Clusters, lines and webs—so does my patient have psychosis? reflections on the use of psychiatric conceptual frameworks from a clinical vantage point

Philosophy, Ethics, and Humanities in Medicine

Douglas Turkington¹  Tibor Zoltan Kovacs²  Reece William Hill³  Stuart Watson⁴ 

[1] Cumbria, Northumberland, Tyne and Wear NHS Trust, Monkwearmouth Hospital, Newcastle Road, SR5 1NB, Sunderland, UK;Early Intervention in Psychosis Service, Newcastle upon Tyne, Cumbria, UK;Northumberland Tyne and Wear NHS Foundation Trust, 1 Benton View, NE12 7JJ, Forest Hall, Newcastle upon Tyne, UK;Translational and Clinical Research Institute, Newcastle University, NE1 7RU, Newcastle upon Tyne, UK;School of Medical Education, Newcastle University, Framlington Place, NE2 4HH, Newcastle upon Tyne, UK;Translational and Clinical Research Institute, Newcastle University, NE1 7RU, Newcastle upon Tyne, UK;

关键词: Psychosis;    Schizophrenia;    Diagnosis;    Categorical;    Dimensional;    Network;    Essentialism;    Schema;    Framework;   

DOI  :  10.1186/s13010-022-00118-0

来源: Springer

【 摘 要 】

Mental health professionals working in hospitals or community clinics inevitably face the realisation that we possess imperfect conceptual means to understand mental disorders. In this paper the authors bring together ideas from the fields of Philosophy, Psychiatry, Cognitive Psychology and Linguistics to reflect on the ways we represent phenomena of high practical importance that we often take for granted, but are nevertheless difficult to define in ontological terms. The paper follows through the development of the concept of psychosis over the last two centuries in the interplay of three different conceptual orientations: the categorical, dimensional and network approaches. Each of these represent the available knowledge and dominant thinking styles of the era in which they emerged and take markedly different stances regarding the nature of mental phenomena. Without particular commitment to any ontological positions or models described, the authors invite the reader into a thinking process about the strengths and weaknesses of these models, and how they can be reconciled in multidisciplinary settings to benefit the process of patient care.

【 授权许可】

CC BY