Psych CASC / OSCE · foundations — philosophy of mind
Explain multilevel mind-body formulation — CASC communication station
MRCPsych/FRANZCP-style CASC: psychoeducation on mind-body models, BPS without emptiness, free will, values, and capacity language.
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Target exams
Station brief
Format. Communication station, approximately 7–10 minutes after reading. You are the psychiatry registrar meeting parents (or the patient if recovered enough) for explanation after acute assessment.[1]
Candidate instructions. Build rapport. Elicit their mind-body explanatory model. Explain that mental illness involves multilevel factors (biology, psychology, social context) without empty slogans or blame. Address medication and agency/free-will fears carefully. Outline how treatment choices incorporate evidence and the person's values. If asked about 'can they decide,' use plain-language capacity abilities without inventing legal section numbers. Avoid humiliation and dualist either/or framing.[3][4][5]
You have read the opening of this CASC / OSCE. The complete unit — every section and its primary-source references — is part of the Psychiatry Fellowship fellowship atlas.
References6Show ledgerHide ledger
- [1]Engel GL The clinical application of the biopsychosocial model Am J Psychiatry, 1980.PMID 7369396
- [2]Ghaemi SN The rise and fall of the biopsychosocial model Br J Psychiatry, 2009.PMID 19567886
- [3]Kendler KS Toward a philosophical structure for psychiatry Am J Psychiatry, 2005.PMID 15741457
- [4]Pierre JM The neuroscience of free will: implications for psychiatry J Psychiatr Pract, 2014.PMID 24330830
- [5]Fulford KWM, Handa A New resources for understanding patients' values in the context of shared clinical decision-making World Psychiatry, 2021.PMID 34505360
- [6]Appelbaum PS Clinical practice. Assessment of patients' competence to consent to treatment N Engl J Med, 2007.PMID 17978292