Meeting abstract
https://doi.org/10.21857/ypn4oc4189
How to Increase Treatment Effectivenes and Efficiency in Psychiatry?
Miro Jakovljević
; University of Zagreb, School of medicine Croatian Institute for Education and Research of Mental Health
*
* Corresponding author.
Abstract
As approximately one third of psychiatric patients with serious mental disorders are treatment resistant
and the other third shows only partial therapeutic response the question how to increase treatment
effectiveness and efficiency is crucial one. Current psychiatry in our turbulent VUCA (volatile,
uncertain, complex, ambigous) world is overwhelmed with the most varied disciplines, ideas, values,
treatment techniques and methods, but short with comprehensive scientific theories and unfortunately
not efficient enough. Different fields in psychiatry are oriented to different perspectives of mental disorders
and their treatment: the disease/illness perspective, the perspective of the person, the cognitive
perspective, the behavioral perspective, the narrative perspective, the spiritual perspective and systems
perspective. Psychiatry should move from a pluralistic coexistence of the many separated brainless
and mindless, not rarely even confronting disciplines to a coherent transdisciplinary and comprehensive
mental health science and practice. Our genome operates within the context of the cell, the cell
within the context of the body, the body within the context of the self, the self within the context
of the society, and the society within the context of the universe. Human brain is where biological,
psychological, social and spiritual processes and mechanisms meet and interact so psychiatric treatment
should stimulate patients’ brain cybernetics or psychocybernetics to work friendly and creatively
for them. Transdisciplinary integrative psychiatry is the theory and practice of mental health care,
research, treatment and prevention of mental disorders that 1.promotes the emphatizing therapeutic
relationship between psychiatrists and patients and their families using shared decision making and a
person-centered approach; 2.focuses on the whole person and total health, considering body/brainmind-
spirit and its systems inter-related with biological, psychological, social, cultural, ecological and
spiritual aspects; 3.involves evidence-based practice and practice-based evidence and uses combination
of different appropriate therapeutic methods and mental health disciplines; 4.eliminating illness and
stopping pathogenesis as well as promoting salutogenesis and increasing wellness. Transdisciplinary
integrative psychiatry with a „person life-story centered integrative diagnosis“ approach is promising
in search of appropriate answers to very relevant inter-individual variability in order to 1.close the gap
between evidence-based medicine, value-based medicine, and narrative-based medicine with regards
to effective care and valid clinical trials; 2.improve the course of mental disorders with earlier diagnosis
and prevention measures; 3.improve adequate monitoring of vulnerability, resilience and psychological
growth factors. As each patient is a unique, responsive and responsible subject creative, person-centered
narrative psychopharmacotherapy with emphatizing cognitive-emotional-behavioral interaction
with the patient evoking and expanding the patient’s empathy, well-being and creativity may significantly
increase treatment effectiveness. Arteficial intelligence offers many benefits to clinical psychiatry,
treatment effectiveness and efficiency and professional and scientific development in psychiatry.
Keywords
Hrčak ID:
333477
URI
Publication date:
25.6.2025.
Visits: 402 *