Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева, Vol 0, Iss 4, Pp 102-110 (2018)

Federal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian Federation, 2018.

психические расстройства, психиатрия, медицинская модель, психотерапия, принцип дополнительности, mental disorders, psychiatry, medicine model, psychotherapy, principle of complementarity, Psychiatry, RC435-571

The article considers conceptual frameworks underlying the psychiatric and psychotherapeutic approaches to the mental disorders. The attention is drawn to the considerable differences between these approaches, as regards the doctor’s therapeutic position, focus of attention in the diagnostic process, means of treatment, definitions and descriptions of normality, accepted in these approaches. It is offered, for convenience of the clinical practice, to consider these approaches as the relatively independent, but at the same time as the complementary ones, in accordance with the principle of complementarity, formulated by physicist N. Bohr in quantum mechanics for systematization of the data, received in different circumstances of observation, by the observers with different attitudes. The author offers to consider every patient with mental disorder in clinical practice from the points of view of these 2 axes (the psychiatric medical approach and the psychotherapeutic approach) independently.