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American Psychiatric Association
American Psychiatric Association logo.svg
Abbreviation APA
Formation October 16, 1844; 179 years ago (1844-10-16)
Founders
  • William Maclay Awl
  • Luther V. Bell, Amariah Brigham
  • John S. Butler
  • Nehemah Cutter
  • Pliny Earle
  • John M. Galt
  • Thomas Story Kirkbride
  • Isaac Ray
  • Charles Harrison Stedman
  • Francis T. Stribling
  • Samuel White
  • Samuel B. Woodward
Founded at Philadelphia, Pennsylvania, US
Type Professional association
Legal status 501(c)(6) organization
Headquarters Washington, DC, US
Membership
37,400
President
Rebecca W. Brendel
President-elect
Petros Levounis
Chief executive officer
Saul Levin
Subsidiaries
  • American Psychiatric Association Foundation
  • American Psychiatric Political Action Committee
  • American Psychiatric Association Insurance Trust
  • APA Wharf Holdings LLC
Revenue (2016)
$50,557,392
Expenses (2016) $48,736,684
Employees (2016)
236
Volunteers (2016)
850
Formerly called
  • Association of Medical Superintendents of American Institutions for the Insane (1844–1891)
  • American Medico-Psychological Association (1892–1919)

The American Psychiatric Association (APA) is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the largest psychiatric organization in the world. It has more than 38,000 members who are involved in psychiatric practice, research, and academia representing a diverse population of patients in more than 100 countries. The association publishes various journals and pamphlets, as well as the Diagnostic and Statistical Manual of Mental Disorders (DSM). The DSM codifies psychiatric conditions and is used mostly in the United States as a guide for diagnosing mental disorders.

The organization has its headquarters in Washington, DC.

History

At a meeting in 1844 in Philadelphia, thirteen superintendents and organizers of insane asylums and hospitals formed the Association of Medical Superintendents of American Institutions for the Insane (AMSAII). The group included Thomas Kirkbride, creator of the asylum model which was used throughout the United States. The group was chartered to focus "primarily on the administration of hospitals and how that affected the care of patients", as opposed to conducting research or promoting the profession.

In 1893, the organization changed its name to the American Medico-Psychological Association. In 1921, the association changed that name to the present American Psychiatric Association. The association was incorporated in 1927.

The cover of the publication Semi-Centennial Proceedings of the American Medical Psychological Association, which the association distributed in 1894 at its 50th annual meeting in Philadelphia, contained the first depiction of the association's official seal. The seal has undergone several changes since that time.

The present seal is a round medallion with a purported likeness of Benjamin Rush's profile and 13 stars over his head to represent the 13 founders of the organization. The outer ring contains the words "American Psychiatric Association 1844." Rush's name and an MD are below the picture.

An association history of the seal states:

The choice of Rush (1746–1813) for the seal reflects his place in history. .... Rush's practice of psychiatry was based on bleeding, purging, and the use of the tranquilizer chair and gyrator. By 1844 these practices were considered erroneous and abandoned. Rush, however, was the first American to study mental disorder in a systematic manner, and he is considered the father of American Psychiatry.

In 2015, the association adopted a new logo that depicts the serpent-entwined Rod of Asclepius superimposed over the image of two hemispheres of a human brain. The logo appears next to the words "American Psychiatric Association", with the word "Psychiatric" in bold type; the tagline "Medical leadership for mind, brain and body" appears below the logo. The association will continue to use the seal bearing Rush's profile for ceremonial purposes and for some internal documents.

Organization and membership

APA is led by the President of the American Psychiatric Association and a board of trustees with an executive committee.

APA reports that its membership is primarily medical specialists who are qualified, or in the process of becoming qualified, as psychiatrists. The basic eligibility requirement is completion of a residency program in psychiatry accredited by the Residency Review Committee for Psychiatry of the Accreditation Council for Graduate Medical Education (ACGME), the Royal College of Physicians and Surgeons of Canada (RCPS[C]), or the American Osteopathic Association (AOA). Applicants for membership must also hold a valid medical license (with the exception of medical students and residents) and provide one reference who is an APA member.

APA holds an annual conference attended by an American and international audience.

APA is made up of some 76 district associations throughout the country.

Foundation

APA operates a non-profit subsidiary called the American Psychiatric Association Foundation (APAF), offering community-based programs and research initiatives intended to better understand and support issues of mental health. Its strategic partners include the Council of State Governments (CSG) Justice Center and the National Association of Counties (NACo).

Corporate Alliance

APAF partners with industry organizations to collaborate on mental health research and development through its Corporate Alliance. Current and recent members of the alliance include:

  • AbbVie
  • Acadia Pharmaceuticals
  • Alkermes
  • Allergan
  • Bausch Health
  • Boehringer Ingelheim
  • Eisai
  • Indivior
  • Janssen Pharmaceuticals
  • Jazz Pharmaceuticals
  • Lundbeck
  • Myriad Genetics
  • Neurocrine Biosciences
  • Otsuka Pharmaceutical
  • Pfizer
  • Sunovion
  • Takeda Pharmaceutical Company

Donors to the foundation in 2019 include the Austen Riggs Center, BB&T, Cenveo, McLean Hospital, Menninger Foundation, NeuroStar, Newport Academy, NewYork-Presbyterian Hospital, Sheppard Pratt, and Silver Hill Hospital.

Publications and campaigns

APA position statements, clinical practice guidelines, and descriptions of its core diagnostic manual (the DSM) are published.

APA publishes several journals focused on different areas of psychiatry, for example, academic, clinical practice, or news.

Top five Choosing Wisely recommendations

In coordination with the American Board of Internal Medicine, the APA proposes five recommendations for physicians and patients. The list was compiled by members of the Council on Research and Quality Care. The APA places a primary focus on antipsychotic medications due to a rapid increase in sales, from $9.6 billion in 2004 to $18.5 billion in 2011.

  1. Do not prescribe antipsychotic medications to patients for any indication without appropriate initial evaluation and appropriate ongoing monitoring.
  2. Do not routinely prescribe 2 or more antipsychotic medications concurrently.
  3. Do not prescribe antipsychotic medications as a first-line intervention to treat behavioral and psychological symptoms of dementia.
  4. Do not routinely prescribe antipsychotic medications as a first-line intervention for insomnia in adults.
  5. Do not routinely prescribe antipsychotic medications as a first-line intervention for children or adolescents for any diagnosis other than psychotic disorders.

Notable figures

  • Donald Cameron, was president of the American Psychiatric Association in 1952–53. He conducted coercive experiments widely denounced as unethical, including involuntary electroshock therapy, drug administration, and prolonged confinement and sensory deprivation funded as part of the Central Intelligence Agency Project MKUltra.
  • Enoch Callaway, psychiatrist, pioneer in biological psychiatry.
  • Adolf Meyer, former psychiatrist-in-chief at the Johns Hopkins Hospital, was the president of the American Psychiatric Association from 1927 to 1928 and was one of the most influential figures in psychiatry in the first half of the twentieth century.
  • Mark Ragins: American psychiatrist in the recovery movement, founding member of the Village ISA. He won the 1995 van Ameringen Award for his outstanding contribution to the field of psychiatric rehabilitation and was named a Distinguished Fellow of the American Psychiatric Association in 2006.
  • Herb Pardes past president and noted figure in American psychiatry.
  • Robert Spitzer was the chair of the task force of the third edition of the DSM.

Drug company ties

In his book Anatomy of an Epidemic (2010), Robert Whitaker described the partnership that has developed between the APA and pharmaceutical companies since the 1980s. APA has come to depend on pharmaceutical money. The drug companies endowed continuing education and psychiatric "grand rounds" at hospitals. They funded a political action committee in 1982 to lobby Congress. The industry helped to pay for the APA's media training workshops. It was able to turn psychiatrists at top schools into speakers, and although the doctors felt they were independents, they rehearsed their speeches and likely would not be invited back if they discussed drug side effects. "Thought leaders" became the experts quoted in the media. As Marcia Angell wrote in The New England Journal of Medicine (2000), "thought leaders" could agree to be listed as an author of ghostwritten articles, and she cites Thomas Bodenheimer and David Rothman who describe the extent of the drug industry's involvement with doctors. The New York Times published a summary about antipsychotic medications in October 2010.

In 2008, for the first time, Senator Charles Grassley asked the APA to disclose how much of its annual budget came from drug industry funds. The APA said that industry contributed 28 percent of its budget ($14 million at that time), mainly through paid advertising in APA journals and funds for continuing medical education.

The APA receives additional funding from the pharmaceutical industry through its American Psychiatric Association Foundation (APAF), including Boehringer Ingelheim, Janssen Pharmaceuticals, and Takeda Pharmaceutical Company, among others.

See also

  • Presidents of the American Psychiatric Association
  • American Board of Psychiatry and Neurology
  • American Group Psychotherapy Association
  • American Journal of Psychiatry
  • American Psychoanalytic Association
  • Royal College of Psychiatrists
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