Matot J P, Slinger P, Misrachi A, Josse E
Service Médico-Psychologique, Hôpital Universitaire Saint-Pierre, Bruxelles.
Ann Med Psychol (Paris). 1991 Dec;149(10):767-73.
Description of the intervention of psychiatrists with HIV positive hospitalized patients. An analysis of 26 cases over a six-months period. Attention is drawn on the following characteristics: 1) limited extend of the psychiatrist's intervention when the medical team is organized as to allow the patient's psychological support (psychologists participating to the "staff", supervision by an independent psychiatrist); 2) specificity of the psychiatrist's intervention in such a context, which relate to: a) the differential diagnosis between psycho-organic syndromes and major emotional disorders, b) in difficult cases, the definition of the therapeutical scope; 3) necessary search for a more adapted support of male patients admitted for psychosocial reasons and especially for addicted patients.
精神科医生对住院的艾滋病毒阳性患者的干预描述。对六个月期间的26个病例进行的分析。请注意以下特征:1)当医疗团队组织起来以允许为患者提供心理支持时(心理学家参与“工作人员”,由独立精神科医生进行监督),精神科医生的干预范围有限;2)在这种情况下精神科医生干预的特殊性,涉及:a)精神器质性综合征与主要情感障碍之间的鉴别诊断,b)在困难病例中,治疗范围的界定;3)有必要寻求更适合因社会心理原因入院的男性患者,特别是成瘾患者的支持。