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[支持“新社会精神病学”。从综合和卫生经济学角度看精神卫生保健的当前重点和趋势]

[In favour of a "new social psychiatry". Current focuses and trends of mental health care dealing between integrative and health economic perspectives].

作者信息

Dammann G

机构信息

Psychiatrische Klinik Münsterlingen und Psychiatrische Dienste Thurgau, Schweiz.

出版信息

Fortschr Neurol Psychiatr. 2007 Oct;75(10):593-606. doi: 10.1055/s-2007-959243. Epub 2007 May 25.

Abstract

Starting from modified sociodemographical, medical, familiar and health economical circumstances it is shown that in different areas of psychiatric supply fundamental offerings are missing or need to be established, thus one has to speak about an undersupply of certain groups (migrants, personality disorders, certain elderly patients). Some of these forward-looking trends and possible prospects in the field of social psychiatry are exemplarily displayed. The thesis is argued and illustrated that the existing social psychiatric institutions require a paradigmatic reorientation, which could be called "New Social psychiatry" and should complement the traditional social psychiatry, which has been orientated to schizophrenic illness, extramural alignment and the rehabilitation purpose of employment up to now.

摘要

从修正后的社会人口统计学、医学、家庭和健康经济学情况来看,结果表明在精神科服务的不同领域,基本服务缺失或需要建立,因此不得不说某些群体(移民、人格障碍患者、某些老年患者)存在服务供应不足的情况。社会精神病学领域的一些前瞻性趋势和可能的前景在此进行了示例性展示。本文论证并举例说明了现有的社会精神病学机构需要进行范式重新定位,这可以称为“新社会精神病学”,它应补充传统的社会精神病学,传统社会精神病学至今一直以精神分裂症疾病、院外治疗以及就业康复目的为导向。

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