Ikkos George
Royal National Orthopaedic Hospital, London, UK.
BJPsych Bull. 2023 Apr;47(2):90-94. doi: 10.1192/bjb.2022.60.
This paper presents and responds to , a sociological study which identifies five fundamental epistemological paradigm changes in American psychiatry in the service of its survival and details several tactics that have been employed to facilitate these professional reinventions. Issues raised in this presentation include the relationship between psychiatry, society and the state, and the nature and significance of psychiatric expertise. The dynamic of these relationships and the complexities of the required expertise create their own challenges for the advancement and professional accountability of the specialty. The conclusion suggests some future imperatives.
本文介绍并回应了一项社会学研究，该研究确定了美国精神病学为求生存而发生的五个基本认识论范式转变，并详细阐述了为推动这些专业重塑而采用的几种策略。本次展示中提出的问题包括精神病学、社会与国家之间的关系，以及精神病学专业知识的性质和意义。这些关系的动态变化以及所需专业知识的复杂性，给该专业的发展和专业责任带来了自身的挑战。结论提出了一些未来的当务之急。
