geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Participation-engagement: a philosophically based heuristic for prioritizing clinical interventions in the treatment of comorbid, complex, and chronic psychiatric conditions


, : Participation-engagement: a philosophically based heuristic for prioritizing clinical interventions in the treatment of comorbid, complex, and chronic psychiatric conditions. Psychiatry 72(2): 154-176

We propose Participation-Engagement (PAR-EN) as a philosophically based heuristic for prioritizing interventions in comorbid, complex, and chronic psychiatric conditions. Drawing from 1) the sociologist Talcott Parsons, 2) the continental-philosophical tradition, and 3) our own previous work (Davidson & Shahar, 2009; Shahar, 2004, 2006), we argue that participation in personally meaningful life goals represents a hallmark of mental health. Symptoms and vulnerabilities that impede such participation should therefore be targeted vigorously, whereas others which do not pose such imminent threats should assume a secondary focus, if at all. Winnicott's (1987) notion of the spontaneous gesture, the importance of daily activities as reflecting patients' participation, and the dialectics of interpersonal relatedness and self-definition, are introduced as guidelines for implementing PAR-EN. Implications for clinical assessment and the therapeutic relationship are discussed.

US$19.90

PMID: 19614554

DOI: 10.1521/psyc.2009.72.2.154


Other references

Claramunt, R.María.; Sanz, Dísia.; Alarcón, S.Hugo.; Pérez Torralba, M.; Elguero, Jé.; Foces-Foces, Cón.; Pietrzak, M.; Langer, U.; Limbach, H-Heinrich., 2001: 6-Aminofulvene-1-aldimine: A Model Molecule for the Study of Intramolecular Hydrogen Bonds We are indebted to DGES/MEC (PB96-0001-C03) and Comunidad de Madrid (grant no. 07N/0001/1999) of Spain for financial support and to Dr. Ibon Alkorta for carrying out the B3LYP/6-31G calculations. Angewandte Chemie 40(2): 420-423

Smith C.L.; Drever J.I., 1976: Controls on the chemistry of springs at Teels Marsh, Mineral County, Nevada. Evaporative process plays a dominant role in determining the water chemistry of the springs at Teels Marsh, a closed basin in western Nevada. Analysis of the spring waters indicates that calcium, magnesium, sulfate, and silica are removed from sol...

Brunius, U.; Helander, C.G.; Rudenstam, C.M.; Zederfeldt, B., 1966: Experience with staplers in anastomosing small blood vessels in dogs. Acta Chirurgica Scandinavica 131(1): 30-37

Darbord, J.C.; Becel, D., 1981: Use of biological indication in radio sterilization 1. bacillus pumilus e 601. The effective use of biological indicators in radiosterilization designed by the French Pharmacopeia, was proved in several installations using accelerated electrons or .gamma. rays. No difference in efficacy was noted in relation with the deliver...

Massumi R.A.; D.M.ria A.; Amsterdam E.A.; Zelis R.; Kamiyama T.; M.F.rland J.; Mason D.T., 1972: Vagal suppression of ventricular atrial conduction in ventricular tachy cardia. Clinical Research 20(3): 386

Dean, J.A.; Hartsfield, J.K.; Wright, J.T.; Hart, T.C., 1998: Dentin dysplasia, type II linkage to chromosome 4q. Dentin dysplasia, type II (MIM*125420) is an autosomal dominant disorder of dentin development. Clinically the primary dentition appears opalescent, and radiographically the pulp chambers are obliterated, resembling dentinogenesis imperfecta. Howe...

Jiao, Y.; Xu, L.; Gao, M-Guang.; Jin, L.; Tong, J-Jing.; Li, S.; Wei, X-Li., 2014: Investigation of the limit of detection of an infrared passive remote sensing and scanning imaging system for pollution gas. NECL could be used to estimate the limit of detection of the infrared passive remote sensing system. It was an important indicator of the sensitivity of the system. The theoretical equation of the NECL according to the atmospheric infrared radiati...

D.W.ver P.; Caby R., 1981: Radiolarian dating of the base of the post-ophiolitic schistes lustres (upper Oxfordian-middle Kimmeridgian) in the Cottian Alps; Saint-Veran, France. Comptes-Rendus des Seances de l'Academie des Sciences, Serie 2: Mecanique-Physique, Chimie, Sciences de l'Univers, Sciences de la Terre 292(5): 467-472

Tsakiris, G.; Kiountouzis, E., 1984: Optimal intraseasonal irrigation water distribution. A dynamic programming model is presented to optimise the intraseasonal distribution of irrigation water to a single crop under the constraints of limited water available and predetermined irrigation timing. The system underlying the model is chara...

Magnavita, N., 2010: Experience of prevention activities in local health units. Assaults and musculoskeletal disorders. Assaults against health care workers and musculoskeletal disorders are two significant issues for occupational health physicians. Training (the most common form of proposed intervention) by itself is not effective in reducing adverse effects. Two...