International Challenges of

Practicing PsychiatryJournal Club 7/4/1436

Dr\ Hosam H Kaseb

Registrar Psychiatrist

Al Taif Mental Health Hospital

Under Supervision of

Dr\ Wasem Marey

Consultant Psychiatrist

Al Taif Mental Health Hospital

Psychiatrist Patient

Society

Science

Anti-

PsychiatryStigma

Nature of

Diseases

Updated

Evidence-

Based

Practice

Cross-

Cultural

Ethics

Challenges of Practicing

Psychiatry

Challenges

1. Nature of The Disease

2. Stigma

3. Anti-Psychiatry

4. Updated Evidence-Based Practice

5. Cross-Culture Psychiatry

6. Ethics & Medico-Legal Aspects

Nature of The Disease

Sequale

Quality of Life Stigma

Course & Prognosis

Acute Episodic Chronic

Management

Pharmacotherapy Psychotherapy Physical Therapy

Diagnosis

Misdiagnosis Classification systems Over diagnosis

Etiology

Biological Psychological Social

Stigma

Theories of Stigma

Threat

Authority

Stigma

Physical

Implied

Effects of Stigma

Patients

Patients’ Families

Psychiatrists

Mental Health Nurses

Mental Health

Hospitals

Psychotropic medications

Effects of Stigma

Social Stigma

FeelingsFear

Control

Sympathy

Thoughts

Patient is violent &

dangerous

Behaviors

Avoidance

Hostility

Effects of Stigma

Personal Stigma

FeelingsLow self-Esteem

Apathy

Anger

Thoughts

I am Less human being than others

Behaviors

WithdrawalإAggressionMotivation

Fighting Stigma

Fighting Stigma

Protest

Media

Fighting Misconceptions published by media

Opening channels of communication

Society

Protesting against negative attitudes

Least Effective

Education

Health workers Children &

AdolescentsFamilies

More Information=

Less Stigma

Direct Communication

Role Models of Effective Patients

Most Effective methods

(yet sometimes regarded as exceptions)

Fighting Stigma in KSA

Anti-Psychiatry

The Right to

be Different

Beginning of the Movement

Ex-Patients

National Mental Health Council England

WANAWe Are Not Alone

USAScientology

Clifford

W. BeersPsychiatrists

A Mind That

Found itself (1908)

Reasons for the Movement

Harmful Therapies

ECT

Anxiolytics

Psychotropic Side Effects

Over Prescription

Psychosurgery

Anti-Psychiatry Pioneers

Dr\Thomas Szasz

The Myth of Mental Illness1957

Dr\ R D Laing

The Divided Self1960

Dr\ David Cooper

Anti-psychiatry

1967

Micheal Foucault

Madness & Civilization

1961

Anti-Psychiatry Concepts

Benefits of Psychiatric Treatments

Harm of Psychiatric Treatments

Anti-Psychiatry Claims

Psychiatryis a

Pseudo-Science

Psychiatry is a

Social Control Tool

Political Abuse of Psychiatry

Pharmaceutical Companies & Drug Business

Labeling

Updated Evidence-Based

PracticePsychiatry

is a Evidence-Based

Science

Psychiatry is a

Branch of Medicine to help patients

Ethics of Psychiatric Practice

Practice Guidelines

Criteria for Diagnosis

Future of Psychiatry

Benefits of Treatments

Harms of Treatments

Cross-Culture Psychiatry

Management

Culturally Adapted Psychotherapy

Spirituality & Religions

Assessment

Arabic Brief religious Coping Scale

Ethics & Medico-Legal

Aspects Patients Rights

Summary

References

1. Portraying mental illness and drug addiction as treatable health conditions: Effects of a randomized experiment on stigma and discrimination

McGinty EE, Goldman HH, Pescosolido B, Barry CL 2014

2. Key Ingredients of Anti-Stigma programsCanadian Journal of Psychiatry 2014

3. Stigma, Conscience , Science in Psychiatry ; Past , Present & Future

John Z. Sadler 2009

4. Cross Cultural Validation & psychometric Properties of Arabic Brief Religious Coping Scale (A-BRCS)

Ashraf ElHadethe et Al 2014

5. An Examination of the Evidence in Culturally adapted Evidence-Based or Empirically Supported Interventions

Janet E. Helms 2014

Discussion