How do psychiatrists in India construct their professional identity? A critical literature review

Indian Journal of Psychiatry
Clement BayettiSmita N Deshpande

Abstract

Psychiatric practice in India is marked by an increasing gulf between largely urban-based mental health professionals and a majority rural population. Based on the premise that any engagement is a mutually constructed humane process, an understanding of the culture of psychiatry including social process of local knowledge acquisition by trainee psychiatrists is critical. This paper reviews existing literature on training of psychiatrists in India, the cultural construction of their professional identities and autobiographical reflections. The results reveal a scarcity of research on how identities, knowledge, and values are constructed, contested, resisted, sustained, and operationalized through practice. This paper hypothesizes that psychiatric training and practice in India continues to operate chiefly in an instrumental fashion and bears a circular relationship between cultural, hierarchical training structures and patient-carer concerns. The absence of interpretative social science training generates a professional identity that predominantly focuses on the patient and his/her social world as the site of pathology. Infrequent and often superfluous critical cultural reflexivity gained through routine clinical practice furthe...Continue Reading

Citations

Aug 7, 2019·The International Journal of Social Psychiatry·Manila MathewsSantosh K Chaturvedi
Feb 27, 2020·Medical Anthropology·Sudarshan R Kottai, Shubha Ranganathan

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