Am Psychol. 2011 Dec;66(9):835-49. doi: 10.1037/a0025890. Epub 2011 Oct 17.
The guidelines presented in this document are intended to provide a resource to psychologists interested in the issue of what represents optimal practice in relation to pharmacotherapy. They are not intended to apply to those psychologists who choose not to become directly or indirectly involved in medication management regardless of their level of competency. Some of the guidelines presented in this document are targeted specifically to the population of psychologists with prescriptive authority. Others are considered relevant in any case where the psychologist is actively involved in decision making, whether as a prescriber or collaborator. Still others are considered applicable any time a psychologist is involved in the practice of pharmacotherapy, whether as a prescriber, collaborator, or information provider. Given the unique elements of the population of psychologists who can prescribe on the one hand, and the frequency with which psychologists participate in collaborative and information-providing activities on the other, it was considered important to provide guidelines appropriate to each set of activities. However, it is also important to recognize that a principle of optimal practice may have different implications in the context of active participation versus providing information. In particular, the distinction between active participation and providing information can often be blurred in the practice setting, with a psychologist often playing different roles at different points in the treatment. Given the ambiguity that surrounds these activities, it is urged that these guidelines be read with the understanding that the clearest practice delineation occurs between those psychologists who possess prescriptive authority and those who do not, and that psychologists who do not possess prescriptive authority use critical judgment in determining which guidelines best inform their practice.
本文件中提出的准则旨在为对药物治疗相关的最佳实践问题感兴趣的心理学家提供资源。它们并不适用于那些选择不直接或间接参与药物管理的心理学家,无论其能力水平如何。本文件中提出的一些准则专门针对具有处方权的心理学家群体。其他准则则被认为在心理学家积极参与决策的任何情况下都相关,无论是作为处方者还是合作者。还有一些准则被认为在心理学家参与药物治疗实践的任何时候都适用,无论是作为处方者、合作者还是信息提供者。鉴于一方面可以开处方的心理学家群体的独特性,以及另一方面心理学家参与合作和提供信息活动的频率,认为提供适合每一组活动的准则非常重要。然而,同样重要的是要认识到,最佳实践原则在积极参与与提供信息的背景下可能有不同的含义。特别是,在实践环境中,积极参与和提供信息之间的区别往往很模糊,心理学家在治疗的不同阶段常常扮演不同的角色。考虑到这些活动周围的模糊性,强烈建议在阅读这些准则时要明白,最明确的实践划分是在那些具有处方权的心理学家和那些没有处方权的心理学家之间,并且没有处方权的心理学家在确定哪些准则最能为他们的实践提供信息时要运用批判性判断。