Trivedi J K, Goel Dishanter
Professor, Department of Psychiatry, King George's Medical University, Lucknow, India. E-mail:
Mens Sana Monogr. 2006 Jan;4(1):166-83. doi: 10.4103/0973-1229.27613.
Psychiatry has come up as one of the most dynamic branches of medicine in recent years. There are a lot of controversies regarding concepts, nosology, definitions and treatments in psychiatry, all of which are presently under a strict scanner. Differences are so many that even the meaning of psychiatry varies amongst individual psychiatrists. For us, it is an art to practice psychiatry and give the patient what he needs. Still, it should be practiced with great caution and utmost sincerity towards the patient, based on scientific knowledge and not to be guided by individual conceptions alone. Ethics in psychiatry forms an integral part of its basic concept and meaning, and a tight balance should be maintained between professional advancement and patient benefit. In recent years, the scope of psychiatry has enlarged considerably, with wide ranging influences from Sociology, Anthropology and Philosophy on the one hand, and Neurology and Medicine on the other.
近年来,精神病学已成为医学中最具活力的分支之一。在精神病学领域,关于概念、疾病分类学、定义和治疗方法存在诸多争议,目前所有这些都受到严格审视。分歧如此之多,以至于即使在个体精神科医生中,精神病学的含义也不尽相同。对我们而言,从事精神病学并给予患者所需是一门艺术。尽管如此,仍应以科学知识为基础,极其谨慎且真诚地对待患者,而不能仅受个人观念的引导。精神病学中的伦理是其基本概念和意义的一个组成部分,在职业发展与患者利益之间应保持严格的平衡。近年来,精神病学的范围大幅扩大,一方面受到社会学、人类学和哲学的广泛影响,另一方面受到神经学和医学的影响。