiatryJournal Club 7/4/1436
Dr\ Hosam H Kaseb
Registrar Psychiatrist
Al Taif Mental Health Hospital
Under Supervision of
Dr\ Wasem Marey
Consultant Psychiatrist
Al Taif Mental Health Hospital
Psychiatrist Patient
Society
Science
Anti-
PsychiatryStigma
Nature of
Diseases
Updated
Evidence-
Based
Practice
Cross-
Cultural
Ethics
Challenges of Practicing
Psychiatry
Challenges
1. Nature of The Disease
2. Stigma
3. Anti-Psychiatry
4. Updated Evidence-Based Practice
5. Cross-Culture Psychiatry
6. Ethics & Medico-Legal Aspects
Nature of The Disease
Sequale
Quality of Life Stigma
Course & Prognosis
Acute Episodic Chronic
Management
Pharmacotherapy Psychotherapy Physical Therapy
Diagnosis
Misdiagnosis Classification systems Over diagnosis
Etiology
Biological Psychological Social
Effects of Stigma
Patients
Patients’ Families
Psychiatrists
Mental Health Nurses
Mental Health
Hospitals
Psychotropic medications
Effects of Stigma
Social Stigma
FeelingsFear
Control
Sympathy
Thoughts
Patient is violent &
dangerous
Behaviors
Avoidance
Hostility
Effects of Stigma
Personal Stigma
FeelingsLow self-Esteem
Apathy
Anger
Thoughts
I am Less human being than others
Behaviors
WithdrawalإAggressionMotivation
Fighting Stigma
Fighting Stigma
Protest
Media
Fighting Misconceptions published by media
Opening channels of communication
Society
Protesting against negative attitudes
Least Effective
Education
Health workers Children &
AdolescentsFamilies
More Information=
Less Stigma
Direct Communication
Role Models of Effective Patients
Most Effective methods
(yet sometimes regarded as exceptions)
Beginning of the Movement
Ex-Patients
National Mental Health Council England
WANAWe Are Not Alone
USAScientology
Clifford
W. BeersPsychiatrists
A Mind That
Found itself (1908)
Reasons for the Movement
Harmful Therapies
ECT
Anxiolytics
Psychotropic Side Effects
Over Prescription
Psychosurgery
Anti-Psychiatry Pioneers
Dr\Thomas Szasz
The Myth of Mental Illness1957
Dr\ R D Laing
The Divided Self1960
Dr\ David Cooper
Anti-psychiatry
1967
Micheal Foucault
Madness & Civilization
1961
Anti-Psychiatry Claims
Psychiatryis a
Pseudo-Science
Psychiatry is a
Social Control Tool
Political Abuse of Psychiatry
Pharmaceutical Companies & Drug Business
Labeling
Updated Evidence-Based
PracticePsychiatry
is a Evidence-Based
Science
Psychiatry is a
Branch of Medicine to help patients
Ethics of Psychiatric Practice
Practice Guidelines
Criteria for Diagnosis
Cross-Culture Psychiatry
Management
Culturally Adapted Psychotherapy
Spirituality & Religions
Assessment
Arabic Brief religious Coping Scale
References
1. Portraying mental illness and drug addiction as treatable health conditions: Effects of a randomized experiment on stigma and discrimination
McGinty EE, Goldman HH, Pescosolido B, Barry CL 2014
2. Key Ingredients of Anti-Stigma programsCanadian Journal of Psychiatry 2014
3. Stigma, Conscience , Science in Psychiatry ; Past , Present & Future
John Z. Sadler 2009
4. Cross Cultural Validation & psychometric Properties of Arabic Brief Religious Coping Scale (A-BRCS)
Ashraf ElHadethe et Al 2014
5. An Examination of the Evidence in Culturally adapted Evidence-Based or Empirically Supported Interventions
Janet E. Helms 2014