Communication skills: applying the Drug-Centred Model in mental health
The disease-centred model (Disease-CM) is the hegemonic approach to mental health issues in biomedicine. Critical Psychiatry challenges this view and proposes a drug-centred model (Drug-CM). The Drug-CM is counterintuitive as physicians are trained to diagnose and treat diseases. This article presen...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Faculdade de Medicina de Botucatu (Unesp)
2025-06-01
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| Series: | Interface: Comunicação, Saúde, Educação |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-32832025000100930&lng=en&tlng=en |
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| Summary: | The disease-centred model (Disease-CM) is the hegemonic approach to mental health issues in biomedicine. Critical Psychiatry challenges this view and proposes a drug-centred model (Drug-CM). The Drug-CM is counterintuitive as physicians are trained to diagnose and treat diseases. This article presents a communication framework to facilitate the application of the Drug-CM in the consultation. Firstly, two steps of a general clinical consultation framework are presented. Secondly, in the consultation second step, three explanatory models are proposed: (a) the visible and invisible world of human beings (objectivity vs. subjectivity); (b) the absence of biological markers; and (c) the Drug-CM. Finally, two illustrative cases demonstrate the application of the Drug-CM in consultation. The improvement in communication skills via the Drug-CM can contribute to reduce medicalization in mental health. |
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| ISSN: | 1807-5762 |