Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-22T16:47:17.027Z Has data issue: false hasContentIssue false
  • English
  • Français

The Relationship Between Psychiatric Research and Public Policy

Published online by Cambridge University Press:  02 January 2018

Leon Eisenberg
Leon Eisenberg*
Affiliation:
Department of Social Medicine and Health Policy, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA
Get access Rights & Permissions [Opens in a new window]

Abstract

The rationale upon which public policy for the support of psychiatric research has been fashioned and the extent to which the results of that research are used to shape public mental-health policy are examined. Support for research competes with other claims for resource allocation and the decisions made reflect the relative strength of the interested constituencies. When research findings promise cost savings, they are readily adopted (sometimes unwisely so), but when they require substantial new outlays or changes in bureaucratic agencies, they are all too often ignored.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 153 , Issue 1 , July 1988 , pp. 21 - 29
Copyright
Copyright © Royal College of Psychiatrists, 1988 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bacon, F. (1620) Novum Organum. Republished The Philosophical Works of Francis Bacon (1905) (ed. Robertson, J. M.). London: George Routledge and Sons, Ltd.Google Scholar
Barre-Sinoussi, F., Chermann, J. C., Rey, F., Nugeyre, M. T., Chamaret, S., Gruest, J., Dauguet, C., Axler-Blin, C., Vezinet-Brun, F., Rouzioux, C., Rozenbaum, W. & Montagnier, L. (1983) Isolation of a T-lymphotrophic virus from a patient at risk from Acquired Immune Deficiency Syndrome. Science, 220, 868–871.CrossRefGoogle Scholar
Berrueta-Clement, J. R., Schweinhart, L. J., Barnett, W. S., Epstein, A. S. & Weikart, D. P. (1984) Changed Lives: The Effects of the Perry Preschool Program on Youths Through Age 19. Ypsilanti, Michigan: The High/Scope Press.Google Scholar
Booth, W. (1987) Arthritis Institute tackles sports. Science, 237, 846–847.CrossRefGoogle ScholarPubMed
Breman, J. G. & Arita, I. (1980) The confirmation and maintenance of smallpox eradication. Science, 164, 262–270.Google Scholar
Centers for Disease Control (1981a) Pneumocystis pneumonia – Los Angeles. Morbidity and Mortality Weekly Report, 30, 250–252.Google Scholar
Centers for Disease Control (1981b) Kaposi's sarcoma and Pneumocystis pneumonia among homosexual men – New York City and California. Morbidity and Mortality Weekly Report, 30, 305–308.Google Scholar
Comroe, J. H. (1976) Lags between initial discovery and clinical application to cardiovascular and pulmonary surgery. In Report of the President's Biomedical Research Panel (eds Murphy, F. D. & Ebert, R. H.). Appendix B, pp. 1–33. Washington, DC: DHEW Publication No. (05)76–500.Google Scholar
Comroe, J. H. & Dripps, R. D. (1976) Scientific basis for the support of biomedical science. Science, 192, 105–111.CrossRefGoogle ScholarPubMed
Davis, A. E., Dinitz, S. & Pasamanick, B. (1974) Schizophrenics in the New Custodial Community: Five Years After the Experiment. Columbus, Ohio: Ohio State University Press.Google Scholar
Dixon, B. (1987) BA lobby asks Thatcher to do more for research. The Scientist, 21 September, 1, 1.Google Scholar
Dubos, R. (1959) Mirage of Health: Utopias, Progress and Biological Change. New York: Harper and Brothers.Google Scholar
Editorial (1987) Formative turbulent months ahead. Nature, 328, 745–746.CrossRefGoogle Scholar
Eisenberg, L. (1979) The National Conference on Health Research Principles: bread and circuses or the great debate? Clinical Research, 27, 95–97.Google ScholarPubMed
Eisenberg, L. (1986) The genesis of fear: AIDS and the public's response to science. Law, Medicine and Health Care, 14, 243–249.CrossRefGoogle ScholarPubMed
Eisenberg, L. (1987a) Preventing mental, neurological and psychosocial disorders. World Health Forum, 8, 245–253.Google Scholar
Eisenberg, L. (1987b) Preventive pediatrics: The promise and the peril. Pediatrics, 80, 415–422.CrossRefGoogle ScholarPubMed
Eisenberg, L. (1988) Science in medicine: too much or too little and too limited in scope? American Journal of Medicine, 84, 483–491.CrossRefGoogle ScholarPubMed
Freedman, A. M. (1967) Historical and political roots of the Community Mental Health Centers Act. American Journal of Orthopsychiatry, 37, 487–494.CrossRefGoogle ScholarPubMed
Gallo, R. C., Sarin, P. S., Gelmann, E. P. et al (1983) Isolation of a human T-cell leukemia virus in Acquired Immune Deficiency Syndrome. Science, 220, 865–867.CrossRefGoogle ScholarPubMed
Goldberg, I. D., Babigian, H. M., Locke, B. Z. & Rosen, B. M. (1978) Role of non-psychiatrist physicians in the delivery of mental health services: implications from three studies. Public Health Reports, 93, 240–245.Google Scholar
Goldgaber, D., Lerman, M. I., McBride, O. W., Saffiotti, U. & Gajdusker, D. C. (1987) Characterization and chromosomal localization of a cDNA encoding amyloid of Alzheimer's disease. Science, 235, 877–880.CrossRefGoogle ScholarPubMed
Gori, G. B. & Richter, B. J. (1979) Macroeconomics of disease prevention in the United States. Science, 200, 1124–1130.CrossRefGoogle Scholar
Hankin, J. R., Steinwachs, D. M., Regier, D. A., Burns, B. J., Goldberg, I. D. & Hoeper, E. W. (1982) Use of general medical care by persons with mental disorders. Archives of General Psychiatry, 39, 225–231.CrossRefGoogle ScholarPubMed
Hay, J. W. & Ernst, R. L. (1987) The economic costs of Alzheimer's disease. American Journal of Public Health, 77, 1169–1175.CrossRefGoogle ScholarPubMed
Institute of Medicine (1979) DHEW's Research Planning Principles. Washington, DC: National Academy of Sciences.Google Scholar
Institute of Medicine (1984) Research on Mental Illness and Addictive Disorder: Progress and Prospects. Washington, DC: National Academy Press.Google Scholar
Institute of Medicine (1985) Preventing Low Birth Weight. Washington, DC: National Academy Press.Google Scholar
Jones, E. F., Forrest, J. D., Goldman, N., Henshaw, S. K., Lincoln, R., Rosoff, J. I., Westoff, C. F. & Wulf, D. (1985) Teenage pregnancy in developed countries: determinants and policy implications. Family Planning Perspectives, 17, 53–63.CrossRefGoogle ScholarPubMed
Kenney, A. M. (1986) School-based clinics: a national conference. Family Planning Perspectives, 18, 44–46.CrossRefGoogle ScholarPubMed
Klein, R. (1972) NHS reorganization: the politics of the second best. The Lancet, ii, 418–420.CrossRefGoogle Scholar
Lazar, I., Darlington, R., Murray, H., Royce, J. & Snipper, A. (1982). Lasting Effects of Early Education. Monographs of the Society for Research in Child Development 47 (1–2, Serial No. 194).CrossRefGoogle Scholar
Marshall, E. (1987) OMB stalks the “burgeoning growth of biomedicine”. Science, 237, 847–848.CrossRefGoogle Scholar
McCormick, M. C. (1985) The contribution of low birth weight to infant mortality and childhood morbidity. New England Journal of Medicine, 312, 82–90.CrossRefGoogle ScholarPubMed
Murphy, F. D. & Ebert, R. H. (1976) Report of the President's Biomedical Research Panel. Washington, DC: DHEW Publication No. (OS)76–500.Google Scholar
Office of the Director, NIH (1979) DHEW Health Research Principles, vol. I. Washington: DHEW(NIH).Google Scholar
Office of Program Planning and Evaluation (1986) NIH Data Book. Washington, DC: US Department of Health and Human Services.Google Scholar
Office of Technology Assessment (1981) Cost Effectiveness of Influenza Vaccination. Washington, DC: US Government Printing Office.Google Scholar
Pasamanick, B., Scarpitti, F. & Dinitz, S. (1967) Schizophrenics in the Community: An Experimental Study in the Prevention of Hospitalization. New York: Appleton-Century-Crofts.Google Scholar
Regier, D. A., Goldberg, I. D. & Taube, C. A. (1978) The de facto US mental health services system: a public health perspective. Archives of General Psychiatry, 35, 685–693.CrossRefGoogle Scholar
Rice, D. P. & Feldman, J. J. (1983) Living longer in the United States: demographic changes and health needs of the elderly. Milbank Memorial Fund Quarterly/Health and Society, 61, 362–396.CrossRefGoogle ScholarPubMed
Russell, L. B. (1986) Is Prevention Better than Cure? Washington, DC: The Brookings Institution.Google Scholar
St George-Hyslop, P. H., Tanzi, R. E., Polinsky, R. J. et al (1987) The genetic defect causing familial Alzheimer's disease maps on chromosome 21. Science, 235, 885–890.CrossRefGoogle ScholarPubMed
Shannon, J. A. (1987) The National Institutes of Health: some critical years, 1955–1957. Science, 237, 865–868.CrossRefGoogle ScholarPubMed
Shepherd, M. (1987) Mental illness and primary care. American Journal of Public Health, 77, 12–13.CrossRefGoogle ScholarPubMed
Shepherd, M., Cooper, B., Brown, A. C. & Kalton, G. W. (1966) Psychiatric Illness in General Practice. Oxford: Oxford University Press.Google Scholar
Smith, A. (1759) The Theory of Moral Sentiments. Republished 1976. Indianapolis: Liberty Classics.CrossRefGoogle Scholar
Smith, A. (1790) The History of Astronomy. Reprinted (1980) in Essays on Philosophical Subjects (eds Wightman, W. P. D. & Bryce, J. C.). Oxford: Clarendon Press.Google Scholar
Tanzi, R. E., Gusella, J. F., Watkins, P. C., Bruns, G. A. P., St. George-Hyslop, P., van Keuren, M. L., Patterson, D., Pagan, S., Kurnit, D. M. & Neve, R. L. (1987) Amyloid beta-protein gene: cDNA, mRNA distribution, and genetic linkage near the Alzheimer locus. Science, 235, 880–884.CrossRefGoogle ScholarPubMed
Varmus, H. (1987) Reverse transcription. Scientific American, 257, 56–64.CrossRefGoogle ScholarPubMed
Westinghouse Learning Corporation (1969) The Impact of Head Start: An Evaluation of Head Start on Children's Affective and Cognitive Development, vols I and II. Athens, Ohio: Ohio University.Google Scholar
Williams, P., Tarnopolsky, A., Hand, D. & Shepherd, M. (1986) Minor psychiatric morbidity and general practice consultations: The West London Survey. Psychological Medicine, Monograph Supplement 9.CrossRefGoogle Scholar
Wyatt, R. J. & DeRenzo, E. G. (1986) Scienceless to homeless. Science, 234, 1309.CrossRefGoogle ScholarPubMed
Wyngaarden, J. B. (1987) The National Institutes of Health in its Centennial year. Science, 237, 869–874.CrossRefGoogle ScholarPubMed
Zabin, L. S., Hirsch, M. B., Smith, E. A. et al (1986) Evaluation of a pregnancy prevention program for urban teenagers. Family Planning Perspectives, 18, 119–126.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.