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From bedlam to biomarkers: The transformation of psychiatry’s terminology reflects its 4 conceptual earthquakes

Current Psychiatry. 2015 January;14(1):5-7
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I fell in love with psychiatry at age 14. Since then, I have witnessed this medical specialty reinvent itself 4 times. This transformation is unique in medicine, and reflects ultra-rapid changes in understanding the divine complexities of the brain/mind continuum over the past half century.


When I embraced psychiatry in ado­lescence as my future career, I never imagined, in my wildest dreams, that I would experience such successive scientific earthquakes in my beloved medical specialty. Perhaps that’s what kept me stimulated and eager to come to work every day; I use all the models and treatment tools I have learned in understanding and helping my patients with evolving psychotherapeutic and biopharmaceutical tools; I also teach my students and residents about the multi­faceted wonders of the human mind and the magnificent complexities of the brain in health and disease.

Psychiatry has been, and will continue to be, a Pandora’s box of medicine, full of stunning scientific twists and surprises and a transformative lexicon to match.