This article explores debates in psychiatry about generalism and subspecialization, illustrating the potential benefits and issues of each in the context of service delivery and education founded on the biopsychosocial model. Recommendations are given to respond to varying global dynamics and support moves toward patient-centred care.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 digital issues and online access to articles
$59.00 per year
only $4.92 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Cassel, C. K. & Reuben, D. B. N. Engl. J. Med. 364, 1169–1173 (2011).
Bloom, J. D. & Benson, J. A. Jr. J. Am. Acad. Psychiatry Law. 33, 95–98 (2005).
Williams, N. R. et al. J. Clin. Psychiatry 75, 895–897 (2014).
World Psychiatric Association Working Group on Geopsychiatry. https://www.wpanet.org/wg-on-geopsychiatry (2020).
Glannon, W. Front. Hum. Neurosci. 8, 488 (2015).
Lugg, W. Australas Psychiatry 30, 55–59 (2022).
Bhugra, D. et al. Lancet Psychiatry 4, 775–818 (2017).
Killaspy, H. The Psychiatrist 36, 364–365 (2012).
Laugharne, R. et al. BJPsych Bull. 42, 229–232 (2018).
Kar, S. K. & Prakash, O. Educ. Health 28, 218–219 (2015).
Chandradasa, M. & Champika, L. Acad. Psychiatry 43, 135–139 (2019).
Garg, K. et al. Indian J. Psychiatry 61, 104–105 (2019).
Aggarwal, R. et al. Acad. Psychiatry 47, 117–119 (2023).
Beis, P., Graf, M. & Hachtel, H. Front. Psychiatry 25, 876619 (2022).
Putnam, H. P. Psychiatric Times https://psychnews.psychiatryonline.org/doi/10.1176/appi.pn.2023.04.11.5 (2023).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
P.F. is the past president of the European Psychiatric Association. D.B. has previously been president of the British Medical Association, the World Psychiatric Association and the Royal College of Psychiatrists.
Rights and permissions
About this article
Cite this article
Liebrenz, M., Smith, A.J., Bhugra, D. et al. Diversification or dilution? Perspectives on generalism and subspecialization in modern psychiatry. Nat. Mental Health 2, 6–8 (2024). https://doi.org/10.1038/s44220-023-00175-0
Published:
Issue Date:
DOI: https://doi.org/10.1038/s44220-023-00175-0