The Best and Not So Great Articles of 2017

摘要

Included on my list, therefore, are tempered articles on the unrealized promises of genomics and the shortcomings of precision or personalized medicine. It was abundantly clear as I reviewed the literature, that to speak of precision psychiatry without acknowledging the severe limitations of its scientific foundation is quite risky. In psychiatry, we have had an unfortunate legacy of promising much more than we could ever deliver to our patients and the public. No one disagrees with advancing science and improving care. However, as an emeritus professor, now looking back on the grandiosity of the claims of psychoanalysis, psychopharmacology, diagnostic classification schemes, community mental health, the electronic medical record (EMR) and its inextricable relationship to physician burnout, and the reductionistic biomedical approaches to treatment that undercut the clinician’s ability to tolerate uncertainty and ambiguity, a slow medicine approach appears to be increasingly attractive to me.