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Tijdschrift Voor Psychiatrie 2018There is an increasing awareness that the current approach to clinical thought and work in psychiatry in relation to psychiatric diagnosis, treatment and research has...
BACKGROUND
There is an increasing awareness that the current approach to clinical thought and work in psychiatry in relation to psychiatric diagnosis, treatment and research has its limitations. This necessitates a process to reform both the clinical practice and future scientific research. One way to reform this is the transdiagnostic approach.
AIM
To clarify the psychological, biological and therapeutic aspects of a transdiagnostic approach in psychiatry.
METHOD
An analysis of new approaches based on recent findings from the recent literature.
RESULTS
Transdiagnostic psychiatry is a relatively new concept which is still under development. The examples extracted from the reviewed literature on developmental psychology, neurobiology and treatment demonstrate that this approach may lead to improvements in clinical care and generate new etiological insights.
CONCLUSION
A transdiagnostic approach in psychiatry may lead to new insights that are relevant for clinical practice and future scientific research.
Topics: Humans; Mental Disorders; Psychiatry; Psychopathology
PubMed: 29521408
DOI: No ID Found -
Tijdschrift Voor Psychiatrie 2019The training curriculum of the psychiatrist needs to be reviewed. To determine the model of the future psychiatrist, the question of how the future psychiatry will look...
The training curriculum of the psychiatrist needs to be reviewed. To determine the model of the future psychiatrist, the question of how the future psychiatry will look needs to be answered first.
AIM: Assessment of relevant developments in psychiatry and the organisation of psychiatric care with the aim to propose a profile of the future psychiatrist.
METHOD: The recent history of psychiatry as a starting point for a vision of the future.
RESULTS: 1. Psychiatry must use an integrative anthropological theory, in order to be able to understand psychopathology in its essence. 2. Content-driven moral leadership is necessary to prevent psychiatry being tempted by hypes. 3. The tacit social contract between the medical profession and society is under pressure; both parties distrust each other and psychiatrists must regain trust and renew the contract. 4. Psychiatric care must remain affordable, which means a review of the current organisation of care; psychiatry will become network psychiatry. 5. Psychiatrists will work in a network of care providers and the patient will be in control. The psychiatrist will have a flexible role, ranging from managerial to supportive and advisory. Keeping psychotherapeutic skills up-to-date is an essential requirement. 6. Future training should focus on the sustainable employability of the psychiatrist as a human being, on knowledge of history of psychiatry and its socio-economic context, and policy and engagement; and on the skill of conceptual thinking (philosophy).
CONCLUSION: The profession of psychiatry needs a new job profile. The process of development and elaboration should contain the following core elements: broad education, conceptual skills, sensitivity for activism, social involvement, and expertise in treatment of patients with complex problems in diverse settings.Topics: Curriculum; Forecasting; Humans; Netherlands; Psychiatry
PubMed: 30896036
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Psychiatria Danubina Sep 2013Psychiatry is in the midst of the paradigm shift. The new field called theoretical psychiatry is fundamental for further scientific and professional maturation of...
Psychiatry is in the midst of the paradigm shift. The new field called theoretical psychiatry is fundamental for further scientific and professional maturation of psychiatry at the twenty first century. The cross disciplinary interactions and transdisciplinary systems approach are of great importance in science and the paradigm shift.
Topics: Humans; Knowledge; Psychiatry
PubMed: 24048385
DOI: No ID Found -
Praxis Feb 2022
Topics: History, 20th Century; Humans; Psychiatry
PubMed: 35105216
DOI: 10.1024/1661-8157/a003829 -
Tijdschrift Voor Psychiatrie 2018The information society is digitalising at a fast pace. New technology enables the collection of real life and real time information from sources that were inaccessible...
The information society is digitalising at a fast pace. New technology enables the collection of real life and real time information from sources that were inaccessible before. This creates an inordinate amount of dynamic data and, consequently, opportunities to introduce new insights and improvement of treatment in the field of psychiatry.
AIM: To clarify the definition of big data and how a big data approach can reform care into a data driven, patient oriented dynamic system which is constantly learning.
METHOD: Brief description of a pilot effected at the UMC Utrecht where the Cross Industry Standard Process for Interactive Data Mining (CRISP-IDM) was performed and description of applications in the future.
RESULTS: The described approach and examples from literature show that there are possibilities to realise quick improvements in practice and implement new insights from existing data sources.
CONCLUSION: Introduction of data science in psychiatric practice offers new prospects.Topics: Data Collection; Data Mining; Datasets as Topic; Humans; Precision Medicine; Psychiatry
PubMed: 29521410
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Soins; La Revue de Reference Infirmiere Sep 2023In 2021, the Aisne departmental public mental health establishment (EPSMDA) chose to open a seminar on restraint, care and freedom. With the support of the EPSMDA branch... (Review)
Review
In 2021, the Aisne departmental public mental health establishment (EPSMDA) chose to open a seminar on restraint, care and freedom. With the support of the EPSMDA branch of the Chair of Philosophy in Hospitals, developed for this occasion, participants were able to apprehend, thanks to various philosophical, sociological, historical, regulatory, deontological, medical, paramedical and experiential (by the patient himself) approaches, the notions of restraint, container and content that surround the restraint approach with both adults and children. Throughout the year, we welcomed qualified speakers. More generally, the debates dealt with the relationship between the subject of care in psychiatry and the care logic conveyed by professionals in institutions, evoking the transition from a care logic to a care logic.
Topics: Adult; Child; Humans; Hospitals; Philosophy; Psychiatry; Public Health; Restraint, Physical
PubMed: 37657875
DOI: 10.1016/j.soin.2023.07.016 -
The Journal of Clinical Psychiatry Jun 2015Traditionally, psychiatry has been defined and practiced as a branch of medicine focused on the diagnosis and treatment of mental illnesses. Based on growing empirical...
Traditionally, psychiatry has been defined and practiced as a branch of medicine focused on the diagnosis and treatment of mental illnesses. Based on growing empirical evidence, we believe that this definition warrants expansion to include the concept of positive psychiatry. In the present article, we provide a critical overview of this emerging field and a select review of relevant scientific literature. Positive psychiatry may be defined as the science and practice of psychiatry that seeks to understand and promote well-being through assessment and interventions involving positive psychosocial characteristics (PPCs) in people who suffer from or are at high risk of developing mental or physical illnesses. It can also benefit nonclinical populations. Positive psychiatry has 4 main components: (1) positive mental health outcomes (eg, well-being), (2) PPCs that comprise psychological traits (resilience, optimism, personal mastery and coping self-efficacy, social engagement, spirituality and religiosity, and wisdom-including compassion) and environmental factors (family dynamics, social support, and other environmental determinants of overall health), (3) biology of positive psychiatry constructs, and (4) positive psychiatry interventions including preventive ones. There are promising empirical data to suggest that positive traits may be improved through psychosocial and biological interventions. As a branch of medicine rooted in biology, psychiatry, especially with the proposed conceptualization of positive psychiatry, is well poised to provide major contributions to the positive mental health movement, thereby impacting the overall health care of the population.
Topics: Adaptation, Psychological; Humans; Mental Disorders; Mental Health; Psychiatry; Social Support; Spirituality
PubMed: 26132670
DOI: 10.4088/JCP.14nr09599 -
History of Psychiatry Jun 2023This article reviews Emil Kraepelin's address '', at the opening of the Deutsche Forschungsanstalt für Psychiatrie in 1917, and published as an essay in 1918.... (Review)
Review
This article reviews Emil Kraepelin's address '', at the opening of the Deutsche Forschungsanstalt für Psychiatrie in 1917, and published as an essay in 1918. Kraepelin's publication represents a part of his late work: his commitment as a historian of psychiatry. He composed a classic narrative of psychiatric progress, which includes an outlook on desirable future developments in therapy and prevention. The present article considers the essay's socio-historical context as well as its structure and content. The focus lies on its time of origin around the end of World War I, its sources in relation to the state of the art of historiography at that time and the history of its reception, including the English-language edition of 1962.
Topics: Humans; History, 20th Century; History, 19th Century; Psychiatry; World War I; Historiography; Germany
PubMed: 36594426
DOI: 10.1177/0957154X221143613 -
Der Nervenarzt Mar 2021Within the framework of the legal and ethical requirements of the application of coercion in psychiatry, the perspective of its prevention is discussed. Coercion is... (Review)
Review
Within the framework of the legal and ethical requirements of the application of coercion in psychiatry, the perspective of its prevention is discussed. Coercion is permissible exclusively in cases of incapability of self-determination and immediate specific danger for the patient's physical integrity or life. Practical difficulties in assessing these criteria are illustrated by means of case examples. Preventive procedures for avoidance of coercion (advance directives, trust-building procedures, recognition of influence of context, sensitization against coercion) as well as clarification of indications and control of the application of coercion and a change of attitude toward assistance of decision aim at strengthening respect for the right to self-determination of the mentally ill and thereby to fairly balance the psychiatrist's conflict between responsibility for care and respect for the right of self-determination of the patient.
Topics: Coercion; Commitment of Mentally Ill; Humans; Mental Disorders; Mentally Ill Persons; Personal Autonomy; Psychiatry
PubMed: 33000288
DOI: 10.1007/s00115-020-00998-7 -
Tijdschrift Voor Psychiatrie 2022
Topics: Belgium; Cross-Cultural Comparison; Europe; Humans; Netherlands; Psychiatry
PubMed: 35178686
DOI: No ID Found