Thornton W E, Thornton B P
The Naples Community Hospital, Naples, Florida, USA.
Dis Nerv Syst. 1974 Jan;35(1):32-4.
Crisis psychopharmacology techniques are readily available and potentially serve not only the obvious immediate goal of help for the patient, but also may have long range benefits in terms of patient attitude and confidence. The acute psychotic patient often responds to immediate high doses of phenothiazines, which may be potentiated by the addition of a barbiturate. Depression is felt to be a commonly missed diagnosis and is generally very susceptible to chemotherapy. In resistant patients, the administration of higher doses or of potentiating agents often yields desired results. Acute anxiety is distinguished by its susceptibility to the milder and less hazardous sedatives and minor tranquilizers. Their hypnotic effects are recommended in the initial treatment.
危机心理药理学技术很容易获得,其潜在作用不仅在于能为患者提供直接的明显帮助,还可能在患者态度和信心方面产生长远益处。急性精神病患者通常对立即给予高剂量的吩噻嗪类药物有反应,添加巴比妥酸盐可能会增强其效果。抑郁症被认为是一种常被漏诊的疾病,一般对化学疗法非常敏感。对于耐药患者,给予更高剂量或增效剂往往能产生预期效果。急性焦虑症的特点是对较温和、危害较小的镇静剂和小剂量镇静剂敏感。建议在初始治疗中使用它们的催眠作用。