The future of psychiatry in Brazil: insights from global perspectives and local realities.

Psychiatry is undergoing a global reconfiguration driven by social, technological, and environmental transformations. This paper examines the future of psychiatry through a comparative analysis of international frameworks and the current Brazilian context. It highlights the need to integrate neurosc...

Descripción completa

Detalles Bibliográficos
Publicado en:International Review of Psychiatry Vol. 38; no. 1-3; pp. 288 - 302
Autores principales: Ferreira Moura, Helena, Batista de Carvalho Luz, Brenda Maria, von Diemen, Lisia, Paim Kessler, Felix Henrique
Formato: review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Feb-May2026
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Psychiatry is undergoing a global reconfiguration driven by social, technological, and environmental transformations. This paper examines the future of psychiatry through a comparative analysis of international frameworks and the current Brazilian context. It highlights the need to integrate neuroscience with social and cultural psychiatry, emphasising ethics, diversity, and the participation of people with lived experience as essential components of education and practice. Although national guidelines provide a structured framework for competency-based training, they remain limited in addressing emerging challenges such as inequality, climate change, migration, and the geopolitical determinants of mental health. To translate these advances into real-world impact, implementation science must guide the adaptation of evidence-based interventions to diverse sociocultural contexts. The paper advocates for an expanded biopsychosocial model that explicitly includes dimensions of social justice and public mental health. Brazil's complex sociocultural landscape offers a unique opportunity to align psychiatric education and practice with these global perspectives, bridging knowledge and practice to foster a more equitable, humanistic, and context-responsive psychiatry.