chapter  13
12 Pages

NARRATIVE UNDERSTANDING AND METHODS IN PSYCHIATRY AND BEHAVIORAL HEALTH

In recent years, narrative approaches in clinical and ethical decision-making in psychiatry, psychotherapy, and behavioral health have increased in importance. While the waning of psychoanalytic and psychodynamic teaching in residency programs and the increased effectiveness of psychopharmacologic interventions in clinical practice have decreased the profession’s reliance on interpretive or “talking” psychotherapy, the influence of the medical humanities has increased interest and curiosity about narrative theory and application in the behavioral health fields. Managed care has had a negative impact on health care education and health care practice, and yet it has had a positive impact by fueling new discussion and reflection upon the fundamental ethical aspects that define the patientprofessional relationship in health care.