By Linda Gask
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Additional resources for A Short Introduction to Psychiatry (Short Introductions to the Therapy Professions)
Looking back at these notes now we see that they are often a very limited record, with frequently just the words ‘no change’ written every year for decades. The twentieth century was late to reach the asylum. But a revolution in health care was taking place. 9 Outpatient clinics, day hospitals and hostels began to appear. New therapists were engaged to provide education, occupational therapy, music, art and physical activities. Doors were unlocked, allowing more freedom to patients and enabling graduated discharge.
Imipramine, for example, was simply one of a series of compounds. Originally a possible anti-histamine, it emerged that it possessed a potent anti-depressant action, but it was a decade before it was finally marketed in 1958. qxd 5/21/04 2:34 PM 24 Page 24 A SHORT INTRODUCTION TO PSYCHIATRY the US and Europe were working on similar projects at the same time, so it is difficult to be sure exactly who was the first to discover anti-depressants, but it does seem likely that Max Lurie, an American psychiatrist, was the first to use the term ‘anti-depressant’ some time around 1953.
Very few psychiatrists in the UK work entirely in the private sector, although, in common with other NHS consultants many do some private clinical work, or some medicolegal practice (see p. 66). 2 How many psychiatrists are there? 1 demonstrates the enormous variation in numbers of mental health professionals across the world. Each of the countries in this table represents one of the six geographical regions of the World Health Organization. Not only are the United States of America and the United Kingdom vastly better off in terms of numbers of psychiatrists than developing countries, but they also have many more allied mental health professional workers – for example the USA is particularly rich in psychologists, and the UK in psychiatric nurses.
A Short Introduction to Psychiatry (Short Introductions to the Therapy Professions) by Linda Gask