ArticleBJPsych open2026
Why followership matters in psychiatry: rebalancing our obsession with leadership.
Article in BJPsych open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Psychiatry emphasises leadership development, but neglects the equally universal and essential role of followership. Although most clinicians spend more time as followers than leaders, literature overwhelmingly favours leadership. Drawing on healthcare, socio-religious traditions and management science, the authors reframe followership as an active, values-driven role grounded in trust, motivation and moral courage rather than passive compliance. This editorial argues that effective followership is active, ethical and courageous. Nurturing good followers in mental health services is essential for good patient care, organisational integrity and sustainable leadership. Cultivating active followership strengthens safeguarding, transparency and organisational legitimacy. The editorial calls for psychiatry and mental health services to explicitly teach and value followership alongside leadership, promoting shared vision, psychological safety and accountable decision-making to improve patient care and professional culture.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.