Renewal of academic psychiatry without addressing gender equity will render it Jurassic rather than endangered

Author:

Galbally Megan12ORCID,Eggleston Katherine34,Northwood Korinne56,Siskind Dan56ORCID,Berk Michael78ORCID,Suetani Shuichi691011ORCID,Gill Neeraj111213ORCID,O’Connor Nick14ORCID,Harvey Samuel B15,Every-Palmer Susanna16ORCID

Affiliation:

1. Department of Psychiatry, School of Clinical Sciences, Monash University, Clayton, VIC, Australia

2. Health Futures Institute, Murdoch University, Perth, WA, Australia

3. Department of Psychological Medicine, University of Otago, Christchurch, New Zealand

4. Specialist Mental Health Services, Canterbury District Health Board, Christchurch, New Zealand

5. Metro South Addiction and Mental Health Service, Metro South Health, Brisbane, QLD, Australia

6. Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia

7. IMPACT – The Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Barwon Health, Deakin University, Geelong, VIC, Australia

8. Orygen, The National Centre of Excellence in Youth Mental Health, Centre for Youth Mental Health, Florey Institute for Neuroscience and Mental Health and the Department of Psychiatry, The University of Melbourne, Melbourne, VIC, Australia

9. Institute for Urban Indigenous Health, Windsor, QLD, Australia

10. Queensland Centre for Mental Health Research, Wacol, QLD, Australia

11. School of Medicine and Dentistry, Griffith University, Southport, QLD, Australia

12. Health Research Institute, University of Canberra, Canberra, ACT, Australia

13. Mental Health and Specialist Services, Gold Coast Health, Gold Coast, QLD, Australia

14. NSW Clinical Excellence Commission, St Leonards, NSW, Australia

15. Black Dog Institute, University of New South Wales Sydney, Sydney, NSW, Australia

16. Department of Psychological Medicine, University of Otago, Wellington, New Zealand

Abstract

While two editorials have raised concerns about the decline in Australian academic psychiatry, for a genuine rejuvenation to ever occur, we will need to re-examine how women can be better included in this important endeavour. While attainment of fellowship has reached gender parity, academic psychiatry has disappointingly lagged, with 80% of its senior leadership roles across Australia and New Zealand still held by men, with a similar situation in the United Kingdom and the United States as well as many other countries. Encouraging women into academic psychiatry is not only critical to progress as a profession but also will help address the current blindness to sex differences in biological psychiatry, as well the social impact of restrictive gender norms and the effects of gender-based violence on mental health. This potentially creates opportunities for significant gains and insights into mental disorders. However, addressing the barriers for women in academia requires tackling the entrenched disparities across salaries, grant funding, publications, teaching responsibilities, keynote invitations and academic promotions alongside the gender-based microaggressions, harassment and tokenism reported by many of our female academics. Many women must grapple with not just a ‘second shift’ but a ‘third shift’, making the burden of an academic career unreasonable and burnout more likely. Addressing this is no easy task. The varied research in academic medicine reveals no quick fixes, although promoting gender equity brings significant potential benefits. Areas such as academic psychiatry need to recognise our community’s growing discomfort with workplaces that choose to maintain status quo. Gender equity must be a critical part of any quest to revive this important area of practice for our profession.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,General Medicine

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