Fleck S
Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Soc Psychiatry Psychiatr Epidemiol. 1990 Jan;25(1):48-55. doi: 10.1007/BF00789070.
This overview sketches briefly the development of social psychiatry and its clinical application in institutions in modern times. The second and longest part addresses the family as the important social context for everybody throughout life. A systems view of family tasks and functioning is offered. In the third part, some of the highlights of psychiatric epidemiology are cited, and in the last section, community psychiatry is discussed - its failures and its potential. The need to establish interagency networks with continuing consultation and discussion concerning each patient is stressed, as well as the essentiality that our professions learn and cultivate general systems principles. Social psychiatry views the patient and the context in which he or she lives or works as a field in which one element affects all others in circular fashion.
本综述简要概述了社会精神病学的发展及其在现代机构中的临床应用。第二部分也是最长的部分探讨了家庭作为每个人一生重要社会背景的情况。文中提供了关于家庭任务和功能的系统观点。第三部分列举了精神疾病流行病学的一些要点,最后一部分讨论了社区精神病学——它的失败之处及其潜力。强调了建立跨机构网络的必要性,即就每位患者进行持续的咨询和讨论,以及我们的专业学习和培养一般系统原则的重要性。社会精神病学将患者及其生活或工作的环境视为一个领域,其中一个因素以循环方式影响所有其他因素。