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HOW TO INCREASE TREATMENT EFFICIENCY IN PSYCHIATRY: THEORY AND PRACTICE OF CREATIVE PSYCHOPHARMACOTHERAPY

Miro Jakovljević ; University Hospital Centre Zagreb, Department of Psychiatry, Zagreb, Croatia

Sažetak

Despite the coming of significant number of new mental health medicines into clinical practice since
“the decade of the brain”, outcomes of mental disorders in our “century of mind” remain poor in both
short term and long term course of the treatment. Inadequate treatment in psychiatry seems to be more
commonly the rule than the exception and huge number of patients does not respond in satisfactory way,
in terms of the magnitude of therapeutic response and/or the persistence of the remission. There has been
an increasing concern that clinical psychopharmacology has lost its right way and biological psychiatry its
soul, and because of that commonly criticized as “mindless psychiatry”. Changing treatment philosophy
may be a critical step towards overcoming what some sign as „therapeutic stagnation in psychiatry“
associated with a high rate of treatment failures. A “paradigm shift” is needed from the mechanistic,
formistic and reductionistic ways of thinking of technical, nomothetic, dogmatic and impersonal
psychopharmacology to contextual, systemic and creative thinking with a new treatment holodigm of
individualized and person-centered psychopharmacology. The best treatments are those that timely utilize
and integrate multiple therapeutic modalities. The concept of creative, person-centered narrative
psychopharmacotherapy gives a hope for increasing treatment effectiveness and efficiency in psychiatry
and thus overcome treatment failures and resistance.

Ključne riječi

Hrčak ID:

263161

URI

https://hrcak.srce.hr/263161

Datum izdavanja:

11.4.2018.

Podaci na drugim jezicima: hrvatski

Posjeta: 599 *