We Have Seen Psychiatry’s Public Image and It Is Ours

American Psychiatric Association Annual MeetingMay 8, 2012

Robert Hsiung, MDbob@dr-bob.org

http://www.dr-bob.org/talks/apa12.ppt

• Audience survey

• Audience survey

• Audience experiment

• Psychiatry’s Image in the Mass Media

http://entertainment.time.com/2011/11/22/top-10-movie-shrinks

• Psychiatry’s Image in New Media

https://twitter.com/HITshrink

http://www.psychologytoday.com/experts/dinah-miller-md

http://www.psychologytoday.com/experts/annette-hanson-md

http://www.facebook.com/r.hsiung

http://www.stevebalt.com/about-me

• Being mindful of our public image

• = ?

• Being mindful of our public image

• = Professionalism

• Section 2A physician shall uphold the standards of professionalism, be honest in all professional interactions and strive to report physicians deficient in character or competence, or engaging in fraud or deception to appropriate entities.

• Principles of Medical EthicsAmerican Medical Association

http://www.psychiatry.org/File%20Library/Practice/Ethics%20Documents/Ethics-Principles-2010.pdf

• The requirement that the physician conduct himself/herself with propriety in his or her profession and in all the actions of his or her life is especially important in the case of the psychiatrist because the patient tends to model his or her behavior after that of his or her psychiatrist by identification.

• Annotations Especially Applicable to PsychiatryAmerican Psychiatric Association

http://www.psychiatry.org/File%20Library/Practice/Ethics%20Documents/Ethics-Principles-2010.pdf

% reporting usage of online social networks

medical students 93.5

residents 79.4

practicing physicians 41.6

Bosslet GT et al. J Gen Intern Med. 2011 Oct; 26 (10): 1168-74.

http://mashable.com/2011/11/02/protecting-your-online-reputation

% of medical schools reporting

violations of patient confidentiality 13

use of profanity 52

frankly discriminatory language 48

depictions of intoxication 39

sexually suggestive material 38

any posting of unprofessional content 60

Chretien KC et al. JAMA. 2009; 302(12): 1309-1315.

http://www.boston.com/news/local/massachusetts/articles/2011/04/20/for_doctors_social_media_a_tricky_case

http://www.ama-assn.org/ama/pub/meeting/professionalism-social-media.shtml

AADPRT Professionalism and the Internet Vignettes

• A psychiatrist is informed by a current patient that a former patient has been systematically logging on to websites for patients and saying things that are untrue about the psychiatrist.

• Dr. A, a resident leaving a hospital, decides to send his friends a Facebook update. “Just finished with a lousy 24 year old jerk,“ Dr A writes. “A soldier complaining of pain = an addict.”

http://aadprt.org/vtodocs/professionalism_and_the_internet/AADPRT_Professionalism_and_the_Internet_Curriculum.pdf

Workshop 129

• Blogs and Tweets, Texting and Friending: Teaching about Professionalism and the Internet

• Sandra M DeJong, MD

• Wednesday 9:00 - 10:30

• Room 101

http://www.worldcrunch.com/insurers-vow-save-your-e-reputation-what-price/4982

• Results of experiment

http://www.dr-bob.org/babble/20120316/msgs/1013795.html

http://www.dr-bob.org/babble/20120316/msgs/1014043.html

• Twitter

• ScattergoodEthx Here's the line up for the Ethics Track at the APA: http://www.scattergoodethics.org/american-psychiatric-association-2012-annual-meeting-ethics-track

• ScattergoodEthx Here's the line up for the Ethics Track at the APA: http://www.scattergoodethics.org/american-psychiatric-association-2012-annual-meeting-ethics-track

• WriteWithStan "Ethics & the APA"...now that's funny :)

• dr_bob hashtag becomes virtual battleground: protesters as well as psychiatrists at #APAAM12

• dr_bob learning experientially about the negative impact of repeated unwanted posts in an online forum

• soulflsepulcher Have fun talking abt psychiatry's public image @dr_bob the hashtag is a public domain btw

• WriteWithStan @dr_bob is ignorantly assuming the Psychiatry & APA critics are in for him..they are here to send a warning that should be heeded

• dr_bob goal of virtual reality is same as that of transference: to bring the problem "into the room"

• WriteWithStan @dr_bob goal of psychiatric virtual reality is same as the rest of our psychiatric sham: to block criticism from convention rooms

• WriteWithStan .@ShrinkRapRoy not here to engage your kind in discussion or viewpoints. Here to confront & expose you..call it SHOUTING all U want

• dr_bob thx for explaining @WriteWithStan • WriteWithStan @dr_bob your welcome :)

Now you can get back to your regularly scheduled drug shilling & DSM5 promotion Bob....

Practicing What I Preach

• Would any of you like to offer me any coaching?

bob@dr-bob.orghttp://www.dr-bob.org/talks/apa12.ppt