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The virtues in psychiatric treatment
1Harvard Medical School, Boston, MA, United States.
Frontiers in Psychiatry
|May 25, 2023
Summary
Virtues, or excellent character traits, were historically central to human flourishing but neglected in psychiatry. Renewed interest, driven by professionalism challenges and new therapies, supports integrating virtues into mental health care.
Area of Science:
- Psychiatry
- Clinical Psychology
- Ethics
Background:
- Virtues, defined as excellent character traits, historically underpinned human flourishing.
- Psychiatric practice has largely neglected virtues due to concerns about scientific objectivity and therapeutic moralism.
- Recent challenges in professionalism and the rise of virtue ethics have spurred renewed interest.
Purpose of the Study:
- To explore the historical neglect and recent resurgence of virtues in psychiatric practice.
- To examine the clinical relevance and empirical support for virtues in mental health.
- To advocate for a virtues-based perspective in psychiatric assessment and treatment.
Main Methods:
- Literature review of historical psychiatric texts and contemporary virtue ethics scholarship.
- Analysis of factors contributing to the neglect and revival of virtues in clinical settings.
- Examination of empirical evidence supporting the benefits of specific virtues (e.g., gratitude).
Main Results:
- Virtues were foundational to early concepts of human flourishing but sidelined in modern psychiatry.
- Concerns regarding scientific objectivity and moralism contributed to their exclusion.
- Growing evidence, including benefits of gratitude and advancements in growth-promoting therapies, supports their clinical utility.
Conclusions:
- A virtues-based perspective offers a valuable framework for psychiatric diagnostic assessment.
- Incorporating virtues can enhance goal-setting and treatment planning in mental health care.
- Evidence supports integrating virtues into contemporary psychiatric practice for improved patient outcomes.
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