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History and Psychiatry's Present State of Transition
David F. Musto, MD
Arch Gen Psychiatry. 1970;23(5):385-392.
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AMERICAN psychiatrists are losing a clear sense of their professional role. No longer is it as evident that the most valued role is psychoanalytically oriented psychotherapy with individual patients. Concern with the individual is now shared with the behavior of groups. Psychotherapy both with individuals and with groups has moved toward crisis intervention and correction of behavior styles in the "here and now" as opposed to the establishment of cause and effect relationships through a study of the patient's past history.
The emergence of the mental health center is an added step away from past orientation. By its very nature, such a form of "community psychiatry" makes necessary a departure from prolonged one-to-one therapy, at least as practiced by lengthily trained specialists, to briefer encounters with one or many persons. It frequently places the psychiatrist in an administrative role, substantially removed from individual psychotherapy.
. . . [Full Text PDF of this Article]
Author Affiliations
New Haven, Conn
From the Child Study Center, School of Medicine, and the Department of History, Graduate School, Yale University, New Haven, Conn.
Footnotes
Accepted for publication July 9, 1970.
Read before the 123rd annual meeting of the American Psychiatric Association, May 12, 1970, San Francisco.
Reprint requests to Child Study Center, 333 Cedar St, New Haven, Conn 06510 (Dr. Musto).
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