A Resident's Guide to Psychiatric Education

This is the inaugural volume of the new series: Critical Issues in Psychiatry: An Educational Series for Residents and Clinicians. It is an appropriate beginning, for this book represents a milestone in the evolution of psychiatric education. For the first time, there will now be a single place where one can find a compre­ hensive collection of educational goals and objectives to define the broad spectrum of knowledge and skills essential for general and child psychiatry. This collection does not represent the bias of a single educator or program. Rather, it consists of a consensually validated ranking of relative importance for each educational goal and objective as determined by a large and international sampling of ex­ perienced psychiatric educators, as well as an editorial board with some of the most distinguished names in psychiatric education. It is even possible to tell at a glance whether the ranked level of importance is the same or different within several national groups, for example Canadians vs. Americans. This book is intended for all students of psychiatry. It is particularly valuable to residents in training, but equally so for experienced clinicians preparing for Board examination or simply attending to the process of continuing education and intellectual renewal. While it might well be used by an institution to delineate the dimensions of a training program in psychiatry, it is intended primarily for the self-evaluation and self-monitoring of one's growth as a psychiatrist.

1 Terminal and Enabling Objectives.- Editor’s Introduction.- I. Historical Trends in Psychiatry.- II. Normality and Normal Psychosexual Development.- A. Concept of Normality.- B. Normal Psychosexual Development.- III. Contributions of the Biological Sciences to Psychiatry.- Introduction: Changes in the Delivery of Mental Health Care.- A. Core Knowledge in Neuropsychiatry.- B. Core Knowledge in Neuroendocrinology.- C. Core Knowledge in Neurochemistry arnd Neurophysiology and the Relationship of These Sciences to Psychiatric Disorders.- D. Memory.- E. Sleep and Dreams.- F. Experimental Psychopathology.- G. Specialized Tests in Neurological Investigation.- H. Neurological Correlates of Specialized Procedures.- IV. Contributions of the Psychological Sciences to Psychiatry.- A. Motivation.- B. Ethology.- C. Cognition.- D. Perception.- E. General Systems Theory.- F. Communications Theory.- V. Contributions of the Sociocultural Sciences to Psychiatry.- A. Cultural Anthropology.- B. Sociology, Ecology, and Social Psychiatry.- C. Transcultural Psychiatry.- VI. Child and Adolescent Psychiatry.- A. Child Psychiatry.- B. Mental Retardation.- C. Genetics.- VII. Theories of Personality and Psychopathology.- A. Personality Development and the Life Cycle.- B. Personality Organization and Component Functions.- C. Homeostasis, Motivation, Conflict, and Symptomatology.- D. Phenomenology, Nosology, and General Psychopathology.- VIII. Psychiatric Assessment.- A. The Interview.- B. Assessment in Psychiatry.- C. Nosology.- IX. Psychiatric Emergencies and Reactive Disorders.- A. Crisis Theory.- B. Psychiatric Emergencies.- C. Suicide.- D. Transient Situational and Reactive Disorders.- X. Psyche and Soma and Liaison Psychiatry.- XI. The Neuroses, Personality Disorders, Addictions, and Sexual Disorders.- A. The Neuroses.- B. Personality Disorders.- C. Drug-Use Disorders.- D. Psychosexual Disorders.- XII. The “Functional” Psychoses.- A. The Schizophrenic Disorders.- B. Paranoid Disorders.- C. Affective Disorders—Psychotic.- D. “Borderline” States.- E. Brief Reactive Disorders.- F. Atypical “Psychoses”.- G. Other Psychoses.- XIII. The Organic Mental Disorders.- XIV. The Organic Therapies.- A. Psychopharmacology.- B. Convulsive Therapies.- C. Psychosurgery.- D. Miscellaneous and Little-Used Biological Treatments.- XV. Learning Theory and Behavior Modification.- A. Learning Theory.- B. Behavior Modification.- XVI. The Psychotherapies.- A. Individual Psychotherapy.- B. Group Psychotherapy.- C. Family Psychotherapy.- D. Psychotherapy with Children.- E. Milieu Therapy.- F. Activity and Rehabilitation “Therapies”.- XVII. Community and Administrative Psychiatry.- A. Historical Development and Definition.- B. Basic Psychiatric Principles.- C. Basic Administrative Principles.- D. Methods of Intervention.- E. Research.- XVIII. Geriatric and Forensic Psychiatry.- A. Geriatric Psychiatry.- B. Forensic Psychiatry.- XIX. Gender and Psychiatry.- A. Emerging Issues in the Psychology of Women and Men.- B. Sociocultural Aspects.- C. Special Issues.- D. Psychotherapy.- XX. Psychiatric Research and Evaluation.- A. History and Philosophy of Psychiatric Research Design.- B. Models, Statistics, and Computers in Psychiatry.- C. Psychiatric Epidemiology as Human Ecology.- D. Evaluation of Psychiatric Treatment, Treatment Programs, and Training.- 2 Recommended Training Experiences and Skills: A Log Book.- Editor’s Introduction.- I. History, Examination, Formulation, and Diagnosis.- A. Normal.- B. Psychiatric Emergencies.- C. Clinical Syndromes.- D. Other.- II. Treatments.- A. Organic Therapies.- B. Psychotherapies.- C. Milieu Therapy.- D. Activity and Rehabilitation Therapies.- E. Behavior Therapies.- F. Other and Optional Therapies.- III. Special Investigations.- A. Diagnostic Procedures.- B. Psychological Tests.- C. Psychophysiology Laboratory Measures.- IV. “Special” Experiences.- A. Home Visits.- B. Experience with Other Human Services Disciplines.- C. Experience with Other Human Services “Agencies” or Centers.- D. Supervision of Junior Colleagues and Other Mental Health Care Workers.- E. Research Experience.- F. Involvement in a Journal Club for Two or More Years.- Suggested Cross-References to Chapter 1.- 3 The Residency Training Program Audit.- Editor’s Introduction.- I. General.- II. Structure.- III. Process.- IV. Outcome.- 4 Terminal and Enabling Objectives for Residency Training in Child Psychiatry.- Foreword: Child Psychiatry Specialist Training (by Quentin Rae-Grant).- I. Historical Trends in Child Psychiatry.- II. Normality and Normal Psychosexual Development.- III. Contributions of the Biological Sciences to Psychiatry.- IV. Contributions of the Psychological Sciences to Psychiatry.- V. Contributions of the Sociocultural Sciences to Psychiatry.- VI. Child and Adolescent Psychiatry.- VII. Theories of Personality and Psychopathology.- VIII. Psychiatric Assessment.- IX. Psychiatric Emergencies and Reactive Disorders.- X. Psyche and Soma and Liaison Psychiatry.- XL The Neuroses, Personality Disorders, Addictions, and Sexual Disorders.- XII. The “Functional” Psychoses.- XIII. The Organic Mental Disorders.- XIV. The Organic Therapies.- XV. Learning Theory and Behavior Modification.- XVI. The Psychotherapies.- XVII. Community and Administrative Psychiatry.- XVIII. Geriatric and Forensic Psychiatry.- XIX. Gender and Psychiatry.- XX. Psychiatric Research and Evaluation.- Appendix A Professional Associations.- Appendix B A Guide to the Psychiatric Literature.- General Texts.- Reference Lists.- Journals.- Indices.- Computerized Reference Services.- Appendix C Training Requirements.- American Medical Association: Excerpts from “Essentials of Approved Residencies”.- The Royal College of Physicians and Surgeons of Canada: “Specialty Training Requirements in Psychiatry”.- The Royal Australian and New Zealand College of Psychiatrists: Excerpts from “By-Laws and Booklet for the Information of Candidates, 1978”.- The Royal College of Psychiatrists (London, England): Excerpts from “Educational Programmes for Trainees in Psychiatry”.- Appendix D Introductory Reading List for Chapter 1.