AD/HD in the genesis of conduct disorder--does biopsychosocial approach make sense?
Dragan Mitrovic1, Sladjana Martinovic-Mitrovic, Aleksandra Dickov
1Institute of Psychiatry, Clinical Centre, Vojvodina, Hajduk Veljkova 1, 21 000 Novi Sad, Serbia. damit@eunet.rs
Abstract:
There are numerous theories approaching the source of mental disorders (including conduct disorder) from different perspectives - biological, psychological, social and multifactorial. The question that arises is which theory is to be used to explain the issue. In the interpretation of phenomena in psychiatry, Kecmanović discusses possibilities of different approaches (biological, psychological, social and biopsychosocial models) and concludes that none of them provide a complete solution as to how to approach different disorders. The question, therefore, is how to proceed? Although according to Kecmanović, the biopsychosocial model, as Engel has formulated it, "provides only ingredients not a prescription", it is our opinion that it indeed does not need to provide prescriptions- it is sufficient if it indicates the necessary ingredients. The prescription itself is to be found in novel scientific disciplines, in particular neuropsychology and epigenetics. Gilbert, on the other hand, points out that the bio- psychosocial approach is holistic, and more than that. "The bio psychosocial approach addresses the complexity of interactions between different domains of functioning and argues that it is the interaction of domains that illuminates important processes" e.g. a hierarchical dimension of the model as one and development as another dimension provide the basis for a comprehensive perspective on psychiatric disorders, in this case of AD/HD as a risk factor for conduct disorder.
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