Merra S, Bosusco G, Campisi P, Lomonaco E, Gioeli A
U.S.S.L. n. 47, Ospedale degli Infermi, Biella (Vercelli).
Minerva Med. 1990 Mar;81(3 Suppl):135-7.
The consultancy activity performed by Biella Ward of the local general hospital in 1979-1987 is described. After presenting data regarding the quantity and nature of consultancy requests, the medico-hospital cultural background relating to mental suffering is analysed. The hospital often tends to address only the patient's bidimensional aspects, excluding his internal being. Because of a mutual, tacit contact between physician and patient, the moment of admission is seen as a "somatic repair service". The psychological crisis usually arises in the form of the breakdown of the contract when the possible uncertainty of diagnosis and the prolongation of clinical examination affects the personality. In the specific case of Biella Psychiatry, the forced closure of the Psychiatric Diagnosis and Care Service about six years ago helped push the Psychiatrist towards a "liaison" role.
本文描述了当地综合医院的比耶拉·沃德（Biella Ward）在1979年至1987年期间开展的咨询活动。在呈现了关于咨询请求的数量和性质的数据后，分析了与精神痛苦相关的医学 - 医院文化背景。医院常常倾向于只处理患者的二维方面，而忽略其内在本质。由于医生与患者之间存在一种相互的、默契的联系，入院时刻被视为一种“躯体修复服务”。当诊断的可能不确定性和临床检查的延长影响到人格时，心理危机通常以契约破裂的形式出现。在比耶拉精神病学的具体案例中，大约六年前精神科诊断与护理服务的被迫关闭促使精神科医生转向“联络”角色。
