Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-19T13:47:56.840Z Has data issue: false hasContentIssue false
  • English
  • Français

A social paradigm in psychiatry – themes and perspectives

Part of: Special Articles

Published online by Cambridge University Press:  21 March 2016

S. Priebe
S. Priebe*
Affiliation:
Unit for Social & Community Psychiatry (WHO Collaborating Centre for Mental Health Service Development, Queen Mary University of London)
*
*Address for correspondence: Professor S. Priebe, Queen Mary's University of London, Social Psychiatry, London, UK. (Email: [email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

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.

Keywords

interactionsmental health caresocial constructssocial determinantssocial networkssocial paradigmsocial psychiatry
Type
Special Article
Information
Epidemiology and Psychiatric Sciences , Volume 25 , Issue 6 , December 2016 , pp. 521 - 527
Copyright
Copyright © Cambridge University Press 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Anderson, K, Laxhman, N, Priebe, S (2015). Can mental health interventions change social networks – a systematic review. BMC Psychiatry 15, 297.Google Scholar
Angermeyer, MC, Millier, A, Rémuzat, C, Refaï, T, Schomerus, G, Toumi, M (2015). Continuum beliefs and attitudes towards people with mental illness: results from a national survey in France. International Journal of Social Psychiatry 61, 297–303.Google Scholar
Bolton, D, Hill, G (2004). Mind, Meaning and Mental Disorder: The Nature of Causal Explanation in Psychology and Psychiatry. Oxford University Press: Oxford.CrossRefGoogle Scholar
Burns, T (2013). Our Necessary Shadow: The Nature and Meaning of Psychiatry. Penguin Books: London.Google Scholar
Burns, T (2014). Community psychiatry's achievements. Epidemiology and Psychiatric Sciences 23, 337–344.Google Scholar
Burns, T, Catty, J, Becker, T, Drake, RE, Fioritti, A, Knapp, M, Lauber, C, Tomov, T, van Busschbach, J, White, S, Wiersma, D (2007). The effectiveness of supported employment for people with severe mental illness: a randomised controlled trial. Lancet 370, 1146–1152.Google Scholar
Christakis, NA, Fowler, JH (2009). Connected: The Surprising Power of Our Social Networks and How They Shape Our Lives. Little Brown: New York.Google Scholar
Fazel, S, Ebmaier, KP (2009). Specialty choice in UK junior doctors: is psychiatry the least popular specialty for UK and international graduates? BMC Medical Education 9, 77.CrossRefGoogle Scholar
Fusar-Poli, P, Papanastasiou, E, Stahl, D, Rocchetti, M, Carpenter, W, Shergill, S, McGuire, P (2015). Treatments of negative symptoms of schizophrenia: meta-analysis of 168 randomized placebo-controlled trials. Schizophrenia Bulletin 41, 892–899.Google Scholar
Granovetter, M (1973). The strength of the weak ties. American Journal of Sociology 78, 1360–1380.Google Scholar
Ilberg, G (1904). Soziale Psychiatrie. Monatsschrift für Soziale Medizin 7, 321–329 and 393–398.Google Scholar
Jaspers, K (1963). General Psychopathology (Vol 1). Manchester University Press: Manchester.Google Scholar
Katschnig, H (2010). Are psychiatrists an endangered species? Observations on internal and external challenges to the profession. World Psychiatry 9, 21–18.Google Scholar
Kleinman, A (2012). Rebalancing academic psychiatry: why it needs to happen – and soon. British Journal of Psychiatry 201, 421–422.CrossRefGoogle ScholarPubMed
Marmot, M, Allen, J, Bell, R, Bloomer, E, Goldblatt, D (2012). WHO European review of social determinants of health and the health divide. Lancet 380, 1011–1028.Google Scholar
McKay, KM, Imel, Z, Wampold, B (2006). Psychiatrist effect in the psychopharmacological treatment of depression. Journal of Affective Disorders 92, 287–290.Google Scholar
Monbiot, G (2014). The age of loneliness is killing us. Guardian.Google Scholar
Orfanos, S, Banks, C, Priebe, S (2015). Are group psychotherapeutic treatments effective for patients with schizophrenia: a systematic review and meta-analysis. Psychotherapy and Psychosomatics 84, 241–249.Google Scholar
Orford, J (2008). Community Psychology: Challenges, Controversies and Emerging Consensus. Wiley: Chichester.Google Scholar
Priebe, S (2015). The political mission of psychiatry. World Psychiatry 14, 1–2.Google Scholar
Priebe, S, McCabe, R (2008). Therapeutic relationships in psychiatry: the basis of therapy or therapy in itself? International Review in Psychiatry 20, 521–526.Google Scholar
Priebe, S, Burns, T, Craig, TJK (2013). The future of academic psychiatry may be social. British Journal of Psychiatry 202, 319–320.Google Scholar
Priebe, S, Omer, S, Giacco, D, Slade, M (2014). Resource-oriented therapeutic models in psychiatry: conceptual review. British Journal of Psychiatry 204, 256–261.Google Scholar
Priebe, S, Kelley, L, Omer, S, Golden, EM, Walsh, S, Khanom, H, Kingdon, D, Rutterford, C, McCrone, P, McCabe, R (2015). The effectiveness of a patient-centred assessment with a solution focused approach (DIALOG+) for patients with psychosis: a pragmatic cluster-randomised controlled trial in community care. Psychotherapy and Psychosomatics 84, 304–313.Google Scholar
Schomerus, G, Matschinger, H, Angermeyer, MC (2013). Continuum beliefs and stigmatizing attitudes towards persons with schizophrenia, depression and alcohol dependence. Psychiatry Research 209, 665–669.Google Scholar
Summerfield, D (2008). How scientifically valid is the knowledge base for global mental health? British Medical Journal 336, 992.Google Scholar
The Centre for Economic Performance's Mental Health Policy Group (2006). The Depression Report: A New Deal for Depression and Anxiety Disorders. London School of Economics: London.Google Scholar
Wampold, B (2001). The Great Psychotherapy Debate: Models, Methods and Findings. Lawrence Erlbaum Associates: Mahwah, NJ.Google Scholar
Wiesjahn, M, Brabban, A, Jung, E, Gebauer, UB, Lincoln, TM (2012). Are continuum beliefs about psychotic symptoms associated with sterotypes about schizophrenia? Psychosis: Psychological, Social and Integrative Approaches 6, 50–60.Google Scholar