Progressive Developments in Psychiatry

doi:10.1017/9781108883535.010

Chapter 8 - Progressive Developments in Psychiatry

from Part II - The Present and the Future

Published online by Cambridge University Press: 24 June 2025

Robert B. Dudas and

David Crepaz-Keay

Edited by

Robert B. Dudas

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Robert B. Dudas: Affiliation:
Cambridgeshire and Peterborough NHS Foundation Trust

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Summary

Psychopathological phenomenology and existential psychotherapy may help us overcome the challenges of integrating the different dimensions of mental illness and developing new treatments. Better characterization of symptoms/syndromes can improve classification and causal modelling, whereas existential psychotherapy has added to our understanding of the influence of our position in the world and in history.

Motivational interviewing has many similarities to VBP. It can increase the person’s agency by drawing out personal meaning and the importance of change. A crucial insight from it is that saying out loud what our values are can greatly enhance our understanding of them. Treatment may mean reducing conflict between the person’s core values by helping the person recognize their environment’s affordances more efficiently or improve their sense-making and thereby alter their values.

Psychiatry has been pioneering in embracing alternative meanings of recovery. The most important consequence of this was that it enabled discussions about recovery as living well with mental ill-health. Co-production has helped to reframe and enhance the relationship between ‘doctor’ and ‘patient’, leading to better outcomes for all.

Recovery together with co-production will enable constructive partnerships between all those affected by mental ill-health to play their part in progressive psychiatry and more progressive communities.

Keywords

values-based practice psychopathological phenomenology existential psychotherapy motivational interviewing recovery co-production

Information

Type: Chapter
Information: Values in Psychiatry
Managing Complexity and Advancing Solutions
, pp. 124 - 135

DOI: https://doi.org/10.1017/9781108883535.010 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2025

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