Psychiatric Times June 5, 2024
Joel Paris, MD

What are the connections between environmental factors and the development of mental disorders?

COMMENTARY

There have always been 2 kinds of psychiatry: 1 rooted in neuroscience and the other focusing on the impact of environmental adversities. In the past few decades, psychiatry has adopted a strong biological orientation in both research and practice. Although biological reductionism has come under criticism,1 it still dominates our discipline.

On the other hand, quite a few psychotherapists, both within psychiatry and in other disciplines, carry out a practice based on environmental theories. One is the idea that childhood trauma lies behind many mental disorders.2

A biopsychosocial (BPS) model describes a much broader picture than biological reductionism—one of nature and nurture interacting with each other...

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