Changing American Psychiatry: A Personal Perspective by Melvin Sabshin, M.D.

As a prominent figure in the field of psychiatry, Dr. Melvin Sabshin shares his insights and experiences in his book, “Changing American Psychiatry: A Personal Perspective”. As the Medical Director of the American Psychiatric Association (APA) for 23 years, Dr. Sabshin provides a unique insider’s view of the significant changes that have shaped the profession since World War II.

The Post-War Era: A Time of Rapid Growth and Change

The post-war period was marked by a dramatic increase in psychiatric casualties among veterans, leading to a strong focus on understanding and treating mental health issues. This era saw the influx of Central European psychoanalysts, who greatly influenced the development of psychiatry. However, as time passed, psychiatry began to lose its connection to medicine and public respect.

A Shift Towards Evidence-Based Practice

By the 1970s, concerns about the lack of empirical evidence in psychiatric practice led to a shift towards a more evidence-based approach. The introduction of managed care reimbursement systems further emphasized the need for accountability and reliable treatment methods. Dr. Sabshin notes that this period marked a significant turning point in the history of psychiatry, as professionals recognized the need for change and began to work towards a more scientific and medically-grounded approach.

Towards a More Integrated and Empirically-Based Future

In his book, Dr. Sabshin advocates for a “bio-psycho-social” model that incorporates the latest developments in neuroscience, psychology, and social influences on mental illness. He stresses the importance of ongoing research that informs practice and ensures that psychoanalysis and other therapeutic approaches are evidence-based and reliable.

Dr. Sabshin’s book provides a comprehensive historical account of the evolution of psychiatry, highlighting the profession’s journey towards greater respectability and accountability. He concludes that a multidisciplinary approach, combining psychotherapies and psychopharmacology, is essential for the effective treatment of psychiatric patients.

With its rich historical context and thought-provoking insights, “Changing American Psychiatry: A Personal Perspective” is a must-read for psychiatrists, psychoanalysts, mental health workers, and anyone interested in the development of the field.

Publication Details:

• Publisher: American Psychiatric Publishing
• Publication Date: February 20, 2009
• Language: English
• ISBN: 9781585623075, 9781585628841