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Academic Psychiatry in the Political Marketplace
James S. Eaton, Jr, MD
Arch Gen Psychiatry. 1978;35(9):1145-1149.
Abstract
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• There is pressure for all medicine to be publicly accountable and for there to be public manifestations of professional responsibility. The expectation of an immediate return on the public's investment in education is matched by cries for "relevance" in research. The generation and transmission of psychiatric knowledge is not compatible with such a direct teleologic approach. Yet, public accountability is necessary, considering the public monies involved.
Academic psychiatry should become familiar with the political marketplace— high-pressure environment where fiercely competing interests vie for the politician's attention through votes and contributions, and where the "squeaky wheel gets the grease."
Psychiatry can ill afford to adopt a passive posture in this political marketplace. Psychiatrists bear responsibility for informing the public about the relevance of psychiatric research and education. The profession must accept—even embrace—the concept of public accountability as a synchronous extension of our professional responsibilities.
Author Affiliations
From the Psychiatry Education Branch, National Institute ofMental Health, and the Department of Psychiatry, Georgetown University School of Medicine, Washington, DC.
Footnotes
Accepted for publication April 26, 1978.
The opinions expressed herein are those of the author and not necessarily those of the National Institute of Mental Health, the Alcohol, Drug Abuse, and Mental Health Administration, or the Department of Health, Education, and Welfare.
Reprint requests to Psychiatry Education Branch, NIMH, 5600 Fishers Lane, Rockville, MD 20857 (Dr Eaton).
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