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Donald S. Kornfeld (1929-2022) [1] was an American psychiatrist best known for his work on psychiatric issues associated with medical practice. This subspecialty is known as Consultation-Liaison Psychiatry or Psychosomatic Medicine.
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Donald S. Kornfeld (1929-2022) [1] was an American psychiatrist best known for his work on psychiatric issues associated with medical practice. This subspecialty is known as Consultation-Liaison Psychiatry or Psychosomatic Medicine.
Donald S. Kornfeld was a graduate of Weequahic High School, class of 1946. [2] [3] Kornfeld received a BS from Franklin and Marshall College in 1946, and an MD from Yale School of Medicine in 1954. [4] He received his psychiatric training at the New York State Psychiatric Institute/Presbyterian Hospital. He received a certificate from the Columbia University Institute for Psychoanalysis in 1966.
He served as Director of the Psychiatric Consultation/Liaison Service at the Presbyterian Hospital from 1964–2000, and in 1986, in association with Richard Sloan, established the Behavioral Medicine Service.
He was appointed Associate Dean of the Columbia University College of Physicians and Surgeons in 1985, and served as Director of Continuing Medical Education from 1988-2009. He was Chairman of the Institutional Review Board at the New York State Psychiatric Institute from 1979 to 1985 and the Columbia Presbyterian Medical Center from 1988 to 2001. He is currently Professor Emeritus of Psychiatry.
Kornfeld’s research has concentrated on the interface between medicine and psychiatry, and often appears in medical and surgical journals.
His description of post-cardiotomy delirium and his subsequent work on the psychiatric impact of the intensive care environment led to the concept of ICU Psychosis. This work created a greater awareness of the psychological impact of the ICU environment on patients and staff, focused attention on human needs, and influenced the architectural design of these units. [5]
In 1971, Kornfeld, Richard Friedman, and JT Bigger demonstrated the deleterious effects of sleep deprivation on medical house officers. This led to a nationwide change in the scheduling of on-call duty from every other night to every third night. [6]
A paper by Kornfeld and Harry D. Albert on patients’ threats to sign out of a general hospital against advice was the first publication to point out the complex array of motivations and circumstances which contribute to such problems. [7]
Kornfeld and Stephan Levitan demonstrated that the presence of a psychiatrist on an orthopedic unit reduced length of hospital stay and increased the likelihood of patients returning to home. [8] This paper was widely used to demonstrate the cost effectiveness of the liaison psychiatrist in the general hospital.
At a time when clinicians were being compelled to always be “truthful” with their patients,[ original research? ] he pointed out the complexity of that principle in, “What Truth for Which Patient at What Time?” [9] [ non-primary source needed ]
Kornfeld initiated one of the first studies to utilize the denervated human heart, created at the time of cardiac transplantation, as the basis for the study of the psychophysiology of cardiac rhythm.
To accompany the establishment of Consultation Liaison Psychiatry as an established subspecialty, Kornfeld reviewed its contributions to the practice of Medicine. [10]
Most recently he has explored the problem of research misconduct in an effort to develop remedies from the perspective of a psychiatrist. [11]
Kornfeld and Gerry Finkel co-edited the book, Psychiatric Management for Medical Practitioners (1982, Grune and Stratton). Kornfeld also contributed chapters to textbooks in general psychiatry, consultation liaison psychiatry, medicine, and surgery. He served on the editorial boards of the journals, General Hospital Psychiatry and Psychosomatic Medicine, and on the editorial boards of the Lippincott Textbook of Psychiatry; Medical Psychiatric Practice,Textbook of Consultation Liaison Psychiatry ([APA] Press); and the Columbia University Electronic Textbook, Cardinal Topics in Medicine.
He was elected President of the American Psychosomatic Society; received the Hackett Award for his contributions to Consultation/Liaison Psychiatry from the Academy of Psychosomatic Medicine, and a Special Citation from the Society of Liaison Psychiatry. He served as Chairman of the Consultation/Liaison Committee of the American Psychiatric Association.
Neurology is the branch of medicine dealing with the diagnosis and treatment of all categories of conditions and disease involving the nervous system, which comprises the brain, the spinal cord and the peripheral nerves. Neurological practice relies heavily on the field of neuroscience, the scientific study of the nervous system.
A psychiatrist is a physician who specializes in psychiatry. Psychiatrists are physicians who evaluate patients to determine whether their symptoms are the result of a physical illness, a combination of physical and mental ailments or strictly mental issues. Sometimes a psychiatrist works within a multi-disciplinary team, which may comprise clinical psychologists, social workers, occupational therapists, and nursing staff. Psychiatrists have broad training in a biopsychosocial approach to the assessment and management of mental illness.
Psychosomatic medicine is an interdisciplinary medical field exploring the relationships among social, psychological, behavioral factors on bodily processes and quality of life in humans and animals.
The American Psychiatric Association (APA) is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the largest psychiatric organization in the world. It has more than 38,000 members who are involved in psychiatric practice, research, and academia representing a diverse population of patients in more than 100 countries. The association publishes various journals and pamphlets, as well as the Diagnostic and Statistical Manual of Mental Disorders (DSM). The DSM codifies psychiatric conditions and is used mostly in the United States as a guide for diagnosing mental disorders.
Neuropsychiatry is a branch of medicine that deals with psychiatry as it relates to neurology, in an effort to understand and attribute behavior to the interaction of neurobiology and social psychology factors. Within neuropsychiatry, the mind is considered "as an emergent property of the brain", whereas other behavioral and neurological specialties might consider the two as separate entities. Those disciplines are typically practiced separately.
Insulin shock therapy or insulin coma therapy was a form of psychiatric treatment in which patients were repeatedly injected with large doses of insulin in order to produce daily comas over several weeks. It was introduced in 1927 by Austrian-American psychiatrist Manfred Sakel and used extensively in the 1940s and 1950s, mainly for schizophrenia, before falling out of favour and being replaced by neuroleptic drugs in the 1960s.
Liaison psychiatry, also known as consultative psychiatry or consultation-liaison psychiatry, is the branch of psychiatry that specialises in the interface between general medicine/pediatrics and psychiatry, usually taking place in a hospital or medical setting. The role of the consultation-liaison psychiatrist is to see patients with comorbid medical conditions at the request of the treating medical or surgical consultant or team. Consultation-liaison psychiatry has areas of overlap with other disciplines including psychosomatic medicine, health psychology and neuropsychiatry.
A combined internal medicine and psychiatry residency program is a post-graduate medical education program in the United States, which leads to board eligibility in both internal medicine and psychiatry. That is, a graduate of the residency is both an internist as well as a psychiatrist. The program takes five years of post-graduate medical training. There are 12 such programs in the country, and around eighteen positions available for new applicants.
Roger Granet is an American psychiatrist and the author and editor of several books explaining mental disorders and diseases. Dr. Granet specializes in psycho-oncology, which deals with the psychological reactions of cancer patients. The field is considered an integral part of quality cancer treatment.
Child and adolescent psychiatry is a branch of psychiatry that focuses on the diagnosis, treatment, and prevention of mental disorders in children, adolescents, and their families. It investigates the biopsychosocial factors that influence the development and course of psychiatric disorders and treatment responses to various interventions. Child and adolescent psychiatrists primarily use psychotherapy and/or medication to treat mental disorders in the pediatric population.
Helen Flanders Dunbar — later known as H. Flanders Dunbar — is an important early figure in U.S. psychosomatic medicine and psychobiology, as well as being an important advocate of physicians and clergy co-operating in their efforts to care for the sick. She viewed the patient as a combination of the psyche and soma, body and soul. Both needed to be treated in order to treat a patient efficiently. Dunbar received degrees in mathematics, psychology, theology, philosophy, and medicine. Dunbar founded the American Psychosomatic Society in 1942 and was the first editor of its journal. In addition to running several other committees committed to treating the whole patient, Dunbar wrote and distributed information for public health, involving child development and advocating for mental health care after World War II.
Geriatric psychiatry, also known as geropsychiatry, psychogeriatrics or psychiatry of old age, is a branch of medicine and a subspecialty of psychiatry dealing with the study, prevention, and treatment of neurodegenerative, cognitive impairment, and mental disorders in people of old age. Geriatric psychiatry as a subspecialty has significant overlap with the specialties of geriatric medicine, behavioural neurology, neuropsychiatry, neurology, and general psychiatry. Geriatric psychiatry has become an official subspecialty of psychiatry with a defined curriculum of study and core competencies.
William S. Breitbart, FAPM, is an American psychiatrist in Psychosomatic Medicine, Psycho-oncology, and Palliative Care. He is the Jimmie C Holland Chair in Psychiatric Oncology, and the Chief of the Psychiatry Service, Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, He is a Professor of Clinical Psychiatry at Weill Medical College of Cornell University. He was president of the Academy of Psychosomatic Medicine, and the Editor-in-Chief of Palliative and Supportive Care.
George Libman Engel was an American internist and psychiatrist. He spent most of his career at the University of Rochester Medical Center in Rochester, New York. He is best known for his formulation of the biopsychosocial model, a general theory of illness and healing.
Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of deleterious mental conditions. These include various matters related to mood, behaviour, cognition, perceptions, and emotions.
Muhamad Aly Rifai is a Syrian American internist and psychiatrist who was accused by the government with fraud but exonerated in a jury trial. He is a clinician researcher known for describing the association between psychiatric disorders and hepatitis C. He co-authored a clinical report detailing the association between hepatitis C infection and psychiatric disorders. He is the President and CEO of Blue Mountain Psychiatry which has locations in Pennsylvania.
Jeffrey Alan Lieberman is an American psychiatrist who specializes in schizophrenia and related psychoses and their associated neuroscience (biology) and pharmacological treatment. He was principal investigator for CATIE, the largest and longest independent study ever funded by the United States National Institute of Mental Health to examine existing pharmacotherapies for schizophrenia. He was president of the American Psychiatric Association from May 2013 to May 2014.
Zbigniew Jerzy Lipowski, MD, was a Polish psychiatrist, historian, author, political commentator and speaker. He wrote several books in the on the topics of consultation-liaison psychiatry, delirium and psychosomatic medicine as well as hundreds of articles and reviews that have been widely published in journals such as The New England Journal of Medicine, The Journal of the American Medical Association, and the Canadian Medical Association Journal.
Constantine G. Lyketsos is the Elizabeth Plank Althouse Professor in Alzheimer's Disease Research in the Department of Psychiatry and Behavioral Sciences at the Johns Hopkins University, Baltimore, Maryland, United States. He is the founding director of the Richman Family Precision Medicine Center of Excellence in Alzheimer's Disease, and an associate director of the Johns Hopkins Alzheimer's Disease Research Center (ADRC).
Fiona Diviya Fonseca is a board-certified American consultation-liaison psychiatrist. Notably, they have been awarded fellowships from organizations including the United States government's Substance Abuse and Mental Health Services Administration (SAMHSA), the Association for Academic Psychiatry (AAP), and the American Psychiatric Association (APA), who publish the Diagnostic and Statistical Manual of Mental Disorders. Specifically, they are an APA Diversity Leadership and SAMHSA fellow and they were the winner of the 2023 ACLP Webb Fellowship Award and the 2023 AAP Master Educator IDEA Fellowship Award.
Faculty Profile for Donald S. Kornfeld, M.D.
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