Posted by dcruik518 on August 5, 2008, at 8:29:47
In reply to Re: Some people don't want to believe. » dcruik518, posted by SLS on August 5, 2008, at 5:37:00
The phrase "top down model" is used for all sorts of organizations to describe a situation in which authority is structured in the traditional hierarchical patriarchy. Most work settings are like this but many newer companies have started to run themselves in less hierarchical ways. Apple for instance. A "bottom up model" refers to decisions that come, for instance from the grassroots in politics, or from the factory floor in factories. The idea is that the people themselves often know what is needed better than the detached, out of touch managers up their towers. Japan uses a bottom up approach in their manufacturing--instead of dictating what should be done, managers ask the people on the floor to make as many suggestions for improvement as possible. this empowers people and leads to greater productivity. I'm not saying psychiatry should be completely "bottom up". I'm saying it should be democratic, by which I mean both parties work together, essentially as equals, to find the right treatment. OF course, psychiatrists are experts and the average patient cannot be equal to them in knowledge, but the patient does come with something the doctor does not have--namely their own personal experience.
poster:dcruik518
thread:844053
URL: http://www.dr-bob.org/babble/20080805/msgs/844278.html