{"id":2253,"date":"2024-05-20T14:42:02","date_gmt":"2024-05-20T17:42:02","guid":{"rendered":"https:\/\/anibalsilveira.org\/?page_id=2253"},"modified":"2024-06-06T18:52:25","modified_gmt":"2024-06-06T21:52:25","slug":"another-psychiatry-is-possible","status":"publish","type":"page","link":"https:\/\/anibalsilveira.org\/en\/another-psychiatry-is-possible\/","title":{"rendered":"\u201cAnother\u201d psychiatry is possible?"},"content":{"rendered":"

\u201cAnother\u201d psychiatry is possible?<\/strong><\/p>\n\n\n\n


Psychological Medicine , Volume 53 , Issue 1 , January 2023 , pp. 46 – 54
DOI: https:\/\/doi.org\/10.1017\/S003329172200383X<\/a>
Published online by Cambridge University Press: 11 January 2023
Diana Rose, Nikolas Rose<\/strong><\/p>\n\n\n\n

Abstract<\/strong><\/p>\n\n\n\n

In this paper, we examine a number of approaches that propose new models for psychiatric theory and practices: in the way that they incorporate \u2018social\u2019 dimensions, in the way they involve \u2018communities\u2019 in treatment, in the ways that they engage mental health service users, and in the ways that they try to shift the power relations within the psychiatric encounter. We examine the extent to which \u2018alternatives\u2019 \u2013 including \u2018Postpsychiatry\u2019, \u2018Open Dialogue\u2019, the \u2018Power, Threat and Meaning Framework\u2019 and Service User Involvement in Research \u2013 really do depart from mainstream models in terms of theory, practice and empirical research and identify some shortcomings in each. We propose an approach which seeks more firmly to ground mental distress within the lifeworld of those who experience it, with a particular focus on the biopsychosocial niches within which we make our lives, and the impact of systematic disadvantage, structural violence and other toxic exposures within the spaces and places that constitute and constrain many everyday lives. Further, we argue that a truly alternative psychiatry requires psychiatric professionals to go beyond simply listening to the voices of service users: to overcome epistemic injustice requires professionals to recognise that those who have experience of mental health services have their own expertise in accounting for their distress and in evaluating alternative forms of treatment. Finally we suggest that, if \u2018another psychiatry\u2019 is possible, this requires a radical reimagination of the role and responsibilities of the medically trained psychiatrist within and outside the clinical encounter.<\/p>\n\n\n\n

Keywords<\/strong>
critiques of psychiatry<\/a>community, psychiatry<\/a>biopsychosocial, niche<\/a>the patient’s voice<\/a>epistemic, injustice<\/a>social, suffering<\/a>structural violence<\/a>, alternative futures for psychiatry<\/a><\/p>\n\n\n\n

\u00c9 poss\u00edvel “outra” psiquiatria?<\/strong><\/p>\n\n\n\n

Psychological Medicine , Volume 53 , Issue 1 , January 2023 , pp. 46 – 54
DOI: https:\/\/doi.org\/10.1017\/S003329172200383X<\/a>
Published online by Cambridge University Press: 11 January 2023
Diana Rose, Nikolas Rose<\/sup><\/strong><\/p>\n\n\n\n

Resumo<\/strong><\/p>\n\n\n\n

Neste artigo, examinamos uma s\u00e9rie de abordagens que prop\u00f5em novos modelos para teorias e pr\u00e1ticas psiqui\u00e1tricas: <\/p>\n\n\n\n

    \n
  1. como incorporam dimens\u00f5es ‘sociais’,\u00a0<\/li>\n\n\n\n
  2. como envolvem ‘comunidades’ no tratamento,<\/li>\n\n\n\n
  3. como engajam os usu\u00e1rios dos servi\u00e7os de sa\u00fade mental<\/li>\n\n\n\n
  4. como tentam deslocar as rela\u00e7\u00f5es de poder no interior do encontro psiqui\u00e1trico.\u00a0<\/li>\n<\/ol>\n\n\n\n

    Examinamos at\u00e9 que ponto as “alternativas” \u2013 incluindo a “P\u00f3s-psiquiatria”, o “Di\u00e1logo Aberto”, a “Estrutura de Poder, Amea\u00e7a e Significado” e o Envolvimento do Usu\u00e1rio de Servi\u00e7os na Pesquisa \u2013 realmente se afastam dos modelos convencionais em termos de teoria, pr\u00e1tica e pesquisa emp\u00edrica e identificamos algumas defici\u00eancias em cada uma delas. Propomos uma abordagem que busque fundamentar mais firmemente o sofrimento mental no mundo da vida daqueles que o vivenciam, com foco particular nos nichos biopsicossociais dentro dos quais fazemos nossas vidas e no impacto da desvantagem sistem\u00e1tica, da viol\u00eancia estrutural e de outras exposi\u00e7\u00f5es t\u00f3xicas dentro dos espa\u00e7os e lugares que constituem e constrangem muitas vidas cotidianas. Al\u00e9m disso, argumentamos que uma psiquiatria verdadeiramente alternativa requer que os profissionais psiqui\u00e1tricos v\u00e3o al\u00e9m de simplesmente ouvir as vozes dos usu\u00e1rios dos servi\u00e7os: superar a injusti\u00e7a epist\u00eamica requer que os profissionais reconhe\u00e7am que aqueles que t\u00eam experi\u00eancia em servi\u00e7os de sa\u00fade mental t\u00eam sua pr\u00f3pria experi\u00eancia em dar conta de seu sofrimento e em avaliar formas alternativas de tratamento. Finalmente, sugerimos que, se “outra psiquiatria” \u00e9 poss\u00edvel, isso requer uma reimagina\u00e7\u00e3o radical do papel e das responsabilidades do psiquiatra medicamente treinado dentro e fora do encontro cl\u00ednico.<\/p>\n\n\n\n

    Palavras chaves<\/strong><\/p>\n\n\n\n

    psiquiatria<\/a> biopsicossocial, <\/a> injusti\u00e7a<\/a> social, sofrimento<\/a> e viol\u00eancia estrutural<\/a>, futuros alternativos para a psiquiatria<\/a><\/p>\n\n\n\n

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    \u201cAnother\u201d psychiatry is possible? Psychological Medicine , Volume 53 , Issue 1 , January 2023 , pp. 46 – 54DOI: https:\/\/doi.org\/10.1017\/S003329172200383XPublished online by Cambridge University Press: 11 January 2023Diana Rose, Nikolas Rose Abstract In this paper, we examine a number of approaches that propose new models for psychiatric theory and practices: in the way that […]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-2253","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/anibalsilveira.org\/en\/wp-json\/wp\/v2\/pages\/2253","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/anibalsilveira.org\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/anibalsilveira.org\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/anibalsilveira.org\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/anibalsilveira.org\/en\/wp-json\/wp\/v2\/comments?post=2253"}],"version-history":[{"count":4,"href":"https:\/\/anibalsilveira.org\/en\/wp-json\/wp\/v2\/pages\/2253\/revisions"}],"predecessor-version":[{"id":2302,"href":"https:\/\/anibalsilveira.org\/en\/wp-json\/wp\/v2\/pages\/2253\/revisions\/2302"}],"wp:attachment":[{"href":"https:\/\/anibalsilveira.org\/en\/wp-json\/wp\/v2\/media?parent=2253"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/anibalsilveira.org\/en\/wp-json\/wp\/v2\/categories?post=2253"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/anibalsilveira.org\/en\/wp-json\/wp\/v2\/tags?post=2253"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}