The Moral Blind Spots of Evidence-Based Psychiatry: Learning from Britain's Trial of "Peer-Supported Open Dialogue".

IF 1.2 3区社会学 Q2 ANTHROPOLOGY

Medical Anthropology Pub Date : 2025-09-23 DOI:10.1080/01459740.2025.2563253

Liana Chase, David Mosse

引用次数: 0

Abstract

Open Dialogue is a rights-based approach to psychiatric crisis response with growing global uptake. Over the last five years, it has been subject to a large-scale randomized controlled trial (RCT) within the UK's National Health Service. While the trial researchers have emphasized the need for more evidence to inform policy, many practitioners involved in the trial have been lobbying for Open Dialogue's immediate rollout across the country. Drawing on 24 months of clinical ethnography, we suggest this tension reveals moral dimensions of mental health care that are not adequately accounted for in evidence-based psychiatry.

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循证精神病学的道德盲点：从英国“同伴支持的公开对话”试验中学习。

公开对话是一种基于权利的精神病学危机应对方法，全球越来越多地采用这种方法。在过去的五年里，英国国家医疗服务体系进行了大规模随机对照试验（RCT）。虽然试验研究人员强调需要更多的证据来为政策提供信息，但参与试验的许多从业人员一直在游说公开对话立即在全国推广。根据24个月的临床人种学研究，我们认为这种紧张关系揭示了精神卫生保健的道德层面，而这种道德层面在循证精神病学中没有得到充分的解释。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medical Anthropology Multiple-

CiteScore

4.10

自引率

4.30%

发文量

期刊介绍： Medical Anthropology provides a global forum for scholarly articles on the social patterns of ill-health and disease transmission, and experiences of and knowledge about health, illness and wellbeing. These include the nature, organization and movement of peoples, technologies and treatments, and how inequalities pattern access to these. Articles published in the journal showcase the theoretical sophistication, methodological soundness and ethnographic richness of contemporary medical anthropology. Through the publication of empirical articles and editorials, we encourage our authors and readers to engage critically with the key debates of our time. Medical Anthropology invites manuscripts on a wide range of topics, reflecting the diversity and the expanding interests and concerns of researchers in the field.