A social paradigm in psychiatry - themes and perspectives

作者：Priebe S^*

来源：Epidemiology and Psychiatric Sciences, 2016, 25(6): 521-527.

DOI：10.1017/S2045796016000147

• interactions
• mental health care
• social constructs
• social determinants
• social networks
• social paradigm
• social psychiatry

Aims. Psychiatry as science is underpinned by paradigms. Considering whether a social paradigm may help to advance the current state of psychiatry, the review provides a reference to the rich, but fragmented past of related initiatives in the history of psychiatry and a personal view of themes, challenges and perspectives of using a social paradigm in psychiatry.
Methods. Major themes are the evidence on social determinants of mental health; the value-based importance of integrating people with mental disorders in society; options to overcome the social isolation and improve the networks of psychiatric patients; utilising a systemic approach for interventions in families and communities; and understanding group and one-to-one treatments in psychiatry primarily as social interactions. Whilst all these themes open up perspectives for future action and/or research, there are also conceptual challenges through the limitations of the current construct of mental disorders and the dominating terminology.
Results. Initiatives for using a social paradigm in psychiatry may refer to important achievements in the past, but need to go beyond this and consider on-going societal changes.
Conclusion. Innovation may benefit from close collaboration with social sciences and humanities.

• 出版日期2016-12