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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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Published on: February 16, 2011

Why Psychiatric Services Need Philosophical Literacy.

Helene Speyer^1,2

¹Copenhagen Research Center for Mental Health, Mental Health Center Copenhagen, Copenhagen University Hospital, Copenhagen.

Psychiatric Services (Washington, D.C.)

|May 12, 2026

Summary

This summary is machine-generated.

This new column explores how philosophical assumptions impact psychiatric services. Making these implicit assumptions explicit enhances clinical practice, leading to better communication and care.

Keywords:

Diagnosis/Classification (DSM)Ethics

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Area of Science:

Philosophy of Medicine
Psychiatric Practice

Background:

Psychiatric services are influenced by implicit philosophical assumptions.
These assumptions relate to reality, knowledge, and values.
Lack of explicit engagement with these assumptions can limit practice.

Purpose of the Study:

Introduce a new column on Philosophical Issues in Psychiatric Services.
Advocate for explicit engagement with philosophical assumptions in psychiatry.
Define and promote conceptual competence in psychiatric practice.

Main Methods:

Conceptual analysis of philosophical underpinnings in psychiatry.
Defining "conceptual competence" within psychiatric practice.
Argument for making implicit assumptions explicit.

Main Results:

Psychiatry is shaped by ontological, epistemological, and normative assumptions.
Conceptual competence enables recognition and utilization of these assumptions.
Making assumptions visible facilitates philosophical reflection.

Conclusions:

Explicit engagement with philosophical assumptions strengthens psychiatric practice.
Improved communication, clarity, and collaboration result from this engagement.
Promoting conceptual competence leads to more thoughtful and transparent care.