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The psychiatric consultation reconsidered

  • David Hartman (a1) and Leon Rozewicz (a2)
Abstract

We have subjected the current structure of the psychiatric consultation to critical examination, and We propose that the concepts of ‘history’, ‘mental state’ and formulation’ should be abandoned. In their place we propose the more carefully defined concepts of ‘narrative’, ‘interaction’, ‘examination’ and ‘inferences'. The clinician should make a dear distinction between information that is reported, observed or inferred, as these sources of knowledge are qualitatively different, and subject to psychodynamic, systemic and cultural influences. We propose that this approach would facilitate a clearer and more comprehensive understanding of the patient, and lead to a more creative therapeutic relationship.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
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References
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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The psychiatric consultation reconsidered

  • David Hartman (a1) and Leon Rozewicz (a2)
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