tag:blogger.com,1999:blog-18614557.post7860093218685185960..comments2024-03-20T07:22:58.096+00:00Comments on Relational psychiatry: Could psychiatrists become extinct?DBDoublehttp://www.blogger.com/profile/16140020984190294123noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-18614557.post-45802130087226689652012-01-31T23:10:13.826+00:002012-01-31T23:10:13.826+00:00Thanks for the explanation Duncan - learnt somethi...Thanks for the explanation Duncan - learnt something new there!Adamhttps://www.blogger.com/profile/03152119437847042234noreply@blogger.comtag:blogger.com,1999:blog-18614557.post-18505597507324238232012-01-31T08:17:20.653+00:002012-01-31T08:17:20.653+00:00Sorry, Adzcliff, I didn't mean to confuse. It ...Sorry, Adzcliff, I didn't mean to confuse. It used to be possible to get registration with the General Medical Council (GMC) by becoming a licentiate in medicine and surgery of the Society of Apothecaries.What people did, if they failed their university final exams (as I did in surgery), was take the apothecary exams to obtain a licence to still get provisional registration with the GMC to take up their arranged preregistration house job. I then retook my university surgery exams, but this was after I had already started practicing as a doctor in my house job. <br /><br />This way of qualifying is no longer possible. So although the Society of Apothecaries still exists, its traditional raison d'etre of a route to medical qualification no longer exists. This is why the authors of the editorial and the eletter make reference to the apothecaries. What they're worried about is that psychiatrists will become extinct like apothecaries.<br /><br />I actually think its a false analogy. Psychiatrists haven't always been in charge in mental health practice anyway. For example, the York Retreat was opened by a layman, William Tuke, in 1796. That's not to say doctors didn't play a role. The original superintendant at the Retreat was a retired medical practitioner, who unfortuately died after 2 months and was replaced by an apothecary. <br /><br />What the authors of the eletter are really worried about is the loss of medical authority. That's why they call it a remedicalised psychiatry, Altostrata, because they want to get doctors authority back, but as you say, they don't seem to be going about it in the right way. Doctors have always had a role in mental health practice and will continue to do so - its interesting that psychiatrists feel panicked that this may not be the case.DBDoublehttps://www.blogger.com/profile/16140020984190294123noreply@blogger.comtag:blogger.com,1999:blog-18614557.post-7089621146303723682012-01-30T18:48:10.800+00:002012-01-30T18:48:10.800+00:00I may have dropped into the middle of an ongoing c...I may have dropped into the middle of an ongoing conversation and not current with the terminology being used.<br /><br />Current psychiatry would claim that it is medicalised, that is, it treats medical conditions by medical means. <br /><br />This has led to concocted "medical" theories of the origin of mental illness, such as the "serotonin deficiency" theory; vague pseudo-medical diagnoses; arbitrary treatment with poorly tested medications; and an ignorance of outcomes.<br /><br />Does "re-medicalisation" mean re-education in organic conditions that may affect mental state, such as low vitamin B12, and treatment of those conditions? Or does it merely mean a focus on prescribing psychiatric drugs, forgoing "non-medical" interventions such as psychotherapy?<br /><br />If the latter, I suggest that is the surest way to obsolescence for psychiatry. It's been a discreditable road so far, and will only get more so as patients themselves revolt as consumers.<br /><br />It's becoming more and more obvious the medications are often prescribed inappropriately, and psychiatrists have not been adequately concerned with patient safety. Unless this is addressed, psychiatry deserves to dwindle into obscurity.Altostratahttp://survivingantidepressants.orgnoreply@blogger.comtag:blogger.com,1999:blog-18614557.post-18615589518970940602012-01-30T08:13:36.331+00:002012-01-30T08:13:36.331+00:00Interesting read, but I'm confused:
"By ...Interesting read, but I'm confused:<br /><br />"By the way, before completing my university medical degrees, I first practiced medicine as a licentiate in medicine and surgery of the Society of Apothecaries..."<br /><br />Did you practice medicine under licence before you'd received your university medical degrees? So how does that work (genuinely)?<br /><br />Ta.<br /><br />AdzcliffAdamhttps://www.blogger.com/profile/03152119437847042234noreply@blogger.com