Harvard Medical School, Department of Psychiatry, USA
Erik Erikson, in the 1950s, defined clinical evidence as evidence arising from a relationship. In Psychiatry today, we discuss relationships much less, even though relationships remain central to clinical practice. The change has been driven partly by scientific progress – overwhelmingly measuring changes within the individual – and partly by administrative systems that want easily measurable, “objective” ways to define care. In the meantime, the role of relationship is increasingly discussed in human services outside of Psychiatry. In this presentation, the use of relationship-based data in Psychiatry will be reviewed – past, present, and future – and recommendations made.