Download Evidence in Mental Health Care by Stefan Priebe PDF

By Stefan Priebe

Proof in psychological future health Care will turn out very important for the profitable extension of evidence-based assessment to psychological future health prone generally. it will likely be crucial examining for researchers, scholars and practitioners around the variety of psychological well-being disciplines, healthiness carrier managers and dealers of prone.

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Schizophrenia has been the subject of extensive psychosocial research. In the 1950s Brown and colleagues investigated the relationship between relapse rates in schizophrenia and the home environment to which patients were discharged (Brown et al. 1962). This work led to the concept of ‘expressed emotion’ and the 1980s and 1990s saw research into interventions, often referred to as ‘behavioural family management’. These were designed to reduce high expressed emotion in families, thereby reducing relapse rates (Falloon et al.

But this, unhappily, is not the case. (Tuke 1882, pp. 484–5) Now did we do any better in the twentieth century? Yes we did. Did we really? Let me skip the first half of the century by quoting Richard Hunter and Ida Macalpine (1963). They are considered to be the two leading British historians of psychiatry at the time by Roy Porter and Mark Micale (1994). I quote from ‘Reflections on Psychiatry and its Histories’ [In psychiatry] there is not even an objective method of describing or communicating clinical findings without subjective interpretation and no exact and uniform terminology which conveys precisely the same to all.

In a simplified manner it looks as if the more society discussed the role of insanity, unreason and mental health care, the more the non-medical evidence occupied a more dominant position. Then the public demanded answers from the experts and forced them to include the cultural and social aspects into their considerations. The modern notion of evidence came to play a major role when new treatment methods emerged and psychiatrists became optimistic about abolishing insanity, without necessarily having understood madness.

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