Clinical Psychiatric Medicine

John P. Callan, MD
JAMA. 1982;247(15):2156. doi:10.1001/jama.1982.03320400066041.
Text Size: A A A
Published online


Psychiatry is redefining its identity once more. Psychiatrists are shifting from a major emphasis on psychodynamics, psychotherapy, and psychological causes of disease to a closer alliance with clinical and laboratory medicine. Ten years ago, few social or vocational ills were considered to be outside the realm of psychiatry; many psychiatrists naively thought themselves then to be as well equipped to fight poverty as psychosis. They actively threw themselves into the social fray and enthusiastically assisted in developing a network of community mental health centers throughout the country. But their energetic efforts were not greeted with the success they had anticipated, and the limitations of psychiatry in the social sphere became apparent. The incidence and prevalance of mental illness have not dropped in the past decade.

Now, the community mental health centers are staffed largely with social workers, and psychiatrists are turning from the psychosocial arena toward a more limited medical


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.