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精神科医生在向其他医学专业教授人类性行为方面的作用。

Psychiatrists' role in teaching human sexuality to other medical specialties.

机构信息

SUNY-Downstate, Department of Psychiatry, 450 Clarkson Ave., Box 1203, Brooklyn, NY 11203, USA.

出版信息

Acad Psychiatry. 2010 Sep-Oct;34(5):381-5. doi: 10.1176/appi.ap.34.5.381.

Abstract

OBJECTIVES

This article addresses the potential role for psychiatrists in teaching sexuality to other medical disciplines.

METHODS

The authors searched PsycNet and PubMed/MEDLINE for pertinent articles and studies from the period between 1990 and 2009 using the terms human sexuality; teaching human sexuality; teaching methods; education and treatment in human sexuality; and medical practice. The senior author also drew on 20 years of experience teaching other medical specialists.

RESULTS

Although few studies exist, the authors identified areas in which a psychiatrist might have particular teaching skills to impart: taking a sexual history; patient and physician communication; the partner's role; effects of depression on sexual health; sexual trauma and abuse; physical, intellectual, and developmental disabilities; sexual boundary issues; and working with gay, lesbian, bisexual, and transgendered persons.

CONCLUSION

Psychiatrists deal with complex emotional issues and are alert to subtle emotional cues. They gather detailed histories, screen thoroughly for psychopathology, and consider the importance of interpersonal relationships. These attributes are potentially valuable when psychiatrists assist other specialists in addressing patients' sexual health. Psychiatrists with additional training in sexuality may be particularly adept in educating colleagues from other specialties.

摘要

目的

本文探讨了精神科医生在向其他医学学科教授性学方面的潜在作用。

方法

作者使用“人类性行为”、“教授人类性行为”、“教学方法”、“人类性行为的教育和治疗”以及“医学实践”等术语,在 1990 年至 2009 年期间,在 PsycNet 和 PubMed/MEDLINE 上搜索相关文章和研究。资深作者还借鉴了 20 年教授其他医学专家的经验。

结果

尽管研究较少,但作者确定了精神科医生可能具有特殊教学技能的领域:获取性史;医患沟通;伴侣的角色;抑郁对性健康的影响;性创伤和虐待;身体、智力和发育障碍;性边界问题;以及与同性恋、双性恋、变性者合作。

结论

精神科医生处理复杂的情绪问题,并对微妙的情绪线索保持警觉。他们收集详细的病史,彻底筛查精神病理学,并考虑人际关系的重要性。当精神科医生协助其他专家解决患者的性健康问题时,这些属性可能具有潜在价值。在性学方面接受过额外培训的精神科医生可能特别擅长教育其他专业的同事。

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