Yakeley Jessica, Hale Rob, Johnston James, Kirtchuk Gabriel, Shoenberg Peter
Tavistock and Portman NHS Foundation Trust.
Leeds and York Partnership NHS Foundation Trust.
Psychiatr Bull (2014). 2014 Jun;38(3):97-101. doi: 10.1192/pb.bp.113.045260.
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.
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。