Ontological insecurity in the post-covid-19 fallout: using existentialism as a method to develop a psychosocial understanding to a mental health crisis.

IF 2.3 2区 哲学 Q1 ETHICS Medicine Health Care and Philosophy Pub Date : 2023-09-01 DOI:10.1007/s11019-023-10157-9
Matthew Bretton Oakes
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引用次数: 1

Abstract

In the wake of the Covid-19 pandemic we are witnessing a significant rise in mental illness diagnosis and corresponding anti-depressant prescription uptake. The drug response to this situation is unsurprising and reinforces the dominant role (neuro)biology continues to undertake within modern psychiatry. In contrast to this biologically informed, medicalised approach, the World Health Organisation (WHO) issued a statement stressing the causal role of psychological and social factors.Using the concept of ontological insecurity, contextualised within the WHO guidance, the interrelation of psychological and social factors is illuminated, and a psychosocial framework is produced as a means of understanding the mental health consequence of the post-Covid-19 fallout.The psychosocial framework generated provides a rationale to revise and reprioritise how we engage with the biopsychosocial model that is intended to underpin modern psychiatry. This framework establishes a connection between psychological and social theory which are too often addressed as disparate terrains within mental health services and policy creation.

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2019冠状病毒病后的本体不安全感:利用存在主义作为一种方法,发展对精神健康危机的社会心理理解。
在2019冠状病毒病大流行之后,我们看到精神疾病诊断和相应的抗抑郁药物处方使用量显著增加。药物对这种情况的反应并不令人惊讶,并且加强了(神经)生物学在现代精神病学中继续承担的主导作用。世界卫生组织(WHO)发表了一份声明,强调心理和社会因素的因果作用,与这种从生物学角度出发的医学方法形成对比。利用本体论不安全的概念,在世卫组织指南的背景下,阐明了心理和社会因素之间的相互关系,并建立了一个社会心理框架,作为理解covid -19后影响的心理健康后果的一种手段。由此产生的社会心理框架为修订和重新确定我们如何使用生物心理社会模型提供了依据,而生物心理社会模型是现代精神病学的基础。这一框架在心理和社会理论之间建立了联系,而这两种理论在精神卫生服务和政策制定中往往被视为不同的领域。
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来源期刊
CiteScore
4.30
自引率
4.80%
发文量
64
期刊介绍: Medicine, Health Care and Philosophy: A European Journal is the official journal of the European Society for Philosophy of Medicine and Health Care. It provides a forum for international exchange of research data, theories, reports and opinions in bioethics and philosophy of medicine. The journal promotes interdisciplinary studies, and stimulates philosophical analysis centered on a common object of reflection: health care, the human effort to deal with disease, illness, death as well as health, well-being and life. Particular attention is paid to developing contributions from all European countries, and to making accessible scientific work and reports on the practice of health care ethics, from all nations, cultures and language areas in Europe.
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