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What kind of science for dual diagnosis? A pragmatic examination of the enactive approach to psychiatry

The recommended treatment for dual diagnosis - the co-occurrence of substance use and another mental disorder - requires seamless integration of the involved disciplines and services. However, no integrative framework exists for communicating about dual diagnosis cases across disciplinary or sectora...

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Autores principales: Larsen, Jonathan Led, Johansen, Katrine Schepelern, Mehlsen, Mimi Yung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9339962/
https://www.ncbi.nlm.nih.gov/pubmed/35923725
http://dx.doi.org/10.3389/fpsyg.2022.825701
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author Larsen, Jonathan Led
Johansen, Katrine Schepelern
Mehlsen, Mimi Yung
author_facet Larsen, Jonathan Led
Johansen, Katrine Schepelern
Mehlsen, Mimi Yung
author_sort Larsen, Jonathan Led
collection PubMed
description The recommended treatment for dual diagnosis - the co-occurrence of substance use and another mental disorder - requires seamless integration of the involved disciplines and services. However, no integrative framework exists for communicating about dual diagnosis cases across disciplinary or sectoral boundaries. We examine if Enactive Psychiatry may bridge this theoretical gap. We evaluate the enactive approach through a two-step pragmatic lens: Firstly, by taking a historical perspective to describe more accurately how the theoretical gap within the field of dual diagnosis initially developed. Secondly, by applying the Enactive Psychiatry approach to data from a longitudinal study on the trajectory of cannabis use in psychosis disorders. By applying the theory rather than simply presenting it, we position ourselves better to evaluate whether it may assist the purpose of achieving a more expedient pragmatic “grip” on the field of dual diagnosis. In our discussion, we suggest that this may very well be the case. Finally, we consider the enactive approach as one of a small handful of new theories of mental disorders that draw on systems thinking and ecological psychology, and discuss whether they have the potential for a wider progressive problemshift within psychiatry. The case in favor of such potential, we argue, is less strong unless the role of complexity, similar to that seen within the dual diagnosis field, may be demonstrated for other fields of clinical practice.
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spelling pubmed-93399622022-08-02 What kind of science for dual diagnosis? A pragmatic examination of the enactive approach to psychiatry Larsen, Jonathan Led Johansen, Katrine Schepelern Mehlsen, Mimi Yung Front Psychol Psychology The recommended treatment for dual diagnosis - the co-occurrence of substance use and another mental disorder - requires seamless integration of the involved disciplines and services. However, no integrative framework exists for communicating about dual diagnosis cases across disciplinary or sectoral boundaries. We examine if Enactive Psychiatry may bridge this theoretical gap. We evaluate the enactive approach through a two-step pragmatic lens: Firstly, by taking a historical perspective to describe more accurately how the theoretical gap within the field of dual diagnosis initially developed. Secondly, by applying the Enactive Psychiatry approach to data from a longitudinal study on the trajectory of cannabis use in psychosis disorders. By applying the theory rather than simply presenting it, we position ourselves better to evaluate whether it may assist the purpose of achieving a more expedient pragmatic “grip” on the field of dual diagnosis. In our discussion, we suggest that this may very well be the case. Finally, we consider the enactive approach as one of a small handful of new theories of mental disorders that draw on systems thinking and ecological psychology, and discuss whether they have the potential for a wider progressive problemshift within psychiatry. The case in favor of such potential, we argue, is less strong unless the role of complexity, similar to that seen within the dual diagnosis field, may be demonstrated for other fields of clinical practice. Frontiers Media S.A. 2022-07-18 /pmc/articles/PMC9339962/ /pubmed/35923725 http://dx.doi.org/10.3389/fpsyg.2022.825701 Text en Copyright © 2022 Larsen, Johansen and Mehlsen. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Larsen, Jonathan Led
Johansen, Katrine Schepelern
Mehlsen, Mimi Yung
What kind of science for dual diagnosis? A pragmatic examination of the enactive approach to psychiatry
title What kind of science for dual diagnosis? A pragmatic examination of the enactive approach to psychiatry
title_full What kind of science for dual diagnosis? A pragmatic examination of the enactive approach to psychiatry
title_fullStr What kind of science for dual diagnosis? A pragmatic examination of the enactive approach to psychiatry
title_full_unstemmed What kind of science for dual diagnosis? A pragmatic examination of the enactive approach to psychiatry
title_short What kind of science for dual diagnosis? A pragmatic examination of the enactive approach to psychiatry
title_sort what kind of science for dual diagnosis? a pragmatic examination of the enactive approach to psychiatry
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9339962/
https://www.ncbi.nlm.nih.gov/pubmed/35923725
http://dx.doi.org/10.3389/fpsyg.2022.825701
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