Description 

For psychiatry, like other medical specialties, prevailing paradigms and models are necessary to guide care. As a practicing physician it is impossible to hold oneself apart from the moment, to reject all models of body and mind. Instead, one is impelled by the necessity of making decisions with limited knowledge in order to help the person in front of you. As a doctor, whether internist or psychiatrist, you thus need a working model, a vision, to organize the realities that you face daily. For practicing psychiatrists, it has been dizzying to live through transitions from one prevailing model of the mind to the next over the past several decades. Historian Thomas Kuhn wrote of the structure of scientific revolutions, in which new scientific models abruptly sweep away previous models: "though the world does not change with a change of paradigm, the scientist afterward works in a different world." Such is the case for psychiatry. Those psychiatrists who were trained in the age of psychoanalysis abruptly encountered the new DSM model of psychiatry in the early 1980s. Whereas psychoanalysis focused on transference, dream interpretation, and unconscious conflict, the DSM prioritized the development of reliable diagnoses and targeted, evidence-based psychotherapies and psychopharmacology interventions. Recently, the neuroscience revolution has abruptly changed our focus to aberrant brain circuits, deficiencies in neurotrophic factors, and dysfunctional epigenetic changes which are hypothesized to underly our patients’ symptomatology – and psychiatric clinicians and researchers have turned our attention to optimizing brain health through exercise and meditation, and rapid neurocircuit modulation whether with ketamine or psychedelics. Hence, psychiatry has quickly moved from the era of the psychoanalytic couch to an era of the Diagnostic and Statistical Manual, to an emerging era of the MRI scanner, which can capture the activity of the thinking brain. This presentation will use narrative medicine methods to characterize this unprecedented age of scientific revolution in psychiatry, with a focus on how individual clinical cases can be approached in radically different ways by each of these models of the mind.

Format 

Recorded webinar.

This content was recorded during the APA 2023 Annual Meeting.

Learning Objectives 

1. Understand the importance of prevalent psychiatric model in defining treatment objectives and outcomes.
2. Be able to characterize main assumptions and methods of previous and current treatment models.
3. Be able to describe 'narrative medicine' approaches and relevance to medical and psychiatric care.

Target Audience 

Residents/Fellows, Psychiatrists, Psychologists

Estimate Time to Complete 

Estimated Duration: 1.0 hours
Program Start Date: May 1, 2025
Program End Date: May 1, 2028

How to Earn Credit 

Participants who wish to earn AMA PRA Category 1 Credit™ may do so after completing all sections of the course including the evaluation. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the completion date and hours earned. 

Continuing Education Credit  

In support of improving patient care, the American Psychiatric Association is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

The APA designates this live activity for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Faculty and Planner Disclosures 

The American Psychiatric Association adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CME activity — including faculty, planners, reviewers or others — are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity. 

Instructors 

• David Hellerstein, MD.

Planners  

• Vishal Madaan, MD, Chief of Education and Deputy Medical Director at the American Psychiatric Association.

Accessibility for Participants with Disabilities 

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. Please contact the American Psychiatric Association at 202-559-3900, if you require assistance seven (7) business days prior to the start of a live webinar. 

Technical Requirements 

This internet-based CME activity is best experienced using any of the following: 

• The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari 
• Internet Explorer 11+ 

This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player. 

Optimal System Configuration: 

• Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version) 
• Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version) 
• Internet Connection: 1 Mbps or higher 

Minimum Requirements: 

• Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content 
• Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content 

For assistance: Contact educme@psych.org for questions about this activity | Contact learningcenter@psych.org for technical assistance