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Managing dual disorders: a statement by the Informal Scientific Network, UN Commission on Narcotic Drugs

World Psychiatry 19:3 October 2020 that should go beyond a mere symptom checklist. Psychiatry, like other branches of medicine, is an art form that applies science in practice. The classical art of psychiatry has not been “cool” for a long time; the focus of the “clinical” psychiatry training curriculum should, nevertheless, be on psychiatric interview skills and clinical reasoning based on the characterization, until research delivers algorithms that can support or automate parts of the clinical reasoning. One shall collaborate to alternate. Academic psychiatry should invite a wide range of stakeholders (e.g., patients, their families, carers, mental health practitioners, and policy makers) to actively take part in this process from the beginning, by identifying key issues and proposing solutions to meet the needs of our society. Until convincing evidence is provided, the current classification system is unlikely to be superseded by the proposed alternatives for use in clinical practice. In the meantime, the above adjustments may help to overcome the issues arising from diagnostic silos in psychiatry.