Current services for those with mental disorders show two trends.
Psychiatric services are becoming concentrated on the care of those with « severe mental illness, » largely (but unjustifiably) synonymous with chronic psychosis.
The retreat of psychiatry from the care of those with non-psychotic mental disorders has helped the growth of counselling services for these patients.
However, there is no evidence that non-directive counselling is effective for such disorders, in contrast to the evidence for the effectiveness of other treatments that are usually delivered by psychologists or community psychiatric nurses.
By retreating from the concerns of general practice and general medicine, psychiatry is returning to the days of alienism : in Victorian terms, the care of « the mad. » Possible consequences include increasing expectations of psychiatric services that cannot be met, a loss of skills within psychiatry, and increased demoralisation in the mental health services.
Mots-clés Pascal : Trouble psychiatrique, Homme, Traitement, Psychothérapie, Conseil psychologique, Royaume Uni, Europe, Pratique professionnelle
Mots-clés Pascal anglais : Mental disorder, Human, Treatment, Psychotherapy, Psychological counseling, United Kingdom, Europe, Professional practice
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0352616
Code Inist : 002B18I05E. Création : 10/04/1997.