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The Ethical Imperative in the Theoretical Modeling of the Concept of Psychosis: Historical Review and Contemporary Assessment

Veselin Yankov Veselinov, Emil Andreev

Athens Journal of Psychology February 28, 2026 DOI: 10.30958/ajpsy.2-1-3 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Theoretical or philosophical paper Peer reviewed
Key points Argues that psychosis requires an interdisciplinary, psychodynamic conceptualization and that clinicians inevitably face ethical hurdles, necessitating a deontological ethics imperative to address deficient public concern.

Abstract

The field of meaning of psychosis has been relatively thoroughly investigated from a scientific point of view, with its theoretical and practical perspectives. Occupying a nodal place in psychiatry and clinical psychology, difficult to penetrate and with a wide range of content, the malady provokes dogmatic disputes, exchanges of opinions and active, even aggressive polemics in multi-volume editions with a colorful bibliographic bias. This text attempts to conceptualize the multidimensionality of psychotic disorder, placing it within a psychodynamic framework, with the aim of provoking reflection on the ethical hurdles that those working with psychotic patients inevitably face. Referring to the trailblazers and fundamental discoverers in the field of psychosis, who although paradigmatically belong to different currents in psychology and psychiatry, this theoretical review seeks to emphasize the need for an interdisciplinary approach in the study of this multifaceted affliction to date. The innovative authors rely on the bridging of differences through a reasonable, healthy eclecticism between traditions, which is based on credible evidence and allows the overcoming of natural intellectual divergences, the removal of dividing lines and the closest convergence of disciplines, will lead to the formation of complexity in the assembled material. The emphasis on the deontological ethics imperative is highly necessary because of the deficient state of public concern for those experiencing psychosis. Keywords: psychosis, ethics, clinical psychology, psychiatry, psychodynamic framework