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...

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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
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      dt: Feb-May2026
      vid: 38
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        atl: The future of psychiatry in Brazil: insights from global perspectives and local realities.
      aug:
        au:
          Ferreira Moura, Helena
          Batista de Carvalho Luz, Brenda Maria
          von Diemen, Lisia
          Paim Kessler, Felix Henrique
        affil: Department of Internal Medicine, Faculty of Medicine, University of Brasília, Brasília, Brazil
      sug:
        subj:
          Psychiatry Education
          Conceptual Framework
          Brazil
          Models, Biopsychosocial
          Neurosciences
          Education, Competency-Based
          Climate Change
          Mental Health
          Implementation Science
          Social Justice
          Telehealth
          Ethics, Medical
          Mental Health Services
          Professional Practice, Evidence-Based
          Social Determinants of Health
          Consumer Advocacy
          Misinformation
          Trust
          Gun Violence
          Psychological Trauma
          Ethics, Professional
          Personality
          Individualized Medicine
          Digital Technology
          Artificial Intelligence
          Politics
          Cultural Competence
      ab: 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.
      pubtype: Academic Journal
      doctype:
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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