Communication skills: applying the Drug-Centred Model in mental health
The disease-centred model (Disease-CM) is the hegemonic approach to mental health issues in biomedicine. Critical Psychiatry challenges this view and proposes a drug-centred model (Drug-CM). The Drug-CM is counterintuitive as physicians are trained to diagnose and treat diseases. This article presen...
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| Format: | Article |
| Language: | English |
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Faculdade de Medicina de Botucatu (Unesp)
2025-06-01
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| Series: | Interface: Comunicação, Saúde, Educação |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-32832025000100930&lng=en&tlng=en |
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| _version_ | 1849424748406112256 |
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| author | Armando Henrique Norman Felipe Monte Cardoso |
| author_facet | Armando Henrique Norman Felipe Monte Cardoso |
| author_sort | Armando Henrique Norman |
| collection | DOAJ |
| description | The disease-centred model (Disease-CM) is the hegemonic approach to mental health issues in biomedicine. Critical Psychiatry challenges this view and proposes a drug-centred model (Drug-CM). The Drug-CM is counterintuitive as physicians are trained to diagnose and treat diseases. This article presents a communication framework to facilitate the application of the Drug-CM in the consultation. Firstly, two steps of a general clinical consultation framework are presented. Secondly, in the consultation second step, three explanatory models are proposed: (a) the visible and invisible world of human beings (objectivity vs. subjectivity); (b) the absence of biological markers; and (c) the Drug-CM. Finally, two illustrative cases demonstrate the application of the Drug-CM in consultation. The improvement in communication skills via the Drug-CM can contribute to reduce medicalization in mental health. |
| format | Article |
| id | doaj-art-6c90ade5a7644ca3bc5a3cfb6dd8b57a |
| institution | Kabale University |
| issn | 1807-5762 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Faculdade de Medicina de Botucatu (Unesp) |
| record_format | Article |
| series | Interface: Comunicação, Saúde, Educação |
| spelling | doaj-art-6c90ade5a7644ca3bc5a3cfb6dd8b57a2025-08-20T03:30:02ZengFaculdade de Medicina de Botucatu (Unesp)Interface: Comunicação, Saúde, Educação1807-57622025-06-012910.1590/interface.240294Communication skills: applying the Drug-Centred Model in mental healthArmando Henrique Normanhttps://orcid.org/0000-0002-5267-7377Felipe Monte Cardosohttps://orcid.org/0000-0001-9898-6389The disease-centred model (Disease-CM) is the hegemonic approach to mental health issues in biomedicine. Critical Psychiatry challenges this view and proposes a drug-centred model (Drug-CM). The Drug-CM is counterintuitive as physicians are trained to diagnose and treat diseases. This article presents a communication framework to facilitate the application of the Drug-CM in the consultation. Firstly, two steps of a general clinical consultation framework are presented. Secondly, in the consultation second step, three explanatory models are proposed: (a) the visible and invisible world of human beings (objectivity vs. subjectivity); (b) the absence of biological markers; and (c) the Drug-CM. Finally, two illustrative cases demonstrate the application of the Drug-CM in consultation. The improvement in communication skills via the Drug-CM can contribute to reduce medicalization in mental health.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-32832025000100930&lng=en&tlng=enMental healthPhysician-patient relationsPsychotropic drugsMedicalizationFamily practice |
| spellingShingle | Armando Henrique Norman Felipe Monte Cardoso Communication skills: applying the Drug-Centred Model in mental health Interface: Comunicação, Saúde, Educação Mental health Physician-patient relations Psychotropic drugs Medicalization Family practice |
| title | Communication skills: applying the Drug-Centred Model in mental health |
| title_full | Communication skills: applying the Drug-Centred Model in mental health |
| title_fullStr | Communication skills: applying the Drug-Centred Model in mental health |
| title_full_unstemmed | Communication skills: applying the Drug-Centred Model in mental health |
| title_short | Communication skills: applying the Drug-Centred Model in mental health |
| title_sort | communication skills applying the drug centred model in mental health |
| topic | Mental health Physician-patient relations Psychotropic drugs Medicalization Family practice |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-32832025000100930&lng=en&tlng=en |
| work_keys_str_mv | AT armandohenriquenorman communicationskillsapplyingthedrugcentredmodelinmentalhealth AT felipemontecardoso communicationskillsapplyingthedrugcentredmodelinmentalhealth |