Elizabeth Bromley is a psychiatrist and medical anthropologist. She has been a faculty member in the Center since 2008. Dr. Bromley earned her B.A. from Rice University in 1993 and received her M.D. and M.A. in the History of Health Sciences from the University of California, San Francisco. She completed residency and a chief residency in Adult Psychiatry at Columbia University and the New York State Psychiatric Institute. Dr. Bromley was a UCLA/VA Robert Wood Johnson Clinical Scholar from 2004-06. She completed her Ph.D. in Anthropology in 2008. Dr. Bromley’s research focuses on the therapeutic beliefs and institutional contexts that shape clinical practices. Her dissertation examined stakeholder inclusion and priority-setting in schizophrenia research. She and her collaborators have developed a video ethnography method for assessing everyday functioning in schizophrenia; and have explored perceptions of community integration in individuals with serious mental illness. Dr. Bromley has used mixed-methods to evaluate the implementation of recovery and shared decision-making in public mental health clinics. Her current projects focus on research ethics in community-partnered research, mental health stigma, and physician depression.
Through research and partnering, the Ruth Carr Program for Physician Vitality examines the meaning and challenge of being a physician today. Its activities are especially aimed at advancing the success of female physicians. In today’s context of rapid change and consolidation in health care, there is an urgent need for physicians to maintain a sense of purpose at work, utilize their reflective capacity, and nurture supportive relationships with colleagues. Unfortunately, a large literature suggests that many physicians struggle with emotional exhaustion and declining satisfaction and that they commit suicide at rates much higher than expected. Physician distress can compromise care quality and inhibit the compassionate engagement that is core to patient-centered care. The Program explores strategies to prevent physician distress, isolation, and suicide; to help physicians to build shared purpose; and to renew their vitality at work.
Link to Articles: The Vitalists
The Peer-Led Smoking Cessation project has pursued a partnered approach to intervention development that explored and reported on attitudes that present barriers to smoking cessation in mental health clinics as well as preferred strategies for cessation. Our consumer task force met on a weekly basis for over a year to develop and refine a peer led intervention for smoking cessation for peers with severe mental illnesses. They have shared their experiences with smoking and smoking cessation and provided us with feedback on potential interventions and methods to support peers who are trying to quit smoking. They also discussed how these interventions should be adapted to fit within their unique setting and with their unique populations.
Dr. Bromley reviews recent data on burnout, depression and suicide in physicians, with particular emphasis on the work-related factors that appear to contribute to physician distress as part of the UCLA Department of Pediatrics Grand Rounds.
Bromley E, Eisenman D, Magana A, Williams M, Kim B, McCreary M, Chandra A, Wells KB. How Do Communities Use a Participatory Public Health Approach to Build Resilience? The Los Angeles County Community Disaster Resilience Project. Int J Environ Res Public Health. 2017 Oct 21;14(10).
Bromley E, Mikesell L, Khodyakov D. Ethics and Science in the Participatory Era: A Vignette-Based Delphi Study. J Empir Res Hum Res Ethics. 2017 Dec;12(5):295-309.
Bromley E, Kennedy D, Miranda J, Sherbourne CD, Wells KB. The Fracture of Relational Space in Depression: Predicaments in Primary Care Help Seeking. Current Anthropology. 2016. 57:5, 610-631.
Bromley E. Barriers to the appropriate clinical use of medications that improve the cognitive deficits of schizophrenia. Psychiatric Services, Apr;58(4):475-81
Bromley E. At Issue: Clinicians’ concepts of the cognitive deficits of schizophrenia. Schizophrenia Bulletin, May;33(3):648-51
Bromley E, Braslow JT. Teaching critical thinking in psychiatric training: A role for the social sciences. American Journal of Psychiatry, Nov;165(11):1396-401.
Bromley E. Book Review: Revolution in Mind by George Makari. Bulletin of the History of Medicine, Spring; 83(1): 214-15.
Bromley E, Brekke JS. Abstract: Ecological validity of cognition and functioning in schizophrenia: A reliable method to assess naturalistic behaviors in everyday contexts. Schizophrenia Bulletin, March; 35(suppl 1): 312.
Bromley E, Brekke JS. Assessing function and functional outcome in schizophrenia. In Swerdlow N (ed). The Behavioral Neurobiology of Schizophrenia and its Treatment. New York, NY: Springer Press.