Psychiatry beyond the current paradigm

被引：223

作者：

Bracken, Pat ^{[1
]}

Thomas, Philip ^{[2
]}

Timimi, Sami ^{[3
]}

Asen, Eia ^{[4
]}

Behr, Graham

Beuster, Carl ^{[5
]}

Bhunnoo, Seth ^{[6
]}

Browne, Ivor ^{[7
]}

Chhina, Navjyoat ^{[8
]}

Double, Duncan ^{[9
]}

Downer, Simon ^{[10
]}

Evans, Chris ^{[11
]}

Fernando, Suman ^{[12
]}

Garland, Malcolm R. ^{[13
]}

Hopkins, William

Huws, Rhodri ^{[14
]}

Johnson, Bob ^{[15
]}

Martindale, Brian ^{[16
]}

Middleton, Hugh ^{[11
,17
]}

Moldavsky, Daniel ^{[11
]}

Moncrieff, Joanna ^{[18
]}

Mullins, Simon ^{[19
]}

Nelki, Julia ^{[20
]}

Pizzo, Matteo

Rodger, James ^{[21
]}

Smyth, Marcellino ^{[1
]}

Summerfield, Derek ^{[22
]}

Wallace, Jeremy ^{[23
]}

Yeomans, David ^{[24
]}

机构：

[1] Bantry Gen Hosp, Ctr Mental Hlth Care & Recovery, Bantry, Cork, Ireland

[2] Univ Bradford, Bradford BD7 1DP, W Yorkshire, England

[3] Lincolnshire Partnership NHS Fdn Trust Child & Fa, Sleaford, Lincs, England

[4] Cent & NW London Fdn NHS Trust, Marlborough Family Serv, London, England

[5] So Hlth NHS Fdn Trust, Southampton, Hants, England

[6] Barnet Enfield & Haringey Mental Hlth NHS Trust, Haringey Complex Care Team, Halliwick Ctr, St Anns Hosp, London, England

[7] Univ Coll Dublin, Dublin 2, Ireland

[8] Cumbria Partnership NHS Fdn Trust, Early Intervent Team, Penrith, Cumbria, England

[9] Norfolk & Suffolk NHS Fdn Trust, Norwich, Norfolk, England

[10] Severn Deanery Sch Psychiat, Bristol, Avon, England

[11] Nottinghamshire Healthcare NHS Trust, Nottingham, England

[12] London Metropolitan Univ, Fac Humanities & Social Sci, London, England

[13] St Itas Hosp, Portraine, Ireland

[14] Eastglade Community Hlth Ctr, Sheffield, S Yorkshire, England

[15] Rivington House Clin, New York, NY USA

[16] Northumberland Tyne & Wear NHS Fdn Trust, Newcastle Upon Tyne, Tyne & Wear, England

[17] Univ Nottingham, Sch Sociol & Social Policy, Nottingham NG7 2RD, England

[18] UCL, Dept Mental Hlth Sci, London, England

[19] Sheffield Hlth & Social Care NHS Fdn Trust, Sheffield, S Yorkshire, England

[20] Chester Eating Disorders Serv, Chester, Cheshire, England

[21] Devon Partnership NHS Trust, S Devon CAMHS, Exeter, Devon, England

[22] Maudsley Hosp & Inst Psychiat, London SE5 8AZ, England

[23] HUS Helsinki Univ Sairaala Peijas, Vantaa, Finland

[24] Leeds & York Partnership NHS Fdn Trust, Leeds, W Yorkshire, England

来源：

BRITISH JOURNAL OF PSYCHIATRY | 2012年 / 201卷 / 06期

关键词：

ELECTROCONVULSIVE-THERAPY; MENTAL-HEALTH; PLACEBO-RESPONSE; SCHIZOPHRENIA; RECOVERY; DEPRESSION; ILLNESS; ANTIPSYCHOTICS; METAANALYSIS; SEVERITY;

D O I：

10.1192/bjp.bp.112.109447

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

A series of editorials in this Journal have argued that psychiatry is in the midst of a crisis. The various solutions proposed would all involve a strengthening of psychiatry's identity as essentially 'applied neuroscience'. Although not discounting the importance of the brain sciences and psychopharmacology, we argue that psychiatry needs to move beyond the dominance of the current, technological paradigm. This would be more in keeping with the evidence about how positive outcomes are achieved and could also serve to foster more meaningful collaboration with the growing service user movement.

引用

页码：430 / 434

页数：5

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