Article

Comments on "cyclical swings" by Professor Hannah Decker: The underappreciated "solid center" of psychiatry

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Abstract

The history of psychiatry is characterized by some deep ideological and conceptual divisions, as adumbrated in Professor Hannah Decker's essay. However, the schism between "biological" and "psychosocial" models of mental illness and its treatment represents extreme positions among some psychiatrists-not the model propounded by academic psychiatry or its affiliated professional organizations. Indeed, the "biopsycho-social model" (BPSM) developed by Dr. George L. Engel has been, and remains, the foundational model for academic psychiatry, notwithstanding malign market forces that have undermined the BPSM's use in clinical practice. The BPSM is integrally related to "centralizing" and integrative trends in American psychiatry that may be traced to Franz Alexander, Karl Jaspers, and Engel himself, among others. This "Alexandrian-Jaspersian-Engelian" tradition is explored in relation to Professor Decker's "cyclical swing" model of psychiatry's history. (PsycINFO Database Record

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... Dies steht im Gegensatz zum Wunsch vieler Patienten, mit ihren individuellen Geschichten Gehör zu fin den [59]. Gerade Jaspers mit seinem sowohl geisteswissenschaft lich verstehenden als auch naturwissenschaftlich erklärenden An satz kann hier integrierend wirken und als Teil einer gedanklichen Mitte oder eines Fundaments der Psychiatrie (solid center) ange sehen werden [60]. ...
... Hier beginnt eine Tradition des genetischen Verstehens, die wichtig ist für eine Psychiatrie, die die Anforderungen der Menschen in einer postmodernen globalisierten Welt ernst nimmt. Karl Jaspers steht in dieser Tradition und formuliert zentrale gedankliche Grundlagen psychiatrischen Handelns [52,60]. ...
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