On-set Shrinks: Firming Up Tv’s ‘reality... (Press, 1 July 1987)

In a 1987 article discussing the increased collaboration between psychiatry and television, the role of psychiatric consultants in shaping TV narratives became a notable focus. Historically, the depiction of psychiatrists on television has often lacked realism, characterised by stereotypical portrayals and oversimplified psychological issues. However, the 1980s have seen a shift, with genuine psychiatric professionals being increasingly enlisted by producers and writers to lend credibility and depth to character development on shows such as “Hotel” and “The Cosby Show.” These psychiatric consultants are involved in various aspects of production, from validating character motivations to providing insights into mental health issues like anorexia nervosa and anxiety. Kristin Gabriel, representing the Southern California Psychiatric Society, highlighted the rising demand for psychiatric expertise, noting that many TV professionals reach out for guidance before finalising scripts. The service often allows for brief consultations, effectively addressing common queries about psychological conditions. Dr. Barry Goldstein, a child psychiatrist, expressed his involvement in production meetings, assisting writers in integrating psychiatric themes in ways that are both accurate and entertaining. This collaboration aims to ensure narratives are relatable and meaningful, particularly as audiences begin to take the portrayal of such serious issues earnestly. Industry practices are evolving, as demonstrated by the consultation process in successful shows. Dr. Alvin F. Poussaint has provided detailed advice for “The Cosby Show,” ensuring the portrayal of sensitive subjects is thoroughly scrutinised. Furthermore, noted psychiatrist Dr. Carole Lieberman has been consulted on over 100 programmes, raising concerns about the potential negative impact of misrepresentations of mental illness in media. She argues for the responsibility of writers to approach these topics thoughtfully, given the influence of television on audience perceptions. Despite these advancements, some individuals within the industry remain sceptical about the need for psychiatric consultation, viewing it as unnecessary or purely common sense. Yet, consultants like Lieberman advocate for the vital importance of portraying nuanced and realistic representations of mental health, hoping to dissolve harmful stereotypes associated with psychiatric care. Ultimately, the collaboration between psychiatry and television aims to not only enhance storytelling but also reshape public perceptions of mental health professionals, promoting a more favourable image while educating audiences about the complexities of mental health through an accessible medium.

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