University of Massachusetts Medical School, Worcester, MA, USA.
J Am Acad Psychiatry Law. 2011;39(2):194-6.
Disability assessments of patients are among the most common nontherapeutic evaluations requested of treating psychiatrists. Yet, there has been relatively little empirical analysis of how psychiatrists approach these evaluations in real clinical practice. Treating psychiatrists, those both with and without forensic expertise, struggle with the challenge of dual agency and overlapping therapeutic and forensic roles. Making the different roles clear to the patient can allow for more therapeutic exploration and alliance around further treatment goals, expectations, and interventions. Given the high prevalence of psychiatric disability and requested evaluations, psychiatric trainees would benefit from formal teaching, and it should be considered an important area for psychiatric continuing education.
对患者的残疾评估是治疗精神科医生最常要求进行的非治疗性评估之一。然而，对于精神科医生在实际临床实践中如何进行这些评估，几乎没有进行过相对较少的实证分析。具有和不具有法医专业知识的治疗精神科医生都在努力应对双重代理以及治疗和法医角色重叠的挑战。向患者明确不同的角色，可以允许对进一步的治疗目标、期望和干预措施进行更多的治疗探索和联盟。鉴于精神残疾的高患病率和评估请求，精神科培训生将受益于正式教学，并且应该将其视为精神科继续教育的重要领域。
