Adapting the traditional case report to a biopsychosocial format

Introduction The medical case report (CR) is a vital and viable medical genre with a history of more than 3000 years. With a few exceptions, the CR has had a typical format that has been consistent with the ideals of brevity, conciseness, and a matter-of-fact approach. CR in general and psychiatri...

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Main Authors: R. Wynn, L. Myklebust
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933821015820/type/journal_article
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author R. Wynn
L. Myklebust
author_facet R. Wynn
L. Myklebust
author_sort R. Wynn
collection DOAJ
description Introduction The medical case report (CR) is a vital and viable medical genre with a history of more than 3000 years. With a few exceptions, the CR has had a typical format that has been consistent with the ideals of brevity, conciseness, and a matter-of-fact approach. CR in general and psychiatric CR especially, may benefit from more systematically emphasising and integrating relevant biopsychosocial (BPS) aspects. Objectives To discuss how to emphasise and integrate the BPS perspective in the CR. Methods Drawing on CR literature and our own experience as CR authors, we discuss how a broader BPS approach successfully can be included in the CR format. Results Some central factors that could be considered when including a BPS perspective in the CR are: 1) Actively eliciting the patient’s perspective and including this in the final report. 2) Including relevant information about the life and circumstances of the patient beyond the basic demographic information. 3) Making an effort to preserve the patient’s privacy also when more BPS information is included. The psychological and social constituents of the patient’s life should be central in the BPS-inspired psychiatric CR. Conclusions The traditional CR has a long-standing history in medicine and follows a typial conscise and brief format. ‘Hard facts’ and biological information have typically filled most of the text. We argue that giving psychological and social information more attention would improve the quality of many CR, and that this is especially relevant for psychiatric CR.
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spelling doaj.art-5f654fa20fd04da99c739b0416e58cf32023-11-17T05:09:02ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S593S59310.1192/j.eurpsy.2021.1582Adapting the traditional case report to a biopsychosocial formatR. Wynn0L. Myklebust1Department Of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, NorwayPsychiatric Research Centre Of Northern Norway, Nordland Hospital Trust, Bodø, Norway Introduction The medical case report (CR) is a vital and viable medical genre with a history of more than 3000 years. With a few exceptions, the CR has had a typical format that has been consistent with the ideals of brevity, conciseness, and a matter-of-fact approach. CR in general and psychiatric CR especially, may benefit from more systematically emphasising and integrating relevant biopsychosocial (BPS) aspects. Objectives To discuss how to emphasise and integrate the BPS perspective in the CR. Methods Drawing on CR literature and our own experience as CR authors, we discuss how a broader BPS approach successfully can be included in the CR format. Results Some central factors that could be considered when including a BPS perspective in the CR are: 1) Actively eliciting the patient’s perspective and including this in the final report. 2) Including relevant information about the life and circumstances of the patient beyond the basic demographic information. 3) Making an effort to preserve the patient’s privacy also when more BPS information is included. The psychological and social constituents of the patient’s life should be central in the BPS-inspired psychiatric CR. Conclusions The traditional CR has a long-standing history in medicine and follows a typial conscise and brief format. ‘Hard facts’ and biological information have typically filled most of the text. We argue that giving psychological and social information more attention would improve the quality of many CR, and that this is especially relevant for psychiatric CR. https://www.cambridge.org/core/product/identifier/S0924933821015820/type/journal_articlemedical literaturecase reportbiopsychosocial
spellingShingle R. Wynn
L. Myklebust
Adapting the traditional case report to a biopsychosocial format
European Psychiatry
medical literature
case report
biopsychosocial
title Adapting the traditional case report to a biopsychosocial format
title_full Adapting the traditional case report to a biopsychosocial format
title_fullStr Adapting the traditional case report to a biopsychosocial format
title_full_unstemmed Adapting the traditional case report to a biopsychosocial format
title_short Adapting the traditional case report to a biopsychosocial format
title_sort adapting the traditional case report to a biopsychosocial format
topic medical literature
case report
biopsychosocial
url https://www.cambridge.org/core/product/identifier/S0924933821015820/type/journal_article
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