The models used in theoretical and practical psychiatry mostly encompass, with varying accents, the biological, psychological and social dimension. However, humanistic psychiatry concerns the existence as a whole. What about the care for the existential dimension?
AIM: To explore and to describe the existential dimension in psychiatry as containing the biopsychosocial aspects and continuously in interaction with them.
METHOD: Personal reflection of three senior authors, also in exchange with authors who have accompanied us during our professional life.
RESULTS: The existential dimension should be included as a special, encompassing dimension in the models used in psychiatry. In humanistic psychiatry every intervention, whether biomedical or psychosocial, should be situated in an existential perspective. Care for the existential dimension surpasses the dichotomy biomedical-psychosocial.
CONCLUSION: Not respecting the existential dimension induces shortcomings towards patients and harms a truly humanistic psychiatry.
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Cancers (Basel)
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Faculty of Medicine, University of Porto, 4099-002 Porto, Portugal.
Introduction: Cancer patients in palliative care frequently experience psychological distress, encompassing cognitive, behavioral, and emotional dimensions. This distress can significantly affect their capacity to accept the inevitability of death. Commonly, such distress manifests as sadness, depression, anxiety, and fear, which may culminate in an existential crisis.
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Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
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Institute on Aging/Department of Psychology, University of Wisconsin-Madison.
This article provides an overview of a model of psychological well-being put forth over 30 years ago. The intent was to advance new dimensions of positive functioning based on integration of clinical, developmental, existential, and humanistic thinking, along with Aristotle's writings about eudaimonia. The operationalization and validation of the model are briefly described, followed by an overview of scientific findings organized around: (1) demographic and experiential predictors of well-being; (2) well-being as predictors of health and biomedical outcomes; (3) pathway studies that examine intervening processes (moderators, mediators); and (4) underlying mechanistic processes (neuroscience, genomics).
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Department of Psychiatry, NYU Langone Center for Psychedelic Medicine, NYU Grossman School of Medicine, New York (Pagni, Zeifman, Mennenga, Carrithers, Goldway, O'Donnell, Ross, Bogenschutz); School of Life Sciences, Arizona State University, Tempe (Mennenga); Department of Psychology, New York University, New York (Goldway); Department of Psychiatry and Behavioral Sciences, University of New Mexico School of Medicine, Albuquerque (Bhatt).
J Eval Clin Pract
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College of Health, Medicine and Wellbeing, University of Newcastle, Newcastle, New South Wales, Australia.
The threat of the H5N1-influenza virus prompts reflection on COVID-19 pandemic experiences. This paper integrates insights from a first responder using the Cynefin framework to advocate for an adaptive strategic approach to future pandemics. Balancing individual freedoms with containment measures serves to leverage the human capital needed for rapid learning and resource distribution.
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