{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T03:14:04Z","timestamp":1777432444981,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      The first author is a third-year trainee with Queensland Centre of Excellence for Intellectual Disability and Autism Health (QCEIDAH). This perspective stemmed from the experience of working at QCEIDAH and reflecting during supervision on the complexity and confusion that arose being \u2018within and without\u2019 \u2013 quote from F. Scott Fitzgerald\u2019s 1925 novel, \u2018\n                      <jats:italic toggle=\"yes\">The Great Gatsby<\/jats:italic>\n                      \u2019, depicting the narrator\u2019s coming of age.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore and outline the perspective of a registrar working in a state-wide intellectual and developmental disability consultation service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>The utility of various psychiatric frameworks within a complex consultation service is discussed, including biopsychosocial model, psychodynamic model, and systems framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>To be \u2018within and without\u2019 not only describes the physical state of being inside a room with the patient in a time-limited consultation service but also mirrors the complexity of stepping into the various system of the patient including their families, support workers, NDIS coordinator, and other health providers in a variety of physical, metaphorical, and metatheatrical sense. This presentation highlights the challenge of a trainee working in a space with high expectations from a variety of systems in a field which lacks the clarity and framework to easily achieve this.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562251393793","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T21:34:24Z","timestamp":1761946464000},"page":"20-22","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["To be \u2018within and without\u2019 \u2013 A trainee\u2019s perspective of an intellectual and developmental disability consultation service"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1585-3594","authenticated-orcid":false,"given":"Yoon Kwon","family":"Choi","sequence":"first","affiliation":[{"name":"Queensland Centre of Excellence in Intellectual Disability and Autism Health, Mater Research Institute-UQ, Brisbane"},{"name":"Children\u2019s Health Queensland"},{"name":"University of Queensland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0297-4687","authenticated-orcid":false,"given":"Melanie","family":"Johnston","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,31]]},"reference":[{"key":"e_1_3_4_2_2","author":"Mater Intellectual Disability and Autism Service","year":"2025","unstructured":"Mater Intellectual Disability and Autism Service. Mater website 2025. https:\/\/www.mater.org.au\/health\/services\/mater-intellectual-disability-and-autism-service (accessed 10 May 2025).","journal-title":"Mater website"},{"key":"e_1_3_4_3_2","author":"Queensland Centre of Excellence in Autism and Intellectual Disability Health (QCEAIH)","unstructured":"Queensland Centre of Excellence in Autism and Intellectual Disability Health (QCEAIH). Mater online website, (qceaidh). https:\/\/www.materonline.org.au\/services\/queensland-centre-of-excellence-in-autism-and-intellectual-disability-health- (accessed 15 May 2025).","journal-title":"Mater online website"},{"key":"e_1_3_4_4_2","volume-title":"Final report \u2013 executive summary, our vision for an inclusive Australia and recommendations","author":"Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability","year":"2023","unstructured":"Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability. Final report \u2013 executive summary, our vision for an inclusive Australia and recommendations. Commonwealth of Australia, 2023."},{"key":"e_1_3_4_5_2","volume-title":"The great gatsby","author":"Fitzgerald FS","year":"1925","unstructured":"Fitzgerald FS. The great gatsby. Charles Scribner's Sons, 1925."},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.114.047373"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjb.2020.68"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/1039856219839474"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1126\/science.847460"}],"container-title":["Australasian Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562251393793","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10398562251393793","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562251393793","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:48:29Z","timestamp":1777376909000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10398562251393793"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,31]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1177\/10398562251393793"],"URL":"https:\/\/doi.org\/10.1177\/10398562251393793","relation":{},"ISSN":["1039-8562","1440-1665"],"issn-type":[{"value":"1039-8562","type":"print"},{"value":"1440-1665","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,31]]}}}