Medicine and the Mind: The Consequences of Psychiatry’s Identity Crisis - Gardner & Kleinman - 2019 - Article

Psychiatric knowledge creation and training changes are necessary. Biologic psychiatry has failed to produce a theoretical model of any major psychiatric disorder or any tests that can be used to diagnose disorders. Psychiatric training needs to promote social science, cultural expertise, prevention, and psychotherapy. 

The prevailing message remains that the solution to psychological problems involves matching the “right” diagnosis with the “right” kind of medication, like a trial-and-error process. However, there is no comprehensive biologic understanding of either the causes or the treatments of psychiatric disorders. Over the past century,  the brain-mind link has been accepted as plastic, in which cognition closely connects to emotion and the social world strongly impacts well-being. The field of psychiatry seems to have abandoned its social, interpersonal, and psychodynamic foundations. Harrington claims that psychiatry concentrates only on severe, psychotic disorders. Furthermore, biologic research is more dominant than other forms of psychiatric research — like psychosocial or cultural.

Psychiatric knowledge creation and training changes are necessary. Biologic psychiatry has failed to produce a theoretical model of any major psychiatric disorder or any tests that can be used to diagnose disorders. Psychiatric training needs to promote social science, cultural expertise, prevention, and psychotherapy. 

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