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The Need for Developing a Research Base

Donald F. Klein, MD
From the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY.

Arch Gen Psychiatry. 1993;50(6):491-494.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The advent of psychotropic drugs has enormously improved psychiatric care. Nonetheless, our practice is not optimum. Current knowledge is not regularly applied. It has been repeatedly shown that the majority of patients with psychiatric illness go undiagnosed, and even if diagnosed, they are inappropriately or ineffectively treated, both by clinical psychiatrists and by primary care practitioners. Improved care depends on practitioner education, often referred to as "technology transfer."

However, this article emphasizes that optimal practice also requires a vastly increased database that differs sharply in content from current data production. Necessary facts are still not known with regard to many aspects of clinical practice.

THE PROBLEMS OF THE CLINICIAN

The clinical psychiatrist has the responsibility for diagnosing the condition of the patient, understanding the patient's developmental and current contexts, deciding on a proper course of treatment, educating the patient and family with regard to the illness and proposed course of . . . [Full Text PDF of this Article]

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