Integrating neuroscience in psychiatry: a cultural-ecosocial systemic approach

Integrating neuroscience in psychiatry: a cultural-ecosocial systemic approach
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DOI:
10.1016/s2215-0366(23)00006-8
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发表时间:
2023-03-15
期刊:
影响因子:
64.3
通讯作者:
Lewis-Fernandez, Roberto
Lewis-Fernandez, Roberto
中科院分区:
医学1区
文献类型:
--
作者:
Gomez-Carrillo, Ana;Kirmayer, Laurence J.;Lewis-Fernandez, Roberto

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Psychiatry has increasingly adopted explanations for psychopathology that are based on neurobiological reductionism. With the recognition of health disparities and the realisation that someone's postcode can be a better predictor of health outcomes than their genetic code, there are increasing efforts to ensure cultural and social-structural competence in psychiatric practice. Although neuroscientific and social-cultural approaches in psychiatry remain largely separate, they can be brought together in a multilevel explanatory framework to advance psychiatric theory, research, and practice. In this Personal View, we outline how a cultural-ecosocial systems approach to integrating neuroscience in psychiatry can promote social-contextual and systemic thinking for more clinically useful formulations and person-centred care.