The ‘psychopharmacology revolution’ of the 1950s.
- Deinstitutionalization, or the movement of massive numbers of psychiatric patients out of state asylums into community health care facilities.
- The ‘decline and fall’ of psychoanalysis.
- Shifts in the practice of psychotherapy from psychiatrists to non-medical professionals, especially clinical psychologists and clinical social workers.
- The rise of a vast scientific research programme, including massive institutional and financial resources, for studying the neurochemistry and neurobiology of mental illness.
- The introduction and widespread adoption since the 1980s of a new generation of antianxiety and anti-depressant compounds, especially the so-called SSRIs such as Prozac (fluoxetine).
- A steady increase in the influence of the pharmacology industry throughout the psychiatric profession (e.g. ‘big pharma’).
- The growth in influence of the Diagnostic and Statistical Manual of Mental Disorders.
- The multiplication of ‘new’ diagnoses.
- The de-pathologizing of homosexuality
- The emergence or expansion of particular subfields of psychiatry, most notably geriatric psychiatry and child psychiatry
The changing role of the mental health insurance industry and the coming of a managed care model of health services
Thursday, November 13, 2014
Important developments in psychiatry
From a survey of mental health experts, Mark Micale has produced a list of the 12 most important changes in American psychiatry since World War II (see article).