Published online by Cambridge University Press: 24 June 2025
Values permeate all aspects of psychiatry from aetiology, through classification, to treatment. This is unsurprising, as psychiatry is concerned with areas of human experience and behaviour in which human values are particularly diverse. Evidence-based medicine (EBM) can be immensely helpful at guiding us about the efficacy and safety of diagnostic and treatment interventions, but it is silent about the personal importance attached to these by patient and doctor, that is, about patients’ and doctors’ relevant values. This is problematic because these values are of crucial importance when it comes to various aspects of person-centred care, such as patient choice, treatment adherence, recovery, and clinician attitudes. This is where values-based practice (VBP) comes into play.
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