Career Focus

Briefing

BMJ 1998; 317 doi: https://doi.org/10.1136/bmj.317.7156.3 (Published 15 August 1998) Cite this as: BMJ 1998;317:S3-7156

The hottest debate in US psychiatry is whether the speciality should even exist at all. There are fierce responses (Arch Gen Psych 1998;55:182-4) to a proposal that psychiatry and neurology should merge - after a century of separation in the English-speaking world - to form a new discipline of clinical neuroscience. The spectre looming above the debate is managed care, which wants lengthy psychotherapy to be practised by less expensive members of the team than doctors.

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