Jefferson Journal of Psychiatry


This paper arises out of my fortunate opportunity to observe two very different psychiatric residency training programs. While a fourth-year resident at a large, psycho dynamically-oriented private psychiatric hospital, I was able to do a consultation liaison rotation at a neighboring academic institution at the vanguard of biological psychiatry. I left the familiar, we ll-manicured suburban grounds for the inner city of Baltimore to be one of the first experiments in "cross-fertilization" between these residency training programs. Although the two institutions are located in the same city and stem from the early history of American psychiatry, they have been worlds apart in their approach. The hospitals have distinct development histories. The private hospital was originally founded by a philanthropic Quaker, Moses Sheppard, before the Civil War. He wished to provide a humane asylum for treatment of the mentally disturbed. In the context of the en lightened ideas of Pineal and The Moral Treatment, he believed that separating the patients from chaotic family and social influences and providing a respectful and humane environment would help restore sanity. Sheppard instructed that all cells for patients were to be above ground and have windows. Enoch Pratt, a successful businessman, later made a large contribution to what is now known as The Sheppard and Enoch Pratt Hospital. The academic center was established out of a growing interest in research, training, and in returning psychiatry to the field of medicine . Under the direction of Adolf Meyer in 19I3, the Henry Phipps Psychiatric Clinic at Johns Hopkins Hospital was founded. Many advances in psychosocial theory and biological research continue to be achieved at this internationally renowned medical center.

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