The Need for Transdisciplinarity in Psychiatry and Addiction Medicine

Transdisciplinarity means not only multi- or interdisciplinarity - the addition or pooling of several specialties - but an added value of the whole team with the raising of scientific and collaborative standards, with the stated purpose of offering the best standards of super-specialized medical services in the view of substantially increasing the quality and life of patients. There is already a strong body of scientific evidence that in chronic diseases, the integrated and transdisciplinary collaborative model of patient care leads to improved patient health. The aggregated experience leads to the conclusion that Transdisciplinarity fits with the bio-psycho-social model in Psychiatry and addiction medicine.


Short Communication
Transdisciplinary medicine represents the next level in the modern holistic approach of patients, implying not only the collaboration of the medical disciplines but also the raising of the standards of healthcare assistance beyond the fragmented vision of each specialty. There is already scientific evidence that in chronic diseases, the integrated and transdisciplinary collaborative model of patient care leads to improved patient health [1]. It is true that mastery of psychiatry also implies broad perspectives for sociology, psychology, philosophy, art, spirituality and in general for everything that can help the healing of the soul, but if we want a solid position as a medical discipline we must definitely anchor ourselves in medical logic and to stop the sterile pendulum between interesting hypotheses only as an intellectual exercise but not scientifically validated. The word Transdisciplinarity appears The conclusion of Piaget's [3] essay on various kinds of interaction between the disciplines mentions Transdisciplinarity offhand, as a kind of an aside, as a "higher stage succeeding interdisciplinary relationships. . . which would not only cover interactions or reciprocities between specialized research projects, but would place these relationships within a total system without any firm boundaries between disciplines". The Romanian researcher Nicolescu [4,5]  he encourages scholars to go beyond the dichotomous, either/ or mentality that, in his view, produced many of the problems that now plague humanity. What sets Transdisciplinarity apart from other approaches and what assures its role in twenty firstcentury education is its acceptance of, and its focus on, the inherent complexity of reality that is seen when one examines a problem or phenomenon from multiple angles and dimensions.
The multidimensional field of neuroscience had to open itself to Transdisciplinarity to include Information Technology, Quantum Physics, Psychology, Psychopathology or Neurology, surpassing the concept that psychological activity is only the product of neuronal activity and that goes deep through the different levels of reality in the nucleus.
For better understanding we have to point out the distiction between multidisciplinary, interdisciplinary and transdisciplinary.
Especially due to the fact that the more general term "multiple disciplinary" is suggested for when the nature of involvement of multiple disciplines is unknown or unspecified. Multidisciplinarity Multiple disciplinary teamwork has both benefits and drawbacks.
The three terms refer to the involvement of multiple disciplines to varying degrees on the same continuum [7]. With their own specific meanings, these terms should not be used interchangeably.
The more general term "multiple disciplinary" is suggested for when the nature of involvement of multiple disciplines is unknown or unspecified. While multiple disciplinary teamwork is appropriate for complex problems, it is not always necessary in every single project. To provide comprehensive services such as health care and health education multiple disciplinary teamwork is required in health and social care, such as primary health care [8]. There is 2) Improvements in mental health related to QoL, depressive symptoms, substance use disorders, treatment rates and general functioning.

3) Reduction of depression and anxiety in patients with
COPD or heart failure (which were maintained at the 12-month follow-up), as well as improvement of health-related quality of life in patients with COPD compared to regular care.

4) Short and long-term improvements in anxiety and
depression symptoms compared to regular care in patients with corneal disease.
In synthesis, I believe that transdisciplinary approach in psychiatry and addiction medicine represents the logical and qualitative huge switch in the nowadays holistic approach of patients, comprising more than cooperation of the medical disciplines and therefore upgrading of the standards of healthcare assistance far beyond the unique vision of each specialty.