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Values-based practice and phenomenological psychopathology: implications of existential changes in depression
Anthony Vincent Fernandez1, Sarah Wieten
1Philosophy Department, University of South Florida, Tampa, FL, USA.
Journal of Evaluation in Clinical Practice
|April 3, 2015
Summary
Values-based practice (VBP) considers patient values but overlooks how psychiatric disorders and life events alter them. This limits VBP
Area of Science:
- Medical Ethics
- Clinical Decision-Making
- Psychiatry
Background:
- Values-based practice (VBP) complements evidence-based medicine (EBM) by incorporating patient and clinician values into decision-making.
- VBP acknowledges the role of life narratives in shaping values and explains clinical difficulties as value conflicts.
Purpose of the Study:
- To critically evaluate the limitations of VBP in addressing dynamic value shifts.
- To highlight VBP's shortcomings concerning value changes due to life events and psychiatric disorders.
Main Methods:
- Conceptual analysis of VBP principles and their application in clinical settings.
- Examination of how major life events and psychiatric conditions impact personal values and valuing modes.
Main Results:
- VBP inadequately addresses value changes resulting from significant life events.
- VBP fails to account for altered valuing processes and capacities in psychiatric disorders.
- These omissions restrict the effective application of VBP in clinical care.
Conclusions:
- VBP's current framework is insufficient for patients experiencing value instability.
- Potential remedies include utilizing proxies and documented value statements for better patient-centered care.
- Further development of VBP is needed to accommodate the fluid nature of values in diverse patient populations.
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