The Medical Model in Mental Health: An Explanation and Evaluation

ISBN : 9780198807254

Ahmed Samei Huda
384 Pages
156 x 234 mm
Pub date
May 2019
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Many published books that comment on the medical model have been written by doctors, who assume that readers have the same knowledge of medicine, or by those who have attempted to discredit and attack the medical practice. Both types of book have tended to present diagnostic categories in medicine as universally scientifically valid examples of clear-cut diseases easily distinguished from each other and from health; with a fixed prognosis; and with a well-understood aetiology leading to disease-reversing treatments. These are contrasted with psychiatric diagnoses and treatments, which are described as unclear and inadequate in comparison. The Medical Model in Mental Health: An Explanation and Evaluation explores the overlap between the usefulness of diagnostic constructs (which enable prognosis and treatment decisions) and the therapeutic effectiveness of psychiatry compared with general medicine. The book explains the medical model and how it applies in mental health, assuming little knowledge or experience of medicine, and defends psychiatry as a medical practice.


1 Explanation of basic concepts of medical terminology
2 The role of diagnosis in medical practice and society
3 The nature of diagnostic constructs
4 The clinical picture, creating diagnostic constructs and causation
5 Multidisciplinary working, evidence, treatment and decision making in medicine
6 Criticism of psychiatric diagnosis
7 Criticism of psychiatric treatment
8 Reliability of diagnosis
9 Spectrums with health
10 Variability of clinical picture
11 Spectrums of conditions
12 Biological factors and health
13 Social factors and health
14 Clinical utility of diagnosis
15 Treatments in psychiatry compared to general medicine
16 Final conclusions

About the author: 

Dr Ahmed Samei Huda works as a Consultant Psychiatrist specializing in early intervention in psychosis in the Greater Manchester area. He has worked as a consultant psychiatrist since 2002, including about a year in Australia, and has focused on clinical work rather than academic research. This is his first published book. It was written because he felt the issues it addresses are often not addressed from the point of view of a clinician who has a good knowledge of how psychiatry compares to the rest of medicine.

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