Psychiatry in Eastern Europe today: mental health status, policies, and practices

Article Abstract:

Though it may be hard for outsiders to fully appreciate, the psychological and social implications of the changes occurring in Eastern Europe today are extremely significant. The underlying economic failure in Eastern Europe is perhaps the most obvious reason for the fall of Communism. However, the psychological conditions of life had become unbearable for many, and it may have been the decline in psychosocial conditions that actually led to the failure of Communism in Eastern Europe. Ironically, 'perestroika' is no less traumatic than Communism was, and has created a climate of simultaneous catastrophe and opportunity. This type of chaotic atmosphere leads to psychological distress. The health system and mental health professionals will play a large role in the psychological well-being of citizens in Eastern Europe. However, lacking are strategies, concepts, experiences, and psychological health care; outside resources will be needed to correct these problems. There is a also need for educational and training materials, and for access to these by all mental health professionals in Eastern Europe. Perhaps before any assistance is offered, moral support and acceptance should be lent to our Eastern European colleagues. They have endured communication deficits with the Western world, language barriers, professional incompetence, and, in many cases, feelings of political responsibility or guilt for what has happened in the past. (Consumer Summary produced by Reliance Medical Information, Inc.)

Psychological aspects, Social aspects, Eastern Europe, Mental health, editorial, Perestroika

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Subspecialization in psychiatry

Article Abstract:

Knowledge in the field of psychiatry has grown extensively, which has fueled the movement toward subspecialization within the field. Until 1989, when geriatric psychiatry was added, the only certified subspecialty was in child psychiatry. Other areas of specialization are presently under review or are being proposed. Many psychiatrists are opposed to subspecialization, fearing it will fragment the profession and restrict the practices of members of the profession. In 1986, the American Board of Psychiatry and Neurology (ABPN) set forth criteria for defining subspecialty areas. The ABPN has recently recognized another route to subspecialization through examination and certification requirements in the area of clinical neurophysiology. This was in response to psychiatrists' fears that the area would be limited to neurologists. The ABPN response ensures that psychiatrists working in the area can continue to do so and that all working in the area are qualified to do so. A one-year training program to learn specific skills required for the area is required, and followed by formal testing to prove competency. Those with further inquiries regarding this issue should contact the ABPN. (Consumer Summary produced by Reliance Medical Information, Inc.)

Editorial, Standards, Medicine, Education, Psychiatrists, Medical specialties

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