Li Thomas Cheuk Wing
Psychiatry Outpatient Department, North District Hospital, 9 Po Kin Road, Sheung Shui, Hong Kong.
J Am Acad Psychoanal Dyn Psychiatry. 2010 Winter;38(4):655-74. doi: 10.1521/jaap.2010.38.4.655.
This paper presents a framework for understanding the psychodynamic issues pertaining to psychopharmacology. It examines the treatment situation from three perspectives: the self-in-relation-to-others, the patient-prescriber relationship, and cultural attitudes. It discusses psychodynamic factors involved in clinical improvement and deterioration. The relevance of these issues is discussed and contrasted with the biomedical model of mental illness. It concludes by advocating the mindfulness of psychodynamic factors and the maintenance of dialectics in clinical practice.
本文提出了一个理解与精神药理学相关的心理动力学问题的框架。它从三个角度审视治疗情境：自我与他人的关系、患者与开方者的关系以及文化态度。它讨论了临床改善和恶化中涉及的心理动力学因素。探讨了这些问题的相关性，并与精神疾病的生物医学模型进行了对比。文章最后倡导在临床实践中关注心理动力学因素并保持辩证思维。
