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[布宜诺斯艾利斯市及其周边地区精神科医生和心理治疗师的分割治疗的独特特征]

[Distinctive features of split treatments among psychiatrists and psychotherapists in Buenos Aires City and its surroundings].

作者信息

Lipovetzky Gustavo, Agrest Martín

机构信息

Capítulo de Psicofarmacología de APSA.

出版信息

Vertex. 2008 May-Jun;19(79):85-94.

PMID:18997901
Abstract

BACKGROUND

although psychopharmacotherapy and psychotherapy are very frequent in Buenos Aires city and its surroundings, there is no data about their combination.

METHOD

an anonymous survey was used to bring up psychiatrists and psychotherapists opinions upon combined, integrated and split treatments.

RESULTS

411 persons answered the survey; 95% of all psychiatrists and 91% of the psychotherapists had any kind of experience sharing treatments; 63% of psychiatrists' patients received a combination of psychopharmacological and psychological treatments; the condition of being a biological or dynamical psychiatrist showed to be related to the percentage of patients to which they only prescribed medication and to the percentage of patients under integrated treatments; on a 1 to 5 points Likert scale, the psychiatrist and psychotherapists assigned an average of 4,2 and 4,1 points respectively to the utility of shared treatments. 35% of the patients treated by psychotherapists also received medication; criticisms to how the psychiatrists do their job were different depending on the psychotherapists theoretical orientation.

CONCLUSIONS

triangular devices (between patients, psychiatrists and psychotherapists) are very frequent in Buenos Aires city and its surroundings, presenting important differences depending on the theoretical orientation of psychiatrists and psychotherapists. Their understanding and the preparation for the performance within them will have to be a priority in the curriculum of these professionals.

摘要

背景

尽管在布宜诺斯艾利斯市及其周边地区,心理药物治疗和心理治疗非常普遍,但尚无关于它们联合使用的数据。

方法

采用匿名调查来收集精神科医生和心理治疗师对联合治疗、综合治疗和分开治疗的看法。

结果

411人回答了调查;95%的精神科医生和91%的心理治疗师有过某种共同治疗的经历;63%的精神科医生的患者接受了心理药物治疗和心理治疗的联合治疗;生物取向或动力取向的精神科医生这一身份,与他们仅开药治疗的患者比例以及接受综合治疗的患者比例有关;在1至5分的李克特量表上,精神科医生和心理治疗师分别给共同治疗的效用平均打了4.2分和4.1分。心理治疗师治疗的患者中有35%也接受了药物治疗;根据心理治疗师的理论取向,对精神科医生工作方式的批评有所不同。

结论

在布宜诺斯艾利斯市及其周边地区,三角关系(患者、精神科医生和心理治疗师之间)非常普遍,根据精神科医生和心理治疗师的理论取向存在重要差异。对这些三角关系的理解以及在其中开展工作的准备,将不得不成为这些专业人员课程中的优先事项。

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