Psychiatry's Mind-Brain Problem

Recently, a psychiatric study on first episodes of psychosis made front-page news. People seemed quite surprised by the finding: that lower doses of psychotropic drugs, when combined with individual psychotherapy, family education and a focus on social adaptation, resulted in decreased symptoms and increased wellness.

But the real surprise — and disappointment — was that this was considered so surprising. The study, by Dr. John M. Kane of Hofstra North Shore-LIJ School of Medicine and his colleagues, simply gave empirical support to the longstanding “biopsychosocial” model of illness, which acknowledges that, in ways not fully understood, biology, psychology and social forces can all affect mental health. This model has long been the basis of treatment for experienced, pragmatically minded clinicians.

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