Literature DB >> 26021738

Putting meaning into medicine: why context matters in psychiatry.

E Carpenter-Song1.   

Abstract

Mainstream psychiatry emphasises controlling symptoms by taking medications. This approach ignores the role of context in shaping illness experiences and how people engage with mental health professionals. The focus on symptom control and medication management also narrows the function of the psychiatrist. This editorial argues that knowledge of patients' lives is important for providing empathic care that is oriented to the outcomes that matter to patients. In addition, care that attends to the person-in-context motivates and sustains mental health providers by putting meaning back into medicine. Truly patient-centred care demands pushing back against the reductionism of contemporary psychiatry to thoughtfully engage with the complexities of patients' lives.

Entities:  

Keywords:  Social anthropology; health services research; psychiatric services; quality of care

Year:  2015        PMID: 26021738      PMCID: PMC7192187          DOI: 10.1017/S2045796015000475

Source DB:  PubMed          Journal:  Epidemiol Psychiatr Sci        ISSN: 2045-7960            Impact factor:   6.892


  15 in total

1.  Caught in the psychiatric net: meanings and experiences of ADHD, pediatric bipolar disorder and mental health treatment among a diverse group of families in the United States.

Authors:  Elizabeth Carpenter-Song
Journal:  Cult Med Psychiatry       Date:  2009-03

2.  Notes on the development of treatment of schizophrenics by psychoanalytic psychotherapy.

Authors:  F FROMM-REICHMANN
Journal:  Psychiatry       Date:  1948-08       Impact factor: 2.458

3.  County-level estimates of mental health professional shortage in the United States.

Authors:  Kathleen C Thomas; Alan R Ellis; Thomas R Konrad; Charles E Holzer; Joseph P Morrissey
Journal:  Psychiatr Serv       Date:  2009-10       Impact factor: 3.084

4.  Career satisfaction of psychiatrists.

Authors:  Jim P DeMello; Satish P Deshpande
Journal:  Psychiatr Serv       Date:  2011-09       Impact factor: 3.084

5.  Homelessness, severe mental illness, and the institutional circuit.

Authors:  K Hopper; J Jost; T Hay; S Welber; G Haugland
Journal:  Psychiatr Serv       Date:  1997-05       Impact factor: 3.084

6.  Recovery in a family context: experiences of mothers with serious mental illnesses.

Authors:  Elizabeth A Carpenter-Song; Billy D Holcombe; John Torrey; Maria Mananita S Hipolito; Loretta D Peterson
Journal:  Psychiatr Rehabil J       Date:  2014-03-10

7.  Twelve-month use of mental health services in the United States: results from the National Comorbidity Survey Replication.

Authors:  Philip S Wang; Michael Lane; Mark Olfson; Harold A Pincus; Kenneth B Wells; Ronald C Kessler
Journal:  Arch Gen Psychiatry       Date:  2005-06

8.  Ethno-cultural variations in the experience and meaning of mental illness and treatment: implications for access and utilization.

Authors:  Elizabeth Carpenter-Song; Edward Chu; Robert E Drake; Mieka Ritsema; Beverly Smith; Hoyt Alverson
Journal:  Transcult Psychiatry       Date:  2010-04

9.  Shared decision making and medication management in the recovery process.

Authors:  Patricia E Deegan; Robert E Drake
Journal:  Psychiatr Serv       Date:  2006-11       Impact factor: 3.084

Review 10.  "The street will drive you crazy": why homeless psychotic women in the institutional circuit in the United States often say no to offers of help.

Authors:  Tanya Marie Luhrmann
Journal:  Am J Psychiatry       Date:  2007-12-17       Impact factor: 18.112

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  3 in total

1.  Anthropology and mental health care.

Authors:  R E Drake
Journal:  Epidemiol Psychiatr Sci       Date:  2015-05-22       Impact factor: 6.892

2.  Family Life and Social Medicine: Discourses and Discontents Surrounding Puebla's Psychiatric Care.

Authors:  Kathryn Law Hale
Journal:  Cult Med Psychiatry       Date:  2017-12

3.  A digital advocate? Reactions of rural people who experience homelessness to the idea of recording clinical encounters.

Authors:  Stuart W Grande; Mary Ganger Castaldo; Elizabeth Carpenter-Song; Ida Griesemer; Glyn Elwyn
Journal:  Health Expect       Date:  2016-09-07       Impact factor: 3.377

  3 in total

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