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Revista de la Asociación Española de Neuropsiquiatría

On-line version ISSN 2340-2733Print version ISSN 0211-5735


LOPEZ-SANTIN, José Manuel; ALVARO SERON, Patricia  and  MOLINS GALVEZ, Ferran. Formal changes in the psychiatric interview: what's the background?. Rev. Asoc. Esp. Neuropsiq. [online]. 2015, vol.35, n.126, pp.277-287. ISSN 2340-2733.

This article is a theoretical discussion focused on the philosophical and economical issues that affect the clinical environment. It is claimed that the manner in which psychiatry's object is regarded, as well as the management of public services, has a direct impact on the diagnostic process and therapeutical interventions. Because of the special features of psychiatry's object, which is subjectivity, the clinical encounter with the patient is at the center of the diagnostic and therapeuthic process. The current neopositivistic view on the epistemology of mental symptoms, as well as the neoliberal way of managing psychiatric services, has spread and generalized. They have brought about fundamental changes in different formal aspects of the psychiatric interview that have an effect on the medical act. Some of these formal aspects include when and where to conduct the interview, the requested interviewer characteristics, the method of interviewing and the kind of organization that provides the services as well as manages the resources.

Keywords : Psychopathology; subjectivity; philosophy; mental health services; health services administration.

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