According to W. Edwards Deming, American companies require nothing less than a transformation of management style and of governmental relations with industry. In Out of the Crisis, originally published in 1982, Deming offers a theory of management based on his famous 14 Points for Management. Management's failure to plan for the future, he claims, brings about loss of market, which brings about loss of jobs. Management must be judged not only by the quarterly dividend, but by innovative plans to stay in business, protect investment, ensure future dividends, and provide more jobs through improved product and service. In simple, direct language, he explains the principles of management transformation and how to apply them.

Out of the Crisis

In 1974 an article appeared in Science magazine with the dry-sounding title “Judgment Under Uncertainty: Heuristics and Biases” by a pair of psychologists who were not well known outside their discipline of decision theory. In it Amos Tversky and Daniel Kahneman introduced the world to Prospect Theory, which mapped out how humans actually behave when faced with decisions about gains and losses, in contrast to how economists assumed that people behave. Prospect Theory turned Economics on its head by demonstrating through a series of ingenious experiments that people are much more concerned with losses than they are with gains, and that framing a choice from one perspective or the other will result in decisions that are exactly the opposite of each other, even if the outcomes are monetarily the same. Prospect Theory led cognitive psychology in a new direction that began to uncover other human biases in thinking that are probably not learned but are part of our brain’s wiring.

Thinking fast and slow.

The upshot of these needs for change is both dismaying and exciting, both disturbing in the destruction of long-familiar patterns of dealing with human suffering, and paradoxically hopeful in raising the possibility that significant failures in our health care systems of the past — limited access to medical care and grossly inadequate public sector “non-systems”, for example — may now be addressed more successfully.

Administration and policy in mental health

PurposeHarassment and discrimination include a wide range of behaviors that medical trainees perceive as being humiliating, hostile, or abusive. To understand the significance of such mistreatment and to explore potential preventive strategies, the authors conducted a systematic review and meta-anal

Harassment and Discrimination in Medical Training: A Systematic Review and Meta-Analysis

Changing Directions, Changing Lives: The Mental Health Strategy for Canada

The Canadian Psychiatric Association (CPA) has taken a strong position in advocating for decreasing stigma and discrimination, albeit, mostly with a focus on people with mental illness. While doing so, however, the CPA has recognized the ongoing stigma and discrimination in society based on sex, race, sexual orientation and religion.1 Unfortunately, psychiatry has a history of conflating lesbian, gay, bisexual, transgender and (or) queer (LGBTQ) identities with mental illness and has, therefore, historically contributed to the stigma and discrimination faced by people who identify as LGBTQ, affecting not only their mental health but also their access to appropriate mental health care. This position paper addresses the need for psychiatrists to increase their understanding of the mental health needs of people who identify themselves as LGBTQ.

Mental Health Care for People Who Identify as Lesbian, Gay, Bisexual, Transgender, and (or) Queer

As the number of AIDS cases has continued to increase, psychiatric research has focused on the victims of this disease. Little has been written about the caregivers and the impact that their attitu...

Homophobia Among Psychiatric Residents, Family Practice Residents and Psychiatric Faculty:

In this paper, we argue that risk assessment should be considered a part of daily clinical psychiatric practice. We discuss the advantages and disadvantages of various risk assessment procedures. In the event that a high risk for violence is present, we advise on strategies for discharging our duty to protect the public. Finally, by way of an illustrative case, we apply theory to practice and discuss the issues of risk management and risk reduction essential to a modern approach to psychiatry.

https://journals.sagepub.com/doi/pdf/10.1177/070674370505000104

The Clinical Use of Risk Assessment

1 Head of Service, Forensic Psychiatry, St Joseph’s Healthcare, Hamilton, Ontario; Associate Professor, Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario. © Copyright 2012, Canadian Psychiatric Association. This document may not be reproduced without written permission of the CPA. Members’ comments are welcome. Please address all comments and feedback to: President, Canadian Psychiatric Association, 141 Laurier Avenue West, Suite 701, Ottawa, ON K1P 5J3; Tel: 613-234-2815; Fax: 613-234-9857; e-mail: president@cpa-apc.org. Reference 2012–52. Note: It is the policy of the Canadian Psychiatric Association to review each position paper, policy statement, and clinical practice guideline every five years after publication or last review. Any such document that has been published more than five years ago and does not explicitly state it has been reviewed and retained as an official document of the CPA, either with revisions or as originally published, should be considered as a historical reference document only. Introduction

The criminalization of people with mental illness.

There have been fairly limited reports in the literature of assaults on residents in psychiatric facilities. Assaults on residents and staff tend to be underreported and, for a variety of reasons, not adequately dealt with by the administration. For this reason, security in psychiatric facilities may be lacking in many instances. In order to prepare a position paper of guidelines specifying minimum security requirements for psychiatric facilities in Canada, the Residents' Section of the Canadian Psychiatric Association gathered data on this issue from psychiatric residents. We present the results of a questionnaire sent to all psychiatric residents who are members of the Canadian Psychiatric Association. Results indicate that 40.2% of residents have been assaulted at least once. We present some interesting findings that relate to the residents' perception of their training and the appropriateness of the facilities for assessing patients. Requests for improved security were made by 36.9% of the residents, but only 22.9% of this group found the response by acceptable. Some of the residents' explanations for the assaults suggest interesting dynamics. These and other findings suggest an urgent need to address this issue. Language: en

Gary Chaimowitz

Papers

Mental Health Care for People Who Identify as Lesbian, Gay, Bisexual, Transgender, and (or) Queer

Homophobia Among Psychiatric Residents, Family Practice Residents and Psychiatric Faculty:

The Clinical Use of Risk Assessment

The criminalization of people with mental illness.

Patient assaults on psychiatric residents: the Canadian experience.