title: How shrinks think: decision making in psychiatry.
abstract: OBJECTIVE
  Psychiatrists use biopsychosocial models in identifying aetiological factors in assessing their patients and similar approaches in planning management. Models in decision making will be influenced by previous experience, training, age and gender, among other factors. Critical thinking and evidence base are both important components in the process of reaching clinical decisions. Expected outcome of treatment may be another factor. The way we think influences our decision making, clinical or otherwise. With patients expecting and taking larger roles in their own management, there needs to be a shift towards patient-centred care in decision making.
  
  
  CONCLUSIONS
  Further exploration in how clinical decisions are made by psychiatrists is necessary. An understanding of the manner in which therapeutic alliances are formed between the clinician and the patient is necessary to understand decision making.
authors.affiliation: Health Service and Population Research Department, Institute of Psychiatry, King's College London, De Crespigny Park, London, UK. Dinesh.bhugra@kcl.ac.uk
authors.forename: Dinesh
authors.initials: D
authors.lastname: Bhugra
authors.forename: Yanni
authors.initials: Y
authors.lastname: Malliaris
authors.forename: Susham
authors.initials: S
authors.lastname: Gupta
mesh_terms: D002983:Clinical Competence; D003657:Decision Making; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis; D008606:Mental Processes; D011570:Psychiatry; D018570:Risk Assessment