Who is a 'shrink'?

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Pembleton

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Do psychologists consider themselves shrinks? Or is it psychiatrists only?

I know, dumb question... but historically who are the shrinks?

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Historically, it's a psychiatrist term (but these were the days when psychiatrists practiced more like how psychologists practice now, primarily doing psychotherapy). Here's some more info.

Courtesy of DearShrink.com:

What About the Word "Shrink"?

Originally, the word "shrink" referred primarily to psychiatrists, but over the last 20 years its meaning has broadened and now it can be used with respect to just about any professional who does counseling or psychotherapy.

"Shrink" likely originated from a commingling of the two words "head shrink" and the single word "headshrinker," indicating that it likely originated as a disparaging reference comparing the process of psychotherapy to primitive tribal practices of shrinking the heads of enemies. Reportedly, "shrink" was first used in literature by Thomas Pynchon in his book The Crying of Lot 49 published in 1966. It figures that "shrink" had its literary birth out of the consciousness-expanding atmosphere of the 1960s.

"Shrink" has paradoxical meanings and uses and, by all analytical standards, has classic potential for connoting ambivalence (a favorite shrink word!). "Shrink" allows us to compare psychotherapy to primitive rituals, shamanism, and "sorcery" while still recognizing the more modern and scientific principles of mental wellness. "Shrink" attempts to create a balance between respect and irreverence, between affection and distancing -- can't live with 'em, can't live without 'em.

To me, that is the essence of a good word -- one that has many flavors. What sweet and sour are for taste buds, paradoxes are for the mind.

I invite you to think of "shrink" as an appropriate, minor term of endearment -- a way of saying "psychiatrist" without creating that feeling that you are just being examined and not appreciated. After all, "psychiatrist" is not only a "big" word, but also a word that has potential for connoting a profession, which is mostly scientific and not very related to the humanities. As much as we psychiatrists would like to believe that psychiatry is mostly a science, by definition, since psychiatry deals with the mind at least as much as the brain, it has very little hope of being as scientific as, let's say, microbiology.

Wait, There's More!

The term "shrink" really does have its fair share of different belief systems. A posted e-mail follow-up at www.psychiatry.com (no longer available) suggested that the term simply refers to the idea that psychiatrists have the ability to reduce or "shrink" one's mind into an understandable concept. Therefore, they are shrinks.
 
I always heard "shrink" refer to psychiatrists.

The lines have blurred over time and there's still a great deal of confusion in the general public about the difference between a psychologist and a psychiatrist.

The misinformation extends to even some of the best educated people. I just had a conversation the other day with an attorney from a top law school. She didn't know the difference between a psychologist and psychiatrist. I then explained in simple terms the difference and even gave here a mnemonic for how to keep them separate from each other. As we were finishing the conversation, she still confused the two.
 
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Thanks for the reply. I know it seems like a silly question. The reason I asked it was because my med school advisor is a psychologist but when I first met him he said he was a shrink. I assumed he was a psychiatrist because of that and the fact he worked in our hospital's psychiatry department. But one day as I was waiting in his office, I saw degrees in education and psychology, and no medical degree. Moreover, when he came to give our class a lecture he presented himself again as a shrink.

Normally this wouldn't bother me, but he has this high and mighty attitude. Whenever I go to him for advice about school, he never has any thing good to say to me. He acts as if he knows the rigors of med school, when in fact he doesn't. I'm not here to disparage his education, but it really galls me when he acts as if he can relate to the problems I've been going through. I can't wait to graduate so I can give him a piece of my mind.

(thanks for letting me vent).
 
Although in different settings, I can empathize with your situation. I've encountered a number of people over time who "know" what it's like to be an MD, and they think that it's easy, despite never having gone through it.

I had a technician once tell me that he knew how hard call was and that he had done several years of it. Despite wanting to chew him out, I realized that he would never understand. Even if he did, his fragile ego would not be able to handle it.

A shrink is a psychiatrist. All others are just pretending.
 
I then explained in simple terms the difference and even gave here a mnemonic for how to keep them separate from each other.

So what's the mnemonic?
 
Given that the term is pejorative, I don't think we need to be particularly territorial. Psychologists who practice according to the biopsychosocial model are our friends. Psychologists who minimize the first member of the holy trinity are not. Simple as that, next thread please 🙂
 
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