on November 18, 2015
This book was a pretty good read. If you want to view the work of a psychologist starting from medical school, this is the read,. This is even great for medical students who are about to start rotations or who have done psych rotations and want to read more about it. It reads like a memoir but still has some pretty eye opening passages that made me think about ways to better serve psych patients and support the doctors treating them.
This book is Klitzman's memoir of his time in residency, training as a psychiatrist. There are many memoirs of medical training in print, and this one does bear some similarities to the others, but there is plenty of original content too. Like most memoirs of residency, Klitzman's training brings into stark relief the inadequacies of the mental health system, and the inability of well-meaning practitioners to deliver the best medical care.
Some of the issues, dealing with insurance companies, nurses, and other doctors are shared across disciplines. But psychiatry presents a whole new set of issues, and Klitzman's treatment of these make this book well worth reading. While medical memoirs are full of tales of senior doctors mistreating students, the psychiatrists seemed to be using their students as experiments. Klitzman notes that residents were frequently treated like patients. Where Klitzman is at his most eloquent is in his discussion of the difficulties of treating the mind, rather than the body. Serving a patient population that does not necessarily want to get well, navigating disagreements about drug vs. behavioral therapy, these issues provide new challenges Klitzman had not faced in treating the body.
This is a well-written, passionate memoir. Much has changed in psychiatry in the fifteen years since this was published. Prozac was the new wonder drug when Klitzman was writing. This is still a book well-worth reading. The drugs may have changed, but many of the issues remain.
on September 11, 2012
The book provided a great tour of professional life once the college textbooks are put down. It was a fun vicarious escape. These are my favorite quotes from Dr. Klizman. (Everyone qualifies for this first one, I think!)
* "In a personality disorder the patient thinks there's nothing wrong with him, but everyone around him complains and thinks there is."
*Â "In neurosis the patient feels miserable, but everyone around him thinks he's doing
* 'Everything in therapy is really about sex except sex, which is about aggression.'" [relating a conversation with his supervisor, not necessarily his view.]"
on August 26, 2000
This book is interesting reading for anyone who wants to know more about the mental health treatment 'industry' as displayed at one hospital. Dr. Klitzman's frank account from the perspective of a resident in training gives honest and open insight and opinions into the various treatment methods he learned to administer. He also explores his responses, perceptions and disagreements with these methods. However, the accounts are not overly-clinical, but are told from a very humane perspective.