A Brief History of Psychiatry- Applications for Current Practice

This article describes moral treatment as practiced in the late 1700's in France and in the United Kingdom (UK), compared to the ethical framework described by the UK Royal College of Psychiatry in 2014.The history of treatments and evolution of legislation and safeguarding processes to protect the mentally ill and disabled in the UK are described, alongside developments in the 1920's leading to 'mercy killing' of institutionalised patients.Issues impacting on contemporary psychiatric practice are described, alongside potential solutions such as co-production and compassionate leadership training of clinical leaders.Learning objectives: at the end of this article, you will be able to Understand the evolution of moral therapy since Pinel in 1795 Describe the components of the current ethical framework for contemporary psychiatric practice Understand principles of co-production and compassionate leadership