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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Problems of Social Hygiene, Public Health and History of Medicine</journal-id><journal-title-group><journal-title>Problems of Social Hygiene, Public Health and History of Medicine</journal-title></journal-title-group><issn publication-format="print">0869-866X</issn><issn publication-format="electronic">2412-2106</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">2706</article-id><article-id pub-id-type="doi">10.32687/0869-866X-2026-34-3-718-722</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>THE EPISTEMOLOGY OF PSYCHIATRY: DISPOSITIF OF KNOWLEDGE AND PROFESSIONAL WORK</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Dyakov</surname><given-names>A. V.</given-names></name><email></email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff id="aff-1">The St. Petersburg State University, 199034, St. Petersburg, Russia</aff><pub-date date-type="epub" iso-8601-date="2026-07-07" publication-format="electronic"><day>07</day><month>07</month><year>2026</year></pub-date><volume>34</volume><issue>3</issue><fpage>718</fpage><lpage>722</lpage><history><pub-date date-type="received" iso-8601-date="2026-07-07"><day>07</day><month>07</month><year>2026</year></pub-date></history><permissions><copyright-statement>Copyright © 2026,</copyright-statement><copyright-year>2026</copyright-year></permissions><abstract>The article offers systematic consideration of epistemology of psychiatry as section of medicine which examination permits to analyze dispositif of science successfully implementing conceptual theoretical constructs in everyday practice. The various versions and trends in this area are considered, from traditional history of medicine with its positive or negative models of development of psychiatry to historical epistemology and history of ideas striving to create conceptualized picture of permanent scientific revolution or explosive evolution of psychiatry. The number of key moments are marked representing crystallization points of epistemology of psychiatry as systematic form of research: 1) the question about area of knowledge that is provide space for research in this direction; 2) creation of space of reflexive thinking where internal problematization of psychiatric theory and practice will be possible, excluding development of general theory of psychiatry that is externally imposed on it as general guidelines; 3) problematization of modus of openness of psychiatry to related areas of knowledge and public practice, minimizing interference of non-professionals in professional activities of psychiatrists.</abstract><kwd-group xml:lang="en"><kwd>epistemology</kwd><kwd>psychiatry</kwd><kwd>history of medicine</kwd><kwd>problematization</kwd><kwd>dispositif</kwd><kwd>practice.</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>эпистемология</kwd><kwd>психиатрия</kwd><kwd>история медицины</kwd><kwd>проблематизация</kwd><kwd>диспозитив</kwd><kwd>практика.</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Duhem P. 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