Verheij F, Verhulst F C, Ferdinand R F
Tijdschr Psychiatr. 2007;49(7):429-38.
Up till the 1970s child and adolescent psychiatry had no distinctive diagnostic system of its own. From the 1980s onwards qualitative information-gathering (e.g. via discussion or play-situations) was no longer regarded as adequate and the standardised gathering of (quantitative) information became the cornerstone of the diagnostic process. This development fundamentally changed the child psychiatrist's profession and its identity.
To investigate the specific features that are required in current child and adolescent psychiatry.
In this article we will clarify the change in the child psychiatrist's profession and identity by outlining how child an adolescent psychiatry evolved as from the early 1980s. We will do this by concentrating on the diagnostic process. The treatment aspect will be discussed only briefly.
Over the last 25 years the role of the child psychiatrist has undoubtedly changed. From being mainly a diagnostician and/or being personally responsible for treating the child or adolescent the child psychiatrist has become increasingly the person who controls the diagnostic process and plans treatment.
Over the last two decades the diagnostic technique of the child psychiatrist has developed in a new direction. The child psychiatrist has chosen instead to elucidate a patient's referral and to discuss the reasons for a request for assistance and/or care. The psychiatrist uses many types of information and a multitude of informants and methods. This development has led to a fundamental change in the child psychiatrist's profession and its identity.
直到20世纪70年代，儿童与青少年精神病学都没有其独特的诊断系统。从20世纪80年代起，定性信息收集（如通过讨论或游戏情境）不再被认为是足够的，（定量）信息的标准化收集成为诊断过程的基石。这一发展从根本上改变了儿童精神科医生的职业及其身份。
探究当前儿童与青少年精神病学所需的具体特征。
在本文中，我们将通过概述自20世纪80年代初以来儿童与青少年精神病学的演变过程，来阐明儿童精神科医生职业和身份的变化。我们将通过专注于诊断过程来做到这一点。治疗方面将仅作简要讨论。
在过去25年里，儿童精神科医生的角色无疑发生了变化。从主要是一名诊断医生和/或亲自负责治疗儿童或青少年，儿童精神科医生越来越成为控制诊断过程并规划治疗的人。
在过去二十年里，儿童精神科医生的诊断技术朝着一个新方向发展。儿童精神科医生转而选择阐明患者的转诊情况，并讨论寻求帮助和/或护理请求的原因。精神科医生使用多种类型的信息以及众多的信息提供者和方法。这一发展导致了儿童精神科医生职业及其身份的根本变化。
