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Psychiatry's Future: Biology, Psychology, Legislation, and “The Fierce Urgency of Now”

B. Kelly

Published 2020 in Indian Journal of Psychological Medicine

ABSTRACT

189 40 years ago, on 2 April 1979, Time magazine published a dramatic cover story titled “psychiatry’s depression,” arguing that psychiatry was experiencing a life-or-death identity crisis and needed to find new directions in order to survive. The article documented recruitment difficulties into the profession, a dearth of real knowledge about mental illness, interminable debates about the effectiveness of established psychological therapies, and the emergence of any number of eye-catching pseudo-therapies in the 1960s and 1970s. There was a risqué (and lamentably difficult to forget) photograph of a group of naked people undergoing “rebirthing” at a workshop in California. The Time article also noted continued problems with psychiatric hospitals and standards of care but nonetheless concluded that new research in the neurosciences now positioned psychiatry—as ever—on the cusp of a brave new era.

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