Gender disadvantage within the professions significantly affects the development of women doctors, resulting in morbidity and less than optimal development. Paradoxically, for a profession primarily concerned with the study of the vicissitudes of human development, psychiatry in Australia and New Zealand has yet to articulate those issues which bear directly upon the development of its own members. Systemic problems are identified within the institutions of medicine and psychiatry which compromise the development of both female and male trainees and which must concern medical educators. Recommendations are made concerning the structure and content of training programmes, most particularly post-graduate psychiatry.
References
1.
QuadrioC. Reflections on RANZCP Congress 1988, Letters to the Editor. Australian and New Zealand Journal of Psychiatry. 1989; 22: 340–344.
2.
Letters to the Editor, Australian and New Zealand Journal of Psychiatry1989; 24: 165–168.
3.
WillsS. Perceptions of discrimination: realism not paranoia. In: CassBDawsonMTempleDWillsSWinklerA, eds. Why so few?. Sydney: Sydney University Press, 1983: 93–121.
4.
RothblumEDColeE, eds. Treating women's fear of failure. London: The Haworth Press New York, 1987.
5.
AbramsonLYSeligmanMEPTeasdaleJD. Learned helplessness in humans: Critique and reformulations. Journal of Abnormal Psychology1978; 87: 49–74.
6.
HafnerRJ. Marriage and mental illness: A sex-roles perspective. New York: Guilford Press, 1986.
7.
HeinsMHendricksJMartindaleLSmockSSteinMJacobsJ. Attitudes of women and men physicians. American Journal of Public Health1979; 69(11): 1132–1138.
8.
RuhePSalladayS. Changing views of women in medicine. Nebraska Medical Journal1983; 68(8): 250–253.
9.
ScadronAWitteMHAxelrodMGreenbergEAAremCMeitzJE. Attitudes toward women physicians in medical academia. Journal of the American Medical Association1982; 247(20): 2803–2807.
10.
MillerJB. Toward a new psychology of women. Middlesex: Penguin Books, 1983.
11.
GilliganC. In a different voice. Cambridge: Harvard University Press, 1982.
12.
ChodorowN. The reproduction of mothering. California: University of California Press, 1978.
13.
BemSL. Androgyny and gender schema theory: a conceptual and empirical integration. In: SondereggerTB, ed. Nebraska Symposium on Motivation. Lincoln: University of Nebraska Press, 1984; 32: 179–199, 211–225.
14.
GreenspanM. A new approach to women and therapy. New York: Mc Graw-Hill, 1983.
15.
BelenkyMFBlytheMCGoldbergerNRTaruleJM. Women's ways of knowing. New York: Basic Books, 1986.
16.
AlpertJ, ed. Psychoanalysis and women. New Jersey: The Analytic Press, 1986.
17.
BraudeM, ed. Women, power, and therapy. London: Harrington Park Press, 1987.
18.
BrodskyAMHare-MustinR, eds. Women and psychotherapy. New York: Guilford Press, 1980.
19.
MitchellJ. Women: the longest revolution. London: Virago Press, 1984.
20.
MitchellJ. Psychoanalysis and feminism. Penguin Books: Middlesex, 1975.
21.
FeldsteinRRoofJ, eds. Feminism and psychoanalysis. Ithaca and London: Cornell University Press, 1989.
22.
AisenbergNHarringtonM. Women of academe. Amherst: University of Massachusetts Press, 1988.
23.
BernadezT. Gender based countertransference of female therapists in the psychotherapy of women. In: BraudeM, ed. Women, power, and therapy. New York and London: Harrington Park Press, 1987: 25–39.
24.
PearlmutterDR. Gender and roles in a hospital setting: affiliations or alienations among women health care providers. In: BraudeM, ed. Women, power, and therapy. New York and London: Harrington Park Press, 1987.
25.
PoinerG. Women as postgraduates at the University of Sydney: A report, Women's Research Unit, University of Sydney, 1989.
26.
BraslowJBHeinsMH. Women in medical education. New England Journal of Medicine1981; 304(19): 1129–35.
27.
SpurlockJ. New recognition for women in APA. American Journal of Psychiatry1978; 132: 647–648.
28.
RoeskeNA. Women in psychiatry: a review. American Journal of Psychiatry1976; 133: 365–371.
29.
SolomonRZ. Women in psychiatry (Editorial). American Journal of Psychiatry1973; 130: 1136–1137.
30.
RoeskeNA. Women in psychiatry: past and present areas of concern. American Journal of Psychiatry;1973; 130, 1127–1130.
31.
SeidenAM. Overview: research on the psychology of women, I, II. American Journal of Psychiatry; 1976: 133, 995–1007, 1111–1123.
32.
NotmanMTNadelsonCC. Medicine: a career conflict for women. American Journal of Psychiatry1973; 130: 1123–1126.
33.
ScherM. Women psychiatrists in the United States. American Journal of Psychiatry1973; 130: 1118–1121.
34.
ScottCDHawkJ, eds. Heal thyself: the health of health care professionals. New York: Brunner/Mazel, 1986.
35.
CarlsonGAMillerDC. Suicide, affective disorder, and women physicians. American Journal of Psychiatry1981; 138: 1330–1335.
36.
WelnerAMartenSWochnickCDavisMAFishmanRClaytonPJ. Psychiatric disorders among professional women. Archives of General Psychiatry1979; 36: 169–173.
37.
RothblumED. Depression among women in medicine. Conneticut Medicine1981; 45(8): 501–503.
38.
NashES. Depression in medical women. Journal of the American Medical Women's Association1988; 43(6): 176–180.
39.
CraigAGPittsFN. Suicide by physicians. Diseases of the Nervous System1968; 29: 763–772.
40.
SteppacherRCMausnerJS. Suicide in male and female physicians. Journal of the American Medical Association1974; 228: 323–328.
41.
PittsFNSchullerABRichCLPittsAF. Suicide among US women physicians, 1967–1972. American Journal of Psychiatry1979; 136: 694–696.
42.
StevensJRShoreJ. Letters to the editor. Archives of General Psychiatry1980; 37: 110–111.
43.
MillerJBDayN. Letters to the editor. American Journal of Psychiatry1987; 136: 12, 1604, 1605.
44.
PfifferlingJ-H. Cultural antecedents promoting professional impairment. In: ScottCDHawkJ, eds. Heal thyself: the health of health care professionals. New York: Brunner/Mazel, 1986: 3–18.
45.
LloydCGartrellNK. Sex differences in medical student mental health. American Journal of Psychiatry1981; 138: 1346–1351.
46.
WeinsteinHM. A committee on well-being of medical students and house staff. Journal of Medical Education1983; 58, 373–381.
47.
Pepitone-Arreola-RockwellFRockwellDCoreMS. Fifty-two medical student suicides. American Journal of Psychiatry1981; 138: 198–201.
48.
ValkoRJClaytonPJ. Depression in the internship. Diseases of the Nervous System1975; 1: 26–29.
49.
ThomasCB. What becomes of medical students. The dark side. Johns Hopkins Medical Journal1976; 138: 185–195.
50.
ZieglerJLKanasN. Coping with stress during internship. In: ScottCDHawkJ, eds. Heal thyself: the health of health care professionals. New York: Brunner/Mazel, 1986: 174–184.
51.
HoferekM.J.SamowskiA.A.Feelings of loneliness in women medical students. Journal of Medical Education, 1981; 56: 397–403.
52.
RoosNRGaumontMColwillNL. Female and physician: a sex role incongruity. Journal of Medical Education1977; 52: 345–346.
53.
BenedekEP. Training the woman resident to be a psychiatrist. American Journal of Psychiatry1973; 130: 1131–1134.
54.
WilsonBGByrneEM, eds. Women in the University: A policy report. St Lucia: University of Queensland Press, 1987.
55.
ArnoldRMMartinSCParkerRM. Taking care of patients — does it matter whether the physician is a woman?Western Journal of Medicine1988; 149(6): 729–733.
56.
DicksteinLJElkesJ. A Health awareness workshop: enhancing coping skills in medical students. In: ScottCDHawkJ, eds. Heal thyself: the health of health care professionals. New York: Brunner/Mazel, 1976: 269–281.
57.
FriedmanRCKornfeldDSBiggerTJ. Psychological problems associated with sleep deprivation in interns. Journal of Medical Education1973; 48: 436–441.
58.
DavidsonV. Coping styles of women medical students. Journal of Medical Education1978; 53: 902–907.
59.
DuckerDG. Role conflict for women physicians. In: ScottCDHawkJ, eds. Heal thyself: the health of health care professionals. New York: Brunner/Mazel, 1986: 86–109.
60.
GoldsteinZucker MBrometEJHanusaBHLasellRL. Psychiatrists' life and work patterns: A statewide comparison of women and men. American Journal of Psychiatry1981; 138: 919–924.
61.
ScherMBenedekECandyACareyKMulesJSachsB. Psychiatrist-wife-mother: Some aspects of role integration. American Journal of Psychiatry1976; 133: 830–834.
62.
FettI. The future of women in Australian medicine. Medical Journal of Australia1976; 2: 33–39.
63.
KellyS. The prize and the price. North Ryde: Methuen Haynes, 1987.
64.
DennersteinL. Roles and achievements: a survey of medical graduates. Report to the Faculty of Medicine, University of Melbourne, 1988.
65.
RussellG. Primary caretaking and role-sharing fathers. In: LambME, ed. The father's role — applied perspectives. New York: John Wiley, 1986: 29–57.
66.
GaleF., 1989, Keynote Address, Australian Women's Studies Conference, Adelaide, Australia.
67.
WallisLAGilderHThalerH. Advancement of men and women in medical academia. Journal of the American Medical Association1981; 20: 2350–2353.
68.
PoinerGBurkeR, No primrose path: women as staff at the University of Sydney. Sydney: University of Sydney Press, 1988.
69.
RoeskeNCA. Risk factors: predictable hazards of a health career. In: ScottCDHawkJ, eds. Heal thyself: the health of health care professionals. New York: Brunner/Mazel, 1986: 56–70.
70.
HawkJScottCD. A case of family medicine: sources of stress in residents and physicians in practice. In: ScottCDHawkJ, eds. Heal thyself: the health of health care professionals. New York: Brunner/Mazel, 1986: 71–85.
71.
MoirAJesselD. Brainsex. London: Michael Joseph Ltd, 1989.
72.
BenedekEPBartonGBieniekC. Problems for women in psychiatric residency. American Journal of Psychiatry1977; 134: 1244–1248.
73.
FreudenbergerHJ. The health professional in treatment: symptoms, dynamics, and issues. In: ScottCDHawkJ, eds. Heal thyself: the health of health care professionals. New York: Brunner/Mazel, 1986: 185–193.
74.
PinesAMAronsonEKafryD. Burnout — from tedium to personal growth. New York: Free Press, 1981.
75.
SarasonSB. Foreword. In: FarberBA, ed. Stress and burnout in the human service professions. New York: Pergamon, 1982.
76.
PinesAKafryD. Occupational tedium in the social services. Social Work1978; 16: 499–506.
77.
BrookP. Women senior registrars in psychiatry: background and career intentions. British Journal of Psychiatry1976; 128: 599–601.
78.
ArieT. Married women doctors as part-time trainees. British Medical Journal1975; 3: 641–647.
79.
LivingstonHMOgelthorpeDRobertsonS. Part-time senior registrar training in psychiatry. Psychiatric Bulletin1988: 523–525.
80.
CassBDawsonMTempleDWillsSWinklerA. Why so few?Sydney: Sydney University Press, 1983.
81.
DouvanE. The role of models in women's professional development. In: WilliamsJH, ed. Psychology of women: selected readings. New York: W. W. Norton, 1979: 388–400.
Group for the Advancement of Psychiatry: The educated woman. New York: Charles Scribner's Sons, 1975.
84.
NadelsonCC. Women in leadership roles: development and challenges. In: FeinsteinSC, ed. Adolescent psychiatry, Volume 14: Developmental and clinical studies, University of Chicago Press, 1987.
85.
RaphaelB. Women and leadership in medicine in Australia. In: DicksteinLNadelsonCC, eds. Women physicians in leadership roles. Washington: American Psychiatric Press, 1986: 13–20.
86.
JarvikL. Women in medicine: three decades in retrospect. In: DicksteinLNadelsonCC, eds. Women physicians in leadership roles. Washington: American Psychiatric Press, 1986: 13–20.
87.
WolmanCFrankH. The solo woman in a professional peer group. American Journal of Orthopsychiatry1975; 45: 164–171.
88.
RobinowitzCBNadelsonCCNotmanMT. Women in academic psychiatry: politics and progress. American Journal of Psychiatry1981; 138: 1357–1361.
89.
PatonA. Women in medicine. Postgraduate Medical Journal1988; 64(756): 829–831.
90.
ElstonMA, Medicine as “old husbands” tales: the impact of feminism. In: SpenderD, ed. Men's studies modified. Sydney: Pergamon Press, 1987: 189–211.
KuhnTS. The structure of scientific revolutions. 2nd ed.Chicago: University of Chicago Press, 1970.
96.
Westling-WikstrandHMonkMAThomasCM. Some characteristics related to the career status of women physicians. Johns Hopkins Medical Journal, 1970; 127: 273–286.
97.
KirkpatrickMDMillerD. Private practice: springboard or stumbling block for women leaders? In: DicksteinLNadelsonCC, ed. Women physicians in leadership roles. Washington: American Psychiatric Press, 1988.
98.
KaplanAG. Reflections on gender and therapy. In: BraudeM, ed. Women, power, and therapy. New York and London: Harrington Park Press, 1987.
99.
KubieLS. The retreat from patients. Archives of General Psychiatry1971; 24: 98–106.
100.
CoombsRHFawzyFI. The impaired physician syndrome: a developmental perspective. In: ScottCDHawkJ, ed. Heal thyself: the health of health care professionals. New York: Brunner/Mazel. 1986; 44–55.
101.
BenedekEPPoznanskiE. Career choices for the woman psychiatric resident. American Journal of Psychiatry1980; 137: 301–305.
102.
SpringerD. Breaking into the “old boy's” network. Michigan Medicine1988; 87(7): 418–20.
103.
ChodorowNJ. Varieties of leadership among early women psychoanalysts. In: DicksteinLNadelsonCC, eds. Women physicians in leadership roles. Washington: American Psychiatric Press1986: 45–53.
104.
MoiT. Sexual/textual politics: feminist literary theory. London and New York: Routledge, 1985.
105.
Walrond-SkinnerS. Feminist therapy and family therapy: the limits to the association. In: Walrond-SkinnerSWatsonD, eds. Ethical issues in family therapy. London: Routledge & Kegan Paul, 1987: 71–86.
106.
HermanJL. Father-daughter incest. Cambridge: Harvard University Press, 1981.
107.
ButlerS. Conspiracy of silence: the trauma of incest. San Francisco: New Glide Publications, 1978.
108.
PenfoldPSWalkerGA. Women and the psychiatric paradox. London and Montreal: Eden Press, 1983.
109.
BrovermanIKBrovermanDClarksonFRozencrantzPVogelS. Sex role stereotypes and clinical judgements of mental health. Journal of Consulting and Clinical Psychology1970; 34: 1–7.
110.
FoucaultM. The history of sexuality. Translated from the French by HurleyR.. Harmondsworth: Penguin Books, 1981.
111.
OverfieldK. Dirty fingers, grime and slag heaps: purity and the scientific ethic. In: SpenderD., ed. Men's studies modified. Sydney: Pergamon Press1987: 237–248.
112.
SalnerM. Women, graduate education, and feminist knowledge. Journal of Education. 1985; 167: 3, 46–58.
113.
KellerEF. Reflections on gender and science. New Haven and London: Yale University Press, 1985.
114.
LloydG. Man of reason: “male” and “female” in western philosophy. New York: Methuen, 1987.
115.
EasleaB. Fathering the unthinkable: masculinity, scientists and the nuclear arms race. London: Pluto Press, 1983.
116.
EasleaB. Science and sexual oppression: patriarchy's confrontation with woman and nature. London: Weidenfeld & Nicolson, 1981.
117.
RowlandR. Woman herself. Melbourne: Oxford University Press, 1988.
118.
KovelJ. A complete guide to therapy. New York: Harvester Press, 1976.
119.
MassonJM. The assault on truth. USA: Farrar, Straus and Giroux, 1984.
120.
MinerVLongionoHE. Competition: a feminist taboo?New York: The Feminist Press, 1987.
121.
VaillantGESorowaleCorbin NMcArthurC. Some psychological vulnerabilities of physicians. The New England Journal of Medicine, 1972; 372–375.
122.
RuzckSB. The women's health movement: feminist alternatives to medical control. New York: Praeger, 1979.
