Suppr超能文献

精神病学、主观性与情感——深化医学模式

Psychiatry, subjectivity and emotion - deepening the medical model.

作者信息

Yakeley Jessica, Hale Rob, Johnston James, Kirtchuk Gabriel, Shoenberg Peter

机构信息

Tavistock and Portman NHS Foundation Trust.

Leeds and York Partnership NHS Foundation Trust.

出版信息

Psychiatr Bull (2014). 2014 Jun;38(3):97-101. doi: 10.1192/pb.bp.113.045260.

Abstract

Morale among psychiatrists continues to be seriously challenged in the face of recruitment difficulties, unfilled posts, diagnostic controversies, service reconfigurations and public criticism of psychiatric care, in addition to other difficulties. In this article, we argue that the positivist paradigm that continues to dominate British psychiatry has led to an undervaluing of subjectivity and of the role of emotions within psychiatric training and practice. Reintegrating the subjective perspective and promoting emotional awareness and reflection may go some way towards restoring faith in the psychiatric specialty.

摘要

面对招聘困难、职位空缺、诊断争议、服务重新配置以及公众对精神科护理的批评等诸多难题,精神科医生的士气持续受到严峻挑战。在本文中,我们认为,继续主导英国精神病学的实证主义范式导致了在精神科培训和实践中对主观性以及情感作用的低估。重新纳入主观视角并促进情感意识与反思,或许在一定程度上有助于恢复对精神科专业的信心。

相似文献

1
Psychiatry, subjectivity and emotion - deepening the medical model.
Psychiatr Bull (2014). 2014 Jun;38(3):97-101. doi: 10.1192/pb.bp.113.045260.
2
Psychiatric specialty training in Greece.
Psychiatriki. 2017 Jan-Mar;28(1):15-18. doi: 10.22365/jpsych.2017.281.15.
3
Psychiatry at a crossroad: our role in primary care.
Am J Psychiatry. 1996 Nov;153(11):1398-403. doi: 10.1176/ajp.153.11.1398.
4
British psychiatry and its discontents.
J R Soc Med. 2010 Oct;103(10):397-402. doi: 10.1258/jrsm.2010.100041.
5
The DSM-ICD diagnostic approach as an essential bridge between the patient and the "big data".
Psychiatriki. 2018 Jul-Sep;29(3):249-256. doi: 10.22365/jpsych.2018.293.249.
6
The psychiatric training of medical students.
Can J Psychiatry. 1981 Aug;26(5):301-8. doi: 10.1177/070674378102600504.
8
Psychiatrists' accounts of insight.
Qual Health Res. 2012 Nov;22(11):1460-7. doi: 10.1177/1049732312450283. Epub 2012 Jun 28.
9
The attitudes, role & knowledge of mental health nurses towards euthanasia because of unbearable mental suffering in Belgium: A pilot study.
J Psychiatr Ment Health Nurs. 2018 Sep;25(7):400-410. doi: 10.1111/jpm.12475. Epub 2018 Jul 2.
10
Coercion in psychiatry: A cross-sectional study on staff views and emotions.
J Psychiatr Ment Health Nurs. 2021 Apr;28(2):149-162. doi: 10.1111/jpm.12643. Epub 2020 Jun 4.

引用本文的文献

1
Advancing treatment response prediction in first-episode psychosis: integrating clinical and electroencephalography features.
Psychiatry Clin Neurosci. 2025 Apr;79(4):187-196. doi: 10.1111/pcn.13791. Epub 2025 Feb 3.
2
Caring for affective subjects produced in intimate healthcare examinations.
Health (London). 2023 May;27(3):303-322. doi: 10.1177/13634593211020072. Epub 2021 May 27.
4
Epistemic injustice in psychiatry.
BJPsych Bull. 2017 Apr;41(2):65-70. doi: 10.1192/pb.bp.115.050682.
5
Limitations of the biopsychosocial model in psychiatry.
Adv Med Educ Pract. 2015 May 2;6:347-52. doi: 10.2147/AMEP.S82937. eCollection 2015.
6
The capacity to attain subjectivity and emotion: the value of continuity of care.
Psychiatr Bull (2014). 2014 Oct;38(5):251. doi: 10.1192/pb.38.5.251.

本文引用的文献

1
A golden age of discovery.
Br J Psychiatry. 2013 Jun;202:394-5. doi: 10.1192/bjp.bp.112.125039.
4
The role of affect in the estimation of risk.
J Ment Health. 2010 Oct;19(5):444-51. doi: 10.3109/09638231003728083.
5
Sharing vs. caring--the relative impact of sharing decisions versus managing emotions on patient outcomes.
Patient Educ Couns. 2011 Feb;82(2):233-9. doi: 10.1016/j.pec.2010.04.001.
8
Medical students' attitudes toward patient-centred care: a longitudinal survey.
Med Educ. 2007 Feb;41(2):146-53. doi: 10.1111/j.1365-2929.2006.02668.x.
9
Beyond curriculum reform: confronting medicine's hidden curriculum.
Acad Med. 1998 Apr;73(4):403-7. doi: 10.1097/00001888-199804000-00013.
10
Training medical students in patient-centered medicine.
Compr Psychiatry. 1969 Jul;10(4):249-58. doi: 10.1016/0010-440x(69)90001-7.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验