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Download e-book for iPad: Healing Psychiatry: Bridging the Science Humanism Divide by David H Brendel

By David H Brendel

ISBN-10: 7420061742

ISBN-13: 9787420061743

Psychiatry this present day is torn by means of opposing sensibilities. Is it basically a technology of mind functioning or essentially an artwork of realizing the human brain in its social and cultural context? Competing conceptions of psychological ailment as amenable to clinical clarification or as deeply complicated and past the succeed in of empirical research have left the sphere conceptually divided among technological know-how and humanism. In therapeutic Psychiatry David Brendel takes a singular method of this obdurate challenge. Drawing at the classical American pragmatism of Charles Sanders Peirce, William James, and John Dewey, in addition to modern paintings of pragmatic bioethicists, Brendel proposes a "clinical pragmatism" that synthesizes medical and humanistic methods to psychological healthiness care. Psychiatry, he argues, needs to combine medical and humanistic versions by means of emphasizing the sensible, pluralistic, participatory, and provisional facets of medical prognosis and therapy. Psychiatrists should have the ability and suppleness to take advantage of medical and humanistic ways in a collaborative, open-ended scientific technique; they need to realize the complexity of human pain while they try for medical rigor. this can be the single manner, he writes, that psychiatry can heal its conceptual rift and the emotional wounds of its patients.Healing Psychiatry explores those matters from either scientific and theoretical standpoints and makes use of case histories to aid its uncomplicated argument. Brendel demands an open-minded and versatile but scientifically proficient method of realizing, diagnosing, and treating psychological problems. And he considers the way forward for psychiatry, employing the foundations of medical pragmatism to a extensive variety of moral matters in psychiatric education and research.

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Additional info for Healing Psychiatry: Bridging the Science Humanism Divide

Example text

In that way, practitioners at both Science and Humanism in Psychiatry 9 ends of the biomedical/psychodynamic spectrum had developed a common but potentially problematic response to the mystery of human life and psychiatric illness. ” By imposing order on chaos in this way, the biomedical psychiatrist and psychodynamic psychotherapist developed much-needed treatments, but also ran the risk of excluding important human phenomena from their clinical formulations. Here Luhrmann pointed to the critical dimension of the current disorder in American psychiatry.

Intriguingly, one approach always seems to give way to the other approach in psychiatric practice—and this peculiarity is what makes psychiatric reasoning truly dialectical. As the psychiatrist describes clinical symptoms and locates the patient in a general diagnostic category, the patient as an individual begins to slip away—and the psychiatrist who recognizes the oversimplification will find a way to notice and take account of the patient’s uniqueness. Conversely, the more a clinical psychiatrist tunes into a patient’s unique human characteristics, the more he or she will experience an urge to compare and contrast the patient’s experience with that of other people in similar circumstances or with similar disorders.

But even in outpatient settings, the forces of managed care were intensifying and placing limitations on the nature and length of treatment. Psychodynamic psychiatrists preserved a robust sense of the fundamental complexity of the human mind and unconscious motivation, but they were becoming isolated from the mainstream trends toward biomedical diagnosis and treatment. In addition, Luhrmann pointed out that, like biomedical psychiatrists, psychodynamic psychiatrists looked at impossibly complex human phenomena and attempted to organize, simplify, and reduce them so that they could treat their patients.

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Healing Psychiatry: Bridging the Science Humanism Divide by David H Brendel

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