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Conceptual Competence in Psychiatry: Recommendations for Education and Training

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  1. Ghaemi SN. Pluralism in psychiatry: Karl Jaspers on science. Philos Psychiatry Psychol. 2007;14(1):57–66.

    Google Scholar 

  2. Banner NF, Thornton T. The new philosophy of psychiatry: its (recent) past, present and future: a review of the Oxford University Press series International Perspectives in Philosophy and Psychiatry. Philos Ethics Humanit Med. 2007;2(1):1–14.

    Article  Google Scholar 

  3. Szasz TS. The myth of mental illness. Am Psychol. 1960;15(2):113.

    Article  Google Scholar 

  4. Steingard S. Critical psychiatry: controversies and clinical implications. Cham: Springer; 2019.

    Book  Google Scholar 

  5. Gardner C, Kleinman A. Medicine and the mind-the consequences of psychiatry’s identity crisis. N Engl J Med. 2019;381(18):1697–9.

    Article  Google Scholar 

  6. Althoff RR, Waterman GS. Commentary: psychiatric training for physicians: a call to modernize. Acad Med. 2011;86(3):285–7.

    Article  Google Scholar 

  7. Aftab A, Nassir Ghaemi S, Stagno S. A didactic course on “philosophy of psychiatry” for psychiatry residents. Acad Psychiatry. 2018;42(4):559–63.

    Article  Google Scholar 

  8. Karter JM. An ecological model for conceptual competence in psychiatric diagnosis. J Humanist Psychol 2019:0022167819852488. 1–26.

  9. Schwartz ZH. Psychiatric skepticism in medical education: why we need philosophy. Acad Psychiatry. 2019;43(4):461–3.

    Article  Google Scholar 

  10. Kendler KS. DSM issues: incorporation of biological tests, avoidance of reification, and an approach to the “box canyon problem”. Am J Psychiatr. 2014;171(12):1248–50.

    Article  Google Scholar 

  11. Ghaemi SN. The rise and fall of the biopsychosocial model. Br J Psychiatry. 2009;195(1):3–4.

    Article  Google Scholar 

  12. Bolton D. What is mental disorder? An essay in philosophy, science, and values: Oxford University press; 2008.

  13. Spitzer RL. The diagnostic status of homosexuality in DSM-III: a reformulation of the issues. Am J Psychiatry. 1981;138(2):210–5.

    Article  CAS  Google Scholar 

  14. Spitzer RL. Harmful dysfunction and the DSM definition of mental disorder. Journal of Abnormal Psychology. 2019;108(3):430–432.

  15. Spitzer RL, Endicott J. Medical and mental disorder: proposed definition and criteria. In: Spitzer RL, Klein DF, editors. Critical issues in psychiatric diagnosis. New York: Raven Press; 1978.

    Google Scholar 

  16. Frances A. Saving normal: an insider’s revolt against out-of-control psychiatric diagnosis, DSM-5, big pharma and the medicalization of ordinary life. New York: William Morrow & Co; 2013.

  17. Frances A. DSM in philosophyland: curiouser and curiouser. Making the DSM-5: Springer; 2013. p. 95–103.

  18. Kendler K, Zachar P. The incredible insecurity of psychiatric nosology. In: Kendler K, Parnas J, editors. Philosophical issues in psychiatry: explanation, phenomenology, and nosology. Baltimore: John Hopkins University Press; 2015.

    Chapter  Google Scholar 

  19. Wakefield JC. The concept of mental disorder: diagnostic implications of the harmful dysfunction analysis. World Psychiatry. 2007;6(3):149–56.

    PubMed  PubMed Central  Google Scholar 

  20. Bolton D. The usefulness of Wakefield’s definition for the diagnostic manuals. World Psychiatry. 2007;6(3):164–5.

    PubMed  PubMed Central  Google Scholar 

  21. Brulde B. Wakefield’s hybrid account of mental disorder. World Psychiatry. 2007;6(3):163–4.

    PubMed  PubMed Central  Google Scholar 

  22. Fulford KM, Thornton T. Fanatical about “harmful dysfunction”. World Psychiatry. 2007;6(3):161–2.

    PubMed  PubMed Central  Google Scholar 

  23. Jablensky A. Does psychiatry need an overarching concept of “mental disorder”? World Psychiatry. 2007;6(3):157–8.

    PubMed  PubMed Central  Google Scholar 

  24. Phillips J, Frances A, Cerullo MA, Chardavoyne J, Decker HS, First MB, et al. The six most essential questions in psychiatric diagnosis: a pluralogue part 1: conceptual and definitional issues in psychiatric diagnosis. Philos Ethics Humanit Med. 2012;7:3.

    Article  Google Scholar 

  25. Bulletin of the Association for the Advancement of Philosophy and Psychiatry. 2017;4(1):1–57 (

  26. Wells LA. Philosophy and psychiatry: a new curriculum for child and adolescent psychiatry. Acad Psychiatry. 2002;26(4):257–61.

  27. Potter NN, El-Mallakh RS. Collaborative integration of ethics education. Acad Psychiatry. 2017;41(4):556–7.

    Article  Google Scholar 

  28. Ghaemi SN. The concepts of psychiatry: a pluralistic approach to the mind and mental illness. Baltimore: Johns Hopkins University Press; 2007.

    Google Scholar 

  29. Waterman GS. Why I am not a psychiatrist. Bulletin of the Association for the Advancement of Philosophy and Psychiatry. 2019;26(1):2–3. (

  30. Kendler K, Zachar P. Toward a philosophical approach to psychiatry: the writings of Kenneth Kendler. Newcastle upon Tyne: Cambridge Scholars Publishing; 2019.

    Google Scholar 

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The authors wish to thank the members of the executive council of the “Association for the Advancement of Philosophy and Psychiatry” for their valuable comments and suggestions.

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Correspondence to Awais Aftab.

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Aftab, A., Waterman, G.S. Conceptual Competence in Psychiatry: Recommendations for Education and Training. Acad Psychiatry 45, 203–209 (2021).

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