Person Centered Psychiatry pp 345-361 | Cite as
Schizophrenia and Related Disorders
Abstract
Optimizing the person-centred approach for the diagnosis and treatment of schizophrenia and related mental disorders poses several challenges. There is a need to redefine the role of the diagnostic process for the person with schizophrenia, in that it should include symptoms and a holistic assessment of the whole person and his/her reaction, social consequences and functional impairments. Such a person-centred reconceptualization may have consequences for studies addressing patient-centred outcomes and efficacy measures of therapeutic procedures. This will involve issues of shared decision making, empowering patients with schizophrenia, reducing symptoms, disabilities and the stigma of mental disorders as well as promoting wellbeing. Furthermore, future research into the etiopathogenesis of schizophrenia and related disorders will need to take into account the (neuro)biology, psychological and social aspects of the psychotic disorders, and not focus on one of these aspects solely. New research initiatives like the Research Domain Criteria initiative of the US National Institutes of Mental Health and new trends in the psychosocial care for people with schizophrenia are increasingly shaping the field in such a direction. Integrating the role of childhood trauma and other socioenvironmental aspects into the concept of schizophrenia and its context, and reconciling these domains with the (neuro)biological approach are promising to advance the person-centredness of mental health care for people with schizophrenia and related disorders.
Keywords
Schizophrenia and related disorders Personalized care Person-centred care Education and researchReferences
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