Hidden Conceptual Models in Clinical Psychiatry

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Abstract
Clinical psychiatry commonly makes use of four conceptual models — the medical, psychologic, behavioral, and social — in evaluating and treating patients. The test of clinical skill is the assemblage of an appropriate mix for a particular case. In practice, the choice of a model (or models) is implicitly determined by several variables, which include diagnosis, the effectiveness of available treatments, the immediacy of the social situation, the social class of the patient, and the ideology of the therapist.

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