Lev-Ran Shaul, Fennig Shmuel
Shalvata Mental Health Center, Hod Hasharon, Israel.
Isr J Psychiatry Relat Sci. 2007;44(3):187-93.
In an era in which neuroscience is developing rapidly and different psychotherapeutic modalities are proliferating, psychiatric training encounters new difficulties. This article raises various issues that the authors feel are not adequately addressed in contemporary psychiatric residency programs in Israel. These include basic issues of doctor-patient relationship; different cultural trends such as the increase in popularity of CAM (complementary and alternative medicine), the increase in substance abuse, and the increasing popularity of different spiritual movements; transcultural aspects affecting the prevalence and understanding of different psychopathologies in various sectors of the population; ethical issues particular to psychiatric research; and the future psychiatrist's role as communicator and educator of GPs, mental health workers and the general public. In a time characterized by an abundance of models and theories in psychiatry, the authors stress the need to assist residents in integrating various theories and models into a comprehensive outlook regarding the psyche and psychiatric disorders. As mental hospitals vary greatly in their general psychiatric outlook, emphases, and competence of the senior staff in different fields and treatment modalities, the authors see programs for continuing medical education (CME) as the natural arena in which the issues mentioned in this paper should be addressed.
在神经科学迅速发展且不同心理治疗方式不断涌现的时代,精神科培训面临新的困难。本文提出了作者认为在以色列当代精神科住院医师培训项目中未得到充分解决的各种问题。这些问题包括医患关系的基本问题;不同的文化趋势,如补充替代医学(CAM)的日益流行、药物滥用的增加以及不同精神运动的日益普及;影响不同人群中各种精神病理学患病率和理解的跨文化因素;精神科研究特有的伦理问题;以及未来精神科医生作为全科医生、心理健康工作者和普通公众的沟通者和教育者的角色。在一个精神医学模型和理论丰富的时代,作者强调需要帮助住院医师将各种理论和模型整合为关于心理和精神障碍的全面观点。由于精神病院在其总体精神科观点、重点以及不同领域和治疗方式的高级 staff 的能力方面差异很大,作者认为继续医学教育(CME)项目是应该解决本文所述问题的自然场所。 (注:原文中“senior staff”疑似拼写错误,可能是“senior staff”应为“senior staff”,但未影响整体理解,故按原文翻译)