The psychiatrist's image in commercially available American movies

OBJECTIVE: To explore quantitatively how American movies portray psychiatrists/therapist. METHOD: A total of 106 movies were reviewed regarding how psychiatrists/therapists were portrayed. The psychiatrist's or therapist's sex, age, clinical competence and knowledge, boundary violations, attitude toward the patient, influence in the movie's events, treatment modality or modalities used, intervention's outcome, and therapeutic setting. RESULTS: The psychiatrists/therapists tended to be males (71.2%), and (regardless of sex) middle-aged (50.8%). Despite the general view of the psychiatrists/therapists as friendly (63.6%), there was an over-representation of boundary violations. The percentage of total boundary violations was 44.9% of the cases portrayed and sexual violations accounted for 23.7%, while non-sexual violations accounted for 30.5% (with 9.3% overlap). The appearance of clinical incompetence was 47.5%. CONCLUSION: The image of psychiatrists/therapists in commercially available movies is not flattering: close to one out of two violated boundaries, close to one out of four committed a sexual boundary violation, and the psychiatrist/therapist was as likely to be incompetent as competent. The bright point is that psychiatrists/therapists were depicted as more likely to be friendly.