Galbally Megan, Eggleston Katherine, Northwood Korinne, Siskind Dan, Berk Michael, Suetani Shuichi, Gill Neeraj, O'Connor Nick, Harvey Samuel B, Every-Palmer Susanna
Department of Psychiatry, School of Clinical Sciences, Monash University, Clayton, VIC, Australia.
Health Futures Institute, Murdoch University, Perth, WA, Australia.
Aust N Z J Psychiatry. 2023 Mar;57(3):315-321. doi: 10.1177/00048674221123494. Epub 2022 Sep 9.
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.
虽然有两篇社论对澳大利亚学术精神病学的衰落表示担忧，但要实现真正的复兴，我们需要重新审视如何更好地让女性参与到这项重要事业中来。虽然获得研究员资格已实现性别平等，但学术精神病学却令人失望地滞后了，在澳大利亚和新西兰，其80%的高级领导职位仍由男性担任，英国、美国以及许多其他国家也是类似情况。鼓励女性投身学术精神病学不仅对该专业的发展至关重要，还将有助于解决当前生物精神病学中对性别差异的忽视，以及限制性性别规范的社会影响和基于性别的暴力对心理健康的影响。这可能为深入了解精神障碍带来重大收获和见解。然而，要解决女性在学术界面临的障碍，需要应对薪酬、资助资金、出版物、教学职责、主旨演讲邀请和学术晋升等方面根深蒂固的差距，以及我们许多女学者所报告的基于性别的微侵犯、骚扰和象征主义。许多女性不仅要应对“第二班”，还要应对“第三班”，这使得学术生涯的负担变得不合理，更容易导致职业倦怠。解决这个问题并非易事。学术医学领域的各种研究表明没有快速解决办法，尽管促进性别平等会带来巨大的潜在好处。像学术精神病学这样的领域需要认识到我们的群体对选择维持现状的工作场所越来越不满。性别平等必须成为重振我们专业这一重要实践领域的任何努力的关键部分。
