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The medical model is dead: long live the medical model
- Authors:
- SHAH Premal, MOUNTAIN Deborah
- Journal article citation:
- British Journal of Psychiatry, 191(11), November 2007, pp.375-377.
- Publisher:
- Cambridge University Press
Many people criticise, and psychiatrists apologise, for the use of the ‘medical model’. The authors examine what is currently meant by this term and suggest a refinement of definition to reflect the ideals and contemporary practice of medicine. They propose that psychiatrists should use the medical model to improve and validate bio-psychosocial psychiatric medicine.
Policy implications of a psychological model of mental disorder
- Authors:
- KINDERMAN Peter, SELLWOOD William, TAI Sara
- Journal article citation:
- Journal of Mental Health, 17(1), February 2008, pp.93-103.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Mental health care in the United Kingdom is rapidly changing, but many commentators, particularly sociologists and psychologists, view systems as remaining wedded to a medical model and not "fit for purpose". If services are to improve, the way that mental health problems are understood by the services providing care needs to change radically. To illustrate how a psychological model of mental disorder - the "mediating psychological processes model"- could assist mental health service policy development and implementation. A review of selected literature and policy documents was conducted. A "manifesto" for mental health service policy is presented, based on psychological principles. Psychological models, at least in addition to medical approaches, could better inform policy and service design.
Challenging the medical model
- Authors:
- DIAMOND Bob, HARDY Mark
- Journal article citation:
- Openmind, 129, September 2004, pp.18-19.
- Publisher:
- MIND
There has been an increase in users' involvement in mental health care. One area in its infancy is a role as teachers and trainers of psychiatrists. This article describes teaching sessions for psychiatric registrars, reports that useful lessons have been learned, and challenges the dominance of a medical model of mental health care, arguing psychiatrists exert a disproportionate amount of power and influence over users. The sessions addressed personal experiences and reflections, the user movement and self-help, the social context of distress, professional power and efforts to devolve power, therapeutic alliances and shared meanings, psychological frameworks, medication limitations, and the value of uncertainty and curiosity. Registrars were asked to evaluate a session. Concludes the issues raised help to offer a more comprehensive framework for making sense of mental health difficulties.
Working within the medical model
- Author:
- FREETH Rachel
- Journal article citation:
- Therapy Today, 18(9), November 2007, pp.31-34.
- Publisher:
- British Association for Counselling and Psychotherapy
Assessment, diagnosis and treatment are at the heart of the medical model. This is at odds with the relationship-centred psychological therapies - and raises many questions for those working in healthcare settings. The author argues that it is important for those therapists whose orientations are not aligned to the medical model to gain and understanding of the model and to be ready with clear arguments as to why mental health services should be more welcoming of non-medical model therapies.
Users and abusers of psychiatry: a critical look at psychiatric practice
- Author:
- JOHNSTONE Lucy
- Publisher:
- Routledge
- Publication year:
- 2000
- Pagination:
- 317p.,bibliog.
- Place of publication:
- London
- Edition:
- 2nd.
Critique of psychiatric practice, arguing that psychiatric admission and treatment disables patients, that psychiatry neglects gender issues, that the medical model of mental illness and physical treatments are inappropriate, and that psychiatry serves as a form of social control.