caa a22 4500 467896615 CHVBK 20180406152805.0 cr unu---uuuuu 170328e20060301xx s 000 0 eng 10.1007/s11019-005-9655-x doi (NATIONALLICENCE)springer-10.1007/s11019-005-9655-x Psychiatry under Pressure: Reflections on Psychiatry's Drift Towards a Reductionist Biomedical Conception of Mental Illness [Elektronische Daten] [Thomas Nys, Maurits Nys] We argue that contemporary psychiatry adopts a defensive strategy vis-à-vis various external sources of pressure. We will identify two of these sources - the plea for individual autonomy and the idea of Managed Care - and explain how they have promoted a strict biomedical conception of disease. The demand for objectivity, however, does not take into account the complexity of mental illness. It ignores that the psychiatrist's profession is essentially characterized by fragility: fluctuating between scientific reduction and the irreducible complexity of reality. Therefore, the psychiatrist is not in need of hard and fast rules, but of judgment. At the end, we suggest that philosophy could inject some healthy uncertainty within psychiatry in order to restore its fragile identity. Our examples are drawn from the Dutch situation but we are confident that they apply to other countries as well. Springer, 2006 autonomy nationallicence biomedicine nationallicence disease nationallicence identity nationallicence managed care nationallicence mental illness nationallicence philosophy nationallicence psychiatry nationallicence reductionism nationallicence Nys Thomas Centre for Economics and Ethics, Catholic University Leuven, Naamsestraat 69, 3000, Leuven, Belgium aut Nys Maurits Department of Psychiatry, Radbout University Nijmegen Medical Centre, Huispost 333, Reinier Postlaan 10, Postbus 9101, 6500, Nijmegen, HB, The Netherlands aut Medicine, Health Care and Philosophy Kluwer Academic Publishers 9/1(2006-03-01), 107-115 1386-7423 9:1<107 2006 9 11019 https://doi.org/10.1007/s11019-005-9655-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11019-005-9655-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nys Thomas Centre for Economics and Ethics, Catholic University Leuven, Naamsestraat 69, 3000, Leuven, Belgium aut NATIONALLICENCE 700 1- Nys Maurits Department of Psychiatry, Radbout University Nijmegen Medical Centre, Huispost 333, Reinier Postlaan 10, Postbus 9101, 6500, Nijmegen, HB, The Netherlands aut NATIONALLICENCE 773 0- Medicine, Health Care and Philosophy Kluwer Academic Publishers 9/1(2006-03-01), 107-115 1386-7423 9:1<107 2006 9 11019 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer