title: Being with the patient: the use of "clinical evidence," reconsidered.
abstract: Our objective was to review the use in psychiatry of data arising from interaction with the patient, here called "clinical evidence." We conducted a clinical and historical review. Data from interactions with patients are increasingly marginalized in psychiatry, even as interactional data have an increasing role elsewhere in healthcare. Recommendations for training, clinical care, and administration are made.
authors.affiliation: Department of Psychiatry, Harvard Medical School, Boston, MA, USA. Gordon_harper@hms.harvard.edu
authors.forename: Gordon
authors.initials: G
authors.lastname: Harper
authors.forename: Daniel F
authors.initials: DF
authors.lastname: Becker
authors.forename: Stuart A
authors.initials: SA
authors.lastname: Copans
authors.forename: Lois T
authors.initials: LT
authors.lastname: Flaherty
authors.forename: Kareen
authors.initials: K
authors.lastname: Ghalib
authors.forename: Kareem
authors.initials: K
authors.lastname: Gharib
authors.forename: Aaron J
authors.initials: AJ
authors.lastname: Krasner
authors.forename: Stephanie
authors.initials: S
authors.lastname: Kwok
authors.forename: Silvio J
authors.initials: SJ
authors.lastname: Onesti
authors.forename: Jean
authors.initials: J
authors.lastname: Wittenberg
mesh_terms: D000293:Adolescent; D003379:Countertransference; D004644:Emotions; D019317:Evidence-Based Medicine; D005201:Fantasy; D006801:Humans; D007396:Internship and Residency; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D008875:Middle Aged; D033262:Narration; D010817:Physician-Patient Relations; D011570:Psychiatry / Q000193:education; D011573:Psychoanalytic Interpretation; D011575:Psychoanalytic Therapy / Q000193:education / Q000379:methods*; D011613:Psychotherapy / Q000193:education / Q000379:methods*; D013850:Thinking; D055815:Young Adult