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Diversification or dilution? Perspectives on generalism and subspecialization in modern psychiatry

This article explores debates in psychiatry about generalism and subspecialization, illustrating the potential benefits and issues of each in the context of service delivery and education founded on the biopsychosocial model. Recommendations are given to respond to varying global dynamics and support moves toward patient-centred care.

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Correspondence to Michael Liebrenz.

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Competing interests

P.F. is the past president of the European Psychiatric Association. D.B. has previously been president of the British Medical Association, the World Psychiatric Association and the Royal College of Psychiatrists.

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Liebrenz, M., Smith, A.J., Bhugra, D. et al. Diversification or dilution? Perspectives on generalism and subspecialization in modern psychiatry. Nat. Mental Health 2, 6–8 (2024). https://doi.org/10.1038/s44220-023-00175-0

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