Affiliated member of the WPA – World Psychiatric Association

The new Approaches to Mental Disorders Treatment – Professionals’ and Patients’ Shared Responsibility

Nikolaj Neznanov & Anna Vasilieva

For decades the paternalistic model reigned in medicine especially in the mental health care were the patients have been treated as inferior with a poor insight of their problems incapable to understand what can be good or bad for their mental health. On the other hand the problem of treatment adherence was one of the main problems considering symptoms improvement and especially relapse prevention. G. Ammon was one of the pioneers of the humanistic psychiatry who treated as fellow partners all patients including the ones suffered from severe mental disorders. He put in the center of the dynamic psychiatry treatment system the identity of the patient making establishment of the contact and constructive therapeutic alliance the most important therapeutic task and goal. In the 21-st century the new model of the shared decision making has been introduced in the healthcare system where the professionals and patients are considered as equal partners in the treatment process. it defined as “a process in which clinicians and patients work together to select tests, treatments, management or support packages, based on clinical evidence and the patient’s informed preferences; it involves the provision of evidence-based information about options, outcomes and uncertainties, together with decision support counselling and a system for recording and implementing patients’ informed preferences”. In the mental health care it includes all the essential parts of the treatment system such as medication, psychotherapy, leave from ward/hospital, and changes in treatment setting. The patient becomes a fair partner in the treatment process but he gains also the responsibility for the treatment outcome and his own well-being.

Prof. Nikolaj Neznanov MD

Head, Department of Psychiatry and Narcology, St.Petersburg State Medical University, St. Petersburg, Russia

Director, Federal State Budgetary Institution «V. M. Bekhterev National Research Medical Center for Psychiatry and Neurology» of The Russian Federation Ministry of Health

President, World Association of the Dynamic psychiatry (WPA, affiliated member)

President, Russian Society of Psychiatrists (RSP)

Head nonominal Roszdravnadzor expert-specialist in psychiatry

Honored higher education professor, Honored science leader

Prof. Anna Vasilieva

Chief Research Associate, Department of Non-Psychotic Mental Disorders Treatment and Psychotherapy

Head of the International Affairs Department, V. M. Bekhterev National Medical Research Center for Psychiatry and Neurology, Ministry of Health of the Russian Federation

Psychiatrist, Psychotherapist, Psychoanalyst (DAP, Munich, Germany)

Professor, Psychotherapy, Sexology and Clinical Psychology department, North-Western State Medical University named after I.I. Mechnikov, St. Petersburg, Russia

Chair Russian branch, World association for Dynamic Pscyhiatry, affiliated WPA member

Acting Vice President of the Russian Society of the Psychiatrists