Coercion and cooperation and psychiatry for the person

Mezzich, Juan E.
January 2007
BMC Psychiatry;2007 Supplement 1, Vol. 7, Special section p1
Academic Journal
Coercive treatment in its various forms represents a critical challenge for clinical care. This can be usefully discussed vis-á-vis the opportunities open by cooperation and engagement. The framework of Psychiatry for the Person, a major WPA initiative, can be helpful for such analyses. This initiative's fundamental goals involve the promotion of a Psychiatry of the Person (of the totality of the person and his/her health, ill and positive aspects included), a Psychiatry by the Person (with clinicians extending themselves a full human beings and professionals with high ethical aspirations), a Psychiatry for the Person (assisting the fulfillment of each person's life project) and a Psychiatry with the Person (in respectful collaboration with the person presenting for care). The conceptual and ethical bases of this initiative are quite enlightening and its specific implications to improve diagnosis, clinical care and public health represent nothing less than a paradigmatic shift in our field.


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