Overview of international challenges faced by psychiatrists through their practice Collaborative work of: 1-Dr Yomna Gaber Senior Registrar Psychiatrist 2- Dr Hosam Kasseb Senior Registrar Psychiatrist 3-Dr Wasem Marey Consultant Psychiatrist

1. International Challenges of
Practicing Psychiatry
Journal 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

2. Psychiatrist Patient
Society
Science
Anti-
Psychiatry
Stigma
Nature of
Diseases
Updated
Evidence-
Based
Practice
Cross-
Cultural
Ethics
Challenges of Practicing
Psychiatry

3. 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

4. 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

5. Stigma

6. Theories of Stigma
Threat
Authority
Stigma
Physical
Implied

7. Effects of Stigma
Patients
Patients’
Families
Psychiatrists
Mental
Health
Nurses
Mental
Health
Hospitals
Psychotropic
medications

8. Effects of Stigma
Social
Stigma
Feelings
Fear
Control
Sympathy
Thoughts
Patient is
violent &
dangerous
Behaviors
Avoidance
Hostility

9. Effects of Stigma
Personal
Stigma
Feelings
Low self-
Esteem
Apathy
Anger
Thoughts
I am Less
human being
than others
Behaviors
‫إ‬Withdrawal
Aggression
Motivation

10. 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 &
Adolescents
Families
More Information
=
Less Stigma
Direct
Communication
Role Models of
Effective Patients
Most Effective
methods
(yet sometimes
regarded as
exceptions)

11. Fighting Stigma in KSA

12. Anti-Psychiatry
The
Right to
be
Different

13. Beginning of the Movement
Ex-Patients
National
Mental
Health
Council
England
WANA
We Are Not Alone
USA
Scientology
Clifford
W. Beers
Psychiatrists
A Mind That
Found itself (1908)

14. Reasons for the Movement
Harmful
Therapies
ECT
Anxiolytics
Psychotropic
Side Effects
Over
Prescription
Psychosurgery

15. Anti-Psychiatry Pioneers
DrThomas
Szasz
The Myth of
Mental
Illness
1957
Dr R D
Laing
The Divided
Self
1960
Dr David
Cooper
Anti-
psychiatry
1967
Micheal
Foucault
Madness &
Civilization
1961

16. Anti-Psychiatry Concepts
Benefits of
Psychiatric
Treatments
Harm of
Psychiatric
Treatments

17. Anti-Psychiatry Claims
Psychiatry
is a
Pseudo-Science
Psychiatry
is a
Social Control
Tool
Political Abuse
of Psychiatry
Pharmaceutical
Companies &
Drug Business
Labeling

18. Updated Evidence-Based
Practice
Psychiatry
is a
Evidence-Based
Science
Psychiatry
is a
Branch of Medicine
to help patients
Ethics of
Psychiatric Practice
Practice Guidelines
Criteria for
Diagnosis

19. Future of Psychiatry
Benefits of
Treatments
Harms of
Treatments

20. Cross-Culture Psychiatry
Management
Culturally Adapted
Psychotherapy
Spirituality &
Religions
Assessment
Arabic Brief religious Coping Scale

21. Ethics & Medico-Legal
Aspects
 Patients Rights

22. Summary

23. 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 programs
Canadian 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

24. Discussion