Lazare A
Arch Gen Psychiatry. 1976 Jan;33(1):96-102. doi: 10.1001/archpsyc.1976.01770010060012.
Rapid assessment for decision making is a major goal of the initial psychiatric interview in walk-in clinics, emergency psychiatric services, and the ambulatory services of community mental health centers. To accomplish this task, the clinician must learn to elicit specific data to confirm or refute clinical hypotheses rather than gather a complete history. This report, in formulating a hypothesis generating and testing approach for the initial psychiatric examination, proposes 16 hypotheses that organize the clinical data necessary for most decisions. This approach is intended to help the clinician make efficient use of limited time, guard him from coming to premature closure in the collection of data, and provide a stimulus for the exploration of relevant but neglected clinical questions.
快速评估以辅助决策是门诊诊所、急诊精神科服务以及社区心理健康中心门诊服务中初始精神科访谈的主要目标。为完成此项任务，临床医生必须学会获取特定数据以证实或反驳临床假设，而非收集完整病史。本报告在为初始精神科检查制定一种假设生成与检验方法时，提出了16种假设，这些假设整理了大多数决策所需的临床数据。此方法旨在帮助临床医生有效利用有限时间，防止其在收集数据时过早下结论，并激发对相关但被忽视的临床问题的探索。
