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["循证医学"与"经验医学"冲突领域的医学教学]

[Medical teaching in the area of conflict between "Evidence-based Medicine" and "Experience-based Medicine"].

作者信息

Resch Franz, Fegert J M

机构信息

Klinik für Kinder- und Jugendpsychiatrie, Zentrum für Psychosoziale Medizin des Universitätsklinikums Heidelberg.

出版信息

Z Kinder Jugendpsychiatr Psychother. 2009 Mar;37(2):97-103; quiz 104. doi: 10.1024/1422-4917.37.2.97.

Abstract

As a medical discipline Child and Adolescent Psychiatry and Psychotherapy has gained increasing importance within society since given the epidemiological importance of behavioural problems in childhood and adolescence, it has verifiably improved the developmental chances of children at high risk. Child and Adolescent Psychiatry and Psychotherapy therefore should be systematically integrated into the German Medical Curriculum. The bio-psycho-social model provides us with a comprehensive paradigm of psychiatric disorders and has to face the problem of hermeneutics. An equilibrium between Evidence-based Medicine and the individual clinical experience with patients (Experience-based Medicine) must be established within medical teaching, rather than playing one against the other. Ethical dilemmas of medical therapy have to be taken into account.

摘要

作为一门医学学科,儿童与青少年精神病学及心理治疗在社会中的重要性日益凸显。鉴于儿童和青少年行为问题在流行病学上的重要性,它已切实改善了高危儿童的发展机遇。因此,儿童与青少年精神病学及心理治疗应系统地纳入德国医学课程。生物 - 心理 - 社会模型为我们提供了一个全面的精神障碍范式,并且必须面对诠释学问题。在医学教学中,必须在循证医学与针对患者的个人临床经验(经验医学)之间建立平衡,而不是相互对立。必须考虑医学治疗中的伦理困境。

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