Abstract
Some scholars, assessing psychiatry as still scientifically immature, call it to join the project of a medicine-based purely on facts as the Evidence-Based Medicine may be the current model. However, there is a classical contrast between the facts – that would be the realm of science – and the values: psychiatry seems to be desperately infiltrated by values as the concept of mental disorder highlights it. We present here the Values-Based Medicine (VBM) developed by the psychiatrist and philosopher K.W.B. Fulford. By contrast with the EBM, the VBM acknowledges the irreducible role of values in medicine. Far from being a symptom of immaturity, the values load inherent to psychiatry mirrors the complexity of its field. In the VBM, taking into full consideration the values becomes the driving tool for the decision-making (complementary to the EBM). By the very advances in science, all the medical fields will increasingly have to take into account the complexity of values. We underline the convergence of the VBM with other conceptual frameworks that have emerged around the concepts of recovery, care, person-centred practice and narrative medicine.
Published Version
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