Bomba Jacek
Katedry Psychiatrii CM UJ.
Psychiatr Pol. 2003 May-Jun;37(3):409-18.
The aim of this paper is a reflection upon the most important issues in Polish psychiatry in 2002. In the mental health care development, an unfavorable legal regulation on the profession of the psychologist was passed and another change in health care financing in Poland. The role of Polish psychiatrists in international actions inspired by the World Psychiatric Association could be noted, especially in the de-stigmatising "Open the doors", as well as the stance towards 2nd generation antipsychotics. A positive growing interest and tendency in post-graduate psychiatric training was noticed, especially constant training. The publication of a new, large clinical textbook on psychiatry was noted, leading the probable direction of post-graduate training and development of scientific research. Special attention was drawn to the return of neuro-surgical interventions in treatment resistant obsessive-compulsive disorders, namely the nonstandard position of stereotactic operations on the limbic system in these disorders. Such a position is the result of insufficient scientific documentation on the effectiveness of such procedures and weakly documented theoretical bases.
本文旨在对2002年波兰精神病学领域的最重要问题进行反思。在精神卫生保健发展方面，针对心理学家职业的不利法律法规获得通过，波兰的医疗保健融资也出现了另一项变化。可以注意到波兰精神科医生在受世界精神病学协会启发而开展的国际行动中的作用，尤其是在消除污名化的“打开大门”运动中，以及对第二代抗精神病药物的立场。研究生精神病学培训出现了积极的增长兴趣和趋势，尤其是持续培训。注意到一本新的大型精神病学临床教科书的出版，它引领了研究生培训和科学研究发展的可能方向。特别关注神经外科干预措施在难治性强迫症治疗中的回归，即在这些疾病中对边缘系统进行立体定向手术的非标准地位。这种地位是此类手术有效性的科学文献不足以及理论基础记录薄弱的结果。
