Psychiatric and Mental Health Nursing, University of Maine, Orono, Maine 04469, USA.
Int J Ment Health Nurs. 2013 Apr;22(2):125-34. doi: 10.1111/j.1447-0349.2012.00850.x. Epub 2012 Oct 15.
Examination of the names used to signify a nurse who specializes in working with people with mental health problems indicates the absence of a shared nomenclature and the frequent conflation of the terms 'psychiatric' and 'mental health'. Informed by the work of Derrida (1978) and Saussure (1916-1983), the authors encourage the deconstruction of and problematization of these terms, and this shows that what nurses who work with people with so-called mental illness are called has depended on where they have worked, the vagaries of passing fashion, and public policy. Further, there are irreconcilable philosophical, theoretical, and clinical positions that prevent nurses from practicing simultaneously as 'psychiatric' and 'mental health' nurses. Related service user literature indicates that it is disingenuous to camouflage 'psychiatric' services as 'mental health' services, and as signifiers, signified, and signs, psychiatric and mental health nursing are sustained by political agendas, which do not necessarily prioritize the needs of the person with the illness. Clearly demarked and less disingenuous signs for both mental health and psychiatric care would not only be a more honest approach, but would also be in keeping with the service user literature that highlights the expectation that there are two signs (and thus two services): psychiatric and mental health services.
检查用于表示专门从事心理健康问题人群工作的护士的名称表明，缺乏通用的命名法，并且经常将“精神病学”和“心理健康”这两个术语混淆。受德里达（1978）和索绪尔（1916-1983）的工作的启发，作者鼓励对这些术语进行解构和质疑，这表明与所谓的精神疾病患者一起工作的护士被称为取决于他们工作的地点、时尚的变幻无常以及公共政策。此外，还有不可调和的哲学、理论和临床立场，阻止护士同时作为“精神病学”和“心理健康”护士进行实践。相关的服务用户文献表明，将“精神病学”服务伪装为“心理健康”服务是不诚实的，并且作为能指、所指和符号，精神病学和心理健康护理受到政治议程的支持，这些议程不一定优先考虑患者的需求。明确区分心理健康和精神病护理的标志不仅会更加诚实，而且也符合服务用户文献的要求，该文献强调有两个标志（因此有两个服务）：精神病学服务和心理健康服务。
