caa a22 4500 477060730 CHVBK 20180405111359.0 cr unu---uuuuu 170330e19961201xx s 000 0 eng 10.1007/BF03341881 doi (NATIONALLICENCE)springer-10.1007/BF03341881 Verhulst Johan Department of Psychiatry and Behavioral Sciences, University of Washington at Seattle, Box 356560, 98195, Seattle, WA, USA aut The Role of the Psychiatrist [Elektronische Daten] Defining Methods, Theories, and Practice in the Time of Managed Care [Johan Verhulst] This essay proposes that the division between biological and psychotherapy-oriented psychiatry originates in the discipline's reliance on two fundamentally different methods of inquiry, that is, the medical-biological and the empathic-narrative. These terms are defined and distinguished from psychotherapy and psychodynamic psychiatry, as well as from general humanistic qualities in medicine. The division within the field may be fueled by a lack of clarity with respect to these concepts. The author argues that the essence of psychiatry is defined by a balanced combination of both methods. Psychiatry does not consist only of basic methods, but also of rules and guidelines for clinical practice, and of knowledge and theories used in the application of the methods. The role expectations for psychiatry in the managed care environment are examined and their effects upon methods, theory, and practice are analyzed. Some suggestions for dealing with the challenges of health care reform are offered. Academic Psychiatry, 1996 Academic Psychiatry Springer-Verlag 20/4(1996-12-01), 195-204 1042-9670 20:4<195 1996 20 40596 https://doi.org/10.1007/BF03341881 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF03341881 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Verhulst Johan Department of Psychiatry and Behavioral Sciences, University of Washington at Seattle, Box 356560, 98195, Seattle, WA, USA aut NATIONALLICENCE 773 0- Academic Psychiatry Springer-Verlag 20/4(1996-12-01), 195-204 1042-9670 20:4<195 1996 20 40596 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer