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The Six Personal Statements in Psychiatry
Previously posted in 2015, this seemed to have disappeared but reposting here due to popular demand. It was not well received at the time by neurotic med students however. These examples are much better written than the actual detritus we read.
1. My Mentally Ill Relative
"Schizophrenia is one the most frightening and devastating diseases known to man. For most medical students, the experience of this fear and devastation is confined to the psychiatric unit. For me, this devastation is more personal. My mom had schizophrenia. One of my earliest memories was seeing my mother taken away by police screaming, leaving me with strangers in a shopping mall. The pain of mental illness not only destroys individuals but shatters families. As a child I always tried to be good in the hope it would keep my mom well. Try as I might, it was never enough. By the time I was 11 my mom, having been hospitalized at least 5 times in my lifetime, lost her battle with this disease leaving me alone. The pain of losing a parent to suicide is indescribable and entirely preventable. I want to make sure another child never has to experience this kind of senseless loss again."
Expert commentary: Unoriginal but perhaps 2nd most common type of personal statement. Applicant appears to have unrealistic and idealistic expectations for what psychiatry can and cannot do and is likely to become disillusioned very quickly. In her countertransference, is likely to identify with the children of schizophrenic parents. Appears to be seeking her own salvation in psychiatry with psychiatry residency being a legitimate cover for her own psychotherapy.
2. My Personal Struggle with Mental Illness or Other Tale of Woe
"Weak. Lazy. Pathetic. These are some of the words that my colleagues have used to describe people suffering from depression. They may well have been describing me because I have suffered from depression since adolescence when I struggled to come to terms with my sexual orientation. There were times when my thoughts even turned to suicide. Through my own therapy, I have been able to come to accept myself and come out to my family as a gay man. Although my family have not yet been able to accept this, I am happier for being true to myself. LGBT people experience alienation, bullying, and discrimination which contribute to the high prevalence of mental health and substance abuse problems among them. My own experiences have spurred me on to become an adolescent psychiatrist specializing in LGBT mental health."
Expert commentary: Boo hoo. you might as well have included the small violins playing in the background.
The family estrangement raises questions about ongoing emotional struggles and not far from the back of the admissions committee's collective mind is whether the applicant will have difficulties throughout training.
3. Memorable patient/moment of enlightenment
"I always wanted to be primary care doc just like my dad. I started my third year on internal medicine wards hellbent on pursuing IM-primary care residencies. Then I met Bob. Bob was a 50 year old caucasian male of pinkish complexion and of imposing build with thick grey tufts of hair pointing in every direction, small grey eyes that were sunken in, and a toothless smile that melted the heart of even the most austere attending. Bob also happened to suffer from schizophrenia. Homeless, disorganized enough to neglect his wellbeing, but not disorganized enough to be psychiatrically hospitalized, he would often end up on the medicine service. This time it was from an infected gangrenous toe. Although initially refusing surgery, and deemed to have decisional capacity by psychiatry, through building rapport and connecting over our mutual love of cats, I was eventually able to persuade him to undergo amputation. The ability to make deeper connections with patients in order to help him convinced me that psychiatry was what I really wanted to do. Though I certainly helped Bob, he has helped me in more enduring ways that will stay with me forever."
Expert commentary: Probably the most common type of personal statement. Not. Original. At All. Mawkish. Saccharine.
4. My favorite cliche and other tales from the hackneyed repository
"Time Spent with Cats is Never Wasted".
So said Sigmund Freud, father of psychiatry, discoverer of the unconscious and lover of cats. Like Freud, I love cats and believe the dreams are "the royal road to the unconscious". It is my dream to become a psychiatrist specializing in psychoanalysis. As Gandhi said, "Be the change you want to see in the world". Through my own personal analysis, I have come to the conclusion that this form of quiet, intensive, therapeutic work is what is needed to exact lasting change, not only for individuals but for society as a whole. As John Lennon said, "reality leaves a lot to the imagination", and imagination, play, dreams, and day dreams are how we grow, and all of these important tasks of being human are facilitated by psychoanalysis. As the Beatles said, "Love, Love, Love". That is what psychiatry and psychoanalysis are about. That is how healing takes places. This is what I want to do with my life. Because all we need is love. Possibly with an SSRI and some Xanax.
Expert commentary: Beyond the overuse of irrelevant and bizarre quotations is a level of disorganization bordering on formal thought disorder. Makes the common error of stating Freud was the father of psychiatry when he in fact wasn't a psychiatrist at all and never practiced psychiatry. Perseverating on love like a stammering Tourette's patient with erotolalia and conflating psychiatry and psychoanalysis show a disturbing lack of insight into the field.
5. Why I am so amazing
" 'You're too good for psychiatry- You're wasting your talent!' These are the words my professors have told me throughout medical school. As a former Rhodes Scholar and with my 271 step 1 score, mutliple honors on clinical clerkships, multiple publications including first-author publications in Science, Nature, and Cell, leading humanitarian efforts in Sri Lanka and Japan, and co-editing the Oxford Textbook of Technology and Medicine, they told me I could have gone into any specialty I wanted. Psychiatry is by the far the most fascinating specialty to me and my mentors have told me my proven track record as a highly cited research, innovator, clinician, educator, and humanitarian would be highly beneficial to the field. Far from wasting my talents, I believe I can best use them to advance psychiatry. I am now seeking the best psychiatry residency program that will allow me to become a leader in the field.
Expert commentary: This proves the point that personal statements don't matter that much. Unfortunately, the odious creature with his (and it's almost certainly a he) mutliple [sic] honors etc will likely be able to get into whatever residency program he likes despite the flagrant narcissism evident here.
6. How Psychiatry Should Be
"I want to share with you my vision for psychiatry. During the past 30 years psychiatry has become increasingly biologically oriented with psychiatrists often making checklist diagnoses, seeing patients less frequently and for shorter, and exclusively prescribing medications. This model, while bringing psychiatry closer to the rest of medicine, has eroded what was special about psychiatry. As an idealistic medical student I was shocked and horrified to see what day-to-day psychiatric practice in the 21st century was actually like. It was a far cry from the specialty that privileged relationships, healing, and meanings that I had imagined. It felt like we were papering over the cracks rather than getting to the route of the problem. I was almost deterred from pursuing psychiatry when I realized that my disillusionment provided the catalyst for to champion a new vision for psychiatry that integrates the medical and scientific advances of the past 30 years with the focus on narratives, relationships and healing of the past. I am looking for a residency program that provides rigorous training in both psychotherapy and biological psychiatry in order to provide full spectrum care for my patients."
Expert commentary: Yes. Because experienced psychiatrists want to hear from a med student how psychiatry should be or what they think good psychiatric care likes. And describing psychiatry as not getting to the route [sic] of the problem shows a fairly simplistic understanding of mental health care. The arrogance of these personal statements is simply breathtaking. In someways they are even worse than the "why I am so amazing" ones.
Previously posted in 2015, this seemed to have disappeared but reposting here due to popular demand. It was not well received at the time by neurotic med students however. These examples are much better written than the actual detritus we read.
1. My Mentally Ill Relative
"Schizophrenia is one the most frightening and devastating diseases known to man. For most medical students, the experience of this fear and devastation is confined to the psychiatric unit. For me, this devastation is more personal. My mom had schizophrenia. One of my earliest memories was seeing my mother taken away by police screaming, leaving me with strangers in a shopping mall. The pain of mental illness not only destroys individuals but shatters families. As a child I always tried to be good in the hope it would keep my mom well. Try as I might, it was never enough. By the time I was 11 my mom, having been hospitalized at least 5 times in my lifetime, lost her battle with this disease leaving me alone. The pain of losing a parent to suicide is indescribable and entirely preventable. I want to make sure another child never has to experience this kind of senseless loss again."
Expert commentary: Unoriginal but perhaps 2nd most common type of personal statement. Applicant appears to have unrealistic and idealistic expectations for what psychiatry can and cannot do and is likely to become disillusioned very quickly. In her countertransference, is likely to identify with the children of schizophrenic parents. Appears to be seeking her own salvation in psychiatry with psychiatry residency being a legitimate cover for her own psychotherapy.
2. My Personal Struggle with Mental Illness or Other Tale of Woe
"Weak. Lazy. Pathetic. These are some of the words that my colleagues have used to describe people suffering from depression. They may well have been describing me because I have suffered from depression since adolescence when I struggled to come to terms with my sexual orientation. There were times when my thoughts even turned to suicide. Through my own therapy, I have been able to come to accept myself and come out to my family as a gay man. Although my family have not yet been able to accept this, I am happier for being true to myself. LGBT people experience alienation, bullying, and discrimination which contribute to the high prevalence of mental health and substance abuse problems among them. My own experiences have spurred me on to become an adolescent psychiatrist specializing in LGBT mental health."
Expert commentary: Boo hoo. you might as well have included the small violins playing in the background.

3. Memorable patient/moment of enlightenment
"I always wanted to be primary care doc just like my dad. I started my third year on internal medicine wards hellbent on pursuing IM-primary care residencies. Then I met Bob. Bob was a 50 year old caucasian male of pinkish complexion and of imposing build with thick grey tufts of hair pointing in every direction, small grey eyes that were sunken in, and a toothless smile that melted the heart of even the most austere attending. Bob also happened to suffer from schizophrenia. Homeless, disorganized enough to neglect his wellbeing, but not disorganized enough to be psychiatrically hospitalized, he would often end up on the medicine service. This time it was from an infected gangrenous toe. Although initially refusing surgery, and deemed to have decisional capacity by psychiatry, through building rapport and connecting over our mutual love of cats, I was eventually able to persuade him to undergo amputation. The ability to make deeper connections with patients in order to help him convinced me that psychiatry was what I really wanted to do. Though I certainly helped Bob, he has helped me in more enduring ways that will stay with me forever."
Expert commentary: Probably the most common type of personal statement. Not. Original. At All. Mawkish. Saccharine.

4. My favorite cliche and other tales from the hackneyed repository
"Time Spent with Cats is Never Wasted".
So said Sigmund Freud, father of psychiatry, discoverer of the unconscious and lover of cats. Like Freud, I love cats and believe the dreams are "the royal road to the unconscious". It is my dream to become a psychiatrist specializing in psychoanalysis. As Gandhi said, "Be the change you want to see in the world". Through my own personal analysis, I have come to the conclusion that this form of quiet, intensive, therapeutic work is what is needed to exact lasting change, not only for individuals but for society as a whole. As John Lennon said, "reality leaves a lot to the imagination", and imagination, play, dreams, and day dreams are how we grow, and all of these important tasks of being human are facilitated by psychoanalysis. As the Beatles said, "Love, Love, Love". That is what psychiatry and psychoanalysis are about. That is how healing takes places. This is what I want to do with my life. Because all we need is love. Possibly with an SSRI and some Xanax.
Expert commentary: Beyond the overuse of irrelevant and bizarre quotations is a level of disorganization bordering on formal thought disorder. Makes the common error of stating Freud was the father of psychiatry when he in fact wasn't a psychiatrist at all and never practiced psychiatry. Perseverating on love like a stammering Tourette's patient with erotolalia and conflating psychiatry and psychoanalysis show a disturbing lack of insight into the field.
5. Why I am so amazing
" 'You're too good for psychiatry- You're wasting your talent!' These are the words my professors have told me throughout medical school. As a former Rhodes Scholar and with my 271 step 1 score, mutliple honors on clinical clerkships, multiple publications including first-author publications in Science, Nature, and Cell, leading humanitarian efforts in Sri Lanka and Japan, and co-editing the Oxford Textbook of Technology and Medicine, they told me I could have gone into any specialty I wanted. Psychiatry is by the far the most fascinating specialty to me and my mentors have told me my proven track record as a highly cited research, innovator, clinician, educator, and humanitarian would be highly beneficial to the field. Far from wasting my talents, I believe I can best use them to advance psychiatry. I am now seeking the best psychiatry residency program that will allow me to become a leader in the field.
Expert commentary: This proves the point that personal statements don't matter that much. Unfortunately, the odious creature with his (and it's almost certainly a he) mutliple [sic] honors etc will likely be able to get into whatever residency program he likes despite the flagrant narcissism evident here.
6. How Psychiatry Should Be
"I want to share with you my vision for psychiatry. During the past 30 years psychiatry has become increasingly biologically oriented with psychiatrists often making checklist diagnoses, seeing patients less frequently and for shorter, and exclusively prescribing medications. This model, while bringing psychiatry closer to the rest of medicine, has eroded what was special about psychiatry. As an idealistic medical student I was shocked and horrified to see what day-to-day psychiatric practice in the 21st century was actually like. It was a far cry from the specialty that privileged relationships, healing, and meanings that I had imagined. It felt like we were papering over the cracks rather than getting to the route of the problem. I was almost deterred from pursuing psychiatry when I realized that my disillusionment provided the catalyst for to champion a new vision for psychiatry that integrates the medical and scientific advances of the past 30 years with the focus on narratives, relationships and healing of the past. I am looking for a residency program that provides rigorous training in both psychotherapy and biological psychiatry in order to provide full spectrum care for my patients."
Expert commentary: Yes. Because experienced psychiatrists want to hear from a med student how psychiatry should be or what they think good psychiatric care likes. And describing psychiatry as not getting to the route [sic] of the problem shows a fairly simplistic understanding of mental health care. The arrogance of these personal statements is simply breathtaking. In someways they are even worse than the "why I am so amazing" ones.