封闭与开放的“危机”：基于部门化政策视角下的瑞典心理健康系统现状
A 'crisis' of closure and openness: the present state of the Swedish mental health system in the light of a policy of sectorisation.
作者信息
Goldie N, Fredén L
机构信息
Department of Social Sciences, South Bank Polytechnic, London, England.
出版信息
Soc Sci Med. 1991;32(4):499-506. doi: 10.1016/0277-9536(91)90353-e.
The Swedish mental health system has undergone rapid, if uneven change, since the early 1970s. Following a policy of sectorisation and mental hospital closure, there has emerged a new and more 'open' psychiatry. The expansion of community services has particularly benefited psychologists, while it has produced clashes of perspective as to the orientation of services. This paper explores the nature of these changes and the conflicts between psychiatry and psychology, and it points to the consequences of sectorisation for long term users of services.
自20世纪70年代初以来，瑞典的心理健康系统经历了迅速的变革，尽管这种变革并不均衡。在实行部门化和关闭精神病院的政策之后，一种新的、更为“开放”的精神病学应运而生。社区服务的扩展尤其使心理学家受益，与此同时，在服务方向上也产生了观点冲突。本文探讨了这些变化的性质以及精神病学与心理学之间的冲突，并指出了部门化对长期服务使用者的影响。
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