Guidelines for the Psychotherapies in Comprehensive Psychiatric Care: A Discussion Paper (original) (raw)
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A ppointments for medication management (1) are brief and spread out over time (2-5). Currently, medication management in outpatient psychiatric practice is usually provided in the context of split treatment, in which a psychiatrist provides pharmacotherapy and a nonpsychiatrist clinician provides psychotherapy (6-10). Medication management is referred to in other studies as "med checks" (11,12) or pharmacotherapy (6). Psychiatrists who provide pharmacotherapy are commonly referred to as psychopharmacologists (13,14). Stahl (15) characterized psychopharmacologists as "psychiatric subspecialists with a high degree of expertise in the diagnosis and treatment of drug-responsive psychiatric disorders." Kontos and colleagues (16) described the psychopharmacologist's role in care as specific, narrow, and explicitly "medical" rather than "psychotherapeutic." That is, they prescribe medications based on symptom assessments. Though the psychopharmacologist's role is well described, there is concern that the role is insufficient to address patients' psychosocial needs (17). Other investigators have expressed concern that the pharmacotherapeutic relationship may cause the psychopharmacologist to disengage from exploring issues important to care delivery, such as educating pa
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Journal of Psychotherapy Integration 25(4), 313-324., 2015
Abstract. There is a longstanding “holy war” within the psychological profession. On one side are those who demand some kind of systematic demonstration of theoretical contentions, on the other are those who proclaim their right to do whatever is just to them. There is a strong reciprocal delegitimisation between the two parties. The former blame the latter for evading the responsibility of submitting to scientific test for efficacy their procedures. The latter charge the former with dehumanizing diagnostic systems, objectivism, determinism, bowing to the power of insurance companies. In this state of affairs, the empiricists will hardly persuade the hermeneutics to change their mind, and the other way round. Yet the dispute has a meaning, to the extent that both parties could meet on the ground of the development of a human science of psychotherapy—one that is phenomenologic-hermeneutically and dialogic-dialectically based, and is autonomous from the systematic, mostly quantitative proceedings of hard sciences.