Precision psychiatry: promise for the future or rehash of a fossilised foundation?
Annemarie C J Köhne, Jim van Os
Psychological Medicine July 1, 2021 DOI: 10.1017/s0033291721000271 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Conceptual analysis Peer reviewed |
|---|---|
| Keywords | Mental disorder Biomarkers Qualia Representational problem Therapeutic relationship |
| Key points | Precision psychiatry's foundations are obsolete and flawed; mental suffering cannot be reduced to biological essences, and biological processes cannot capture qualia and meaning without context. |
Abstract
Precision psychiatry is currently described as an approach that would bring significant advance to psychiatric clinical practice. Theaim of this article is to investigate Precision Psychiatry's promise for the future; should we substantially invest in this new approach? Thearticle is based on a review of the literature and reports a conceptual analysis. A critical examination of Precision Psychiatry's foundationsshows us that its fundaments are obsolete and flawed: we cannot reduce mental suffering to essences in biology. It is problematic to statethat biological processes hold and capture qualia and meaning, and in themselves and without context would hold and capture somethinglike abnormality. Despite its good efforts, precision psychiatry does not represent a sufficiently promising alternative to the phenotyping thatcomes with the current classification systems.