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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

Fundamental principles of institutional functioning in psychiatric care

Core principles of institutional functioning in psychiatric care

Institutional functioning is a therapeutic, rather than merely organizational, dimension of psychiatric care, and five fundamental principles, together with the psychiatrist’s responsibility for clinical leadership, offer a practical framework for strengthening it.

Starting from the premise that effectiveness in the multidisciplinary teams underpinning contemporary psychiatric care depends not only on individual clinical skills but also on institutional functioning, this talk examines the fundamental principles of psychodynamic institutional work and how they shape team leadership. The first part positions institutional work not merely as an organizational matter but as an integral component of psychiatric care. Five complementary principles are introduced: transversality, boundary integrity, complementarity, coherence, and elasticity. Drawing on psychodynamic psychiatry, institutional psychotherapy, and clinical experience, these principles are illustrated through situations encountered in psychiatric units involving teamwork, communication, professional roles, and complex interpersonal and emotional dynamics. The second part discusses the psychiatrist’s role in sustaining these principles when leading a multidisciplinary team. It approaches leadership as both a clinical and an organizational function, encompassing responsibility for the team’s clinical program, facilitation of shared reflection, maintenance of a workable balance between horizontal working relationships and accountability, and recognition and management of institutional dysfunction. In conclusion, the talk argues that understanding institutional functioning and recognizing the specific responsibilities involved in managing a clinical team provide a practical framework that strengthens multidisciplinary work, reflective practice, and continuity of care.

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