From Skepticism to Competence

How American Psychiatrists Learn Psychotherapy

Mariana Craciun

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English

University of Chicago Press
09 July 2024

Psychiatry; Psychotherapy

Series: Ethnographic Encounters and Discoveries

An examination of how novice psychiatrists come to understand the workings of the mind—and the nature of medical expertise—as they are trained in psychotherapy.

While many medical professionals can physically examine the body to identify and understand its troubles—a cardiologist can take a scan of the heart, an endocrinologist can measure hormone levels, an oncologist can locate a tumor—psychiatrists have a much harder time unlocking the inner workings of the brain or its metaphysical counterpart, the mind.

In From Skepticism to Competence, sociologist Mariana Craciun delves into the radical uncertainty of psychiatric work by following medical residents in the field as they learn about psychotherapeutic methods. Most are skeptical at the start. While they are well equipped to treat brain diseases through prescription drugs, they must set their expectations aside and learn how to navigate their patients' minds. Their instructors, experienced psychotherapists, help the budding psychiatrists navigate this new professional terrain by revealing the inner workings of talk and behavioral interventions and stressing their utility in a world dominated by pharmaceutical treatments. In the process, the residents examine their own doctoring assumptions and develop new competencies in psychotherapy. Exploring the world of contemporary psychiatric training, Craciun illuminates novice physicians' struggles to understand the nature and meaning of mental illness and, with it, their own growing medical expertise.

By: Mariana Craciun
Imprint: University of Chicago Press
Country of Publication: United States
Dimensions: Height: 229mm, Width: 152mm, Spine: 20mm
Weight: 340g
ISBN: 9780226833910
ISBN 10: 0226833917
Series: Ethnographic Encounters and Discoveries
Pages: 256
Publication Date: 09 July 2024
Audience: Professional and scholarly , Undergraduate
Format: Paperback
Publisher's Status: Active

Preface 1. Learning to Doctor in Psychiatry 2. Training at Shorewood 3. Doctoring Unmoored 4. Psychotherapy Instructors 5. Learning to Doctor in CBT 6. Learning to Doctor Psychodynamically 7. Competence and Resolution 8. From Skepticism to Competence: An Integrated Theory and Implications Acknowledgments Appendix: Facing Skepticism in the Field Notes References Index

Mariana Craciun is assistant professor of sociology at Tulane University.

Reviews for From Skepticism to Competence: How American Psychiatrists Learn Psychotherapy

"""Empirically rich, theoretically sophisticated and highly readable, Craciun's book takes readers into the very interstices of psychotherapeutic training, and shows how residents grow from hard-nosed, biomedical skeptics into competent behavioral and psychodynamic therapists. The beauty of Craciun’s argument is that she analyzes skepticism not as an obstacle, but as a necessary step in a process of professional socialization that will conclude with competency and trust. In an age of mistrust, skepticism’s less disciplined cousin, the lessons that Craciun’s book teaches will resonate far beyond the field of psychotherapeutic training."" -- Gil Eyal, Columbia University"