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[精神与躯体:会诊联络精神科医生能做出什么贡献?]

[Psyche and soma: what can the consultation-liaison psychiatrist contribute?].

作者信息

Diefenbacher Albert

机构信息

Abt. für Psychiatrie, Psychotherapie und Psychosomatik, Evangelisches Krankenhaus Königin Elisabeth Herzberge, Herzbergstraße 79, 10365, Berlin, Deutschland,

出版信息

Neuropsychiatr. 2015;29(2):54-62. doi: 10.1007/s40211-014-0126-6. Epub 2014 Nov 22.

Abstract

In German speaking countries, during the last decades, we can see a growing, though albeit small, integration of psychiatry and psychosomatics into (somatic) medicine. This article outlines the importance of the growing number of elderly patients in medical care as a vantage point for c-l-psychiatrists to play a pro-active role in implementing adequate structures and processes for diagnostics and treatment of this patient group. It is argued that delirium (in dementia) can and should be regarded as a paradigm for a biopsychosocial disorder sui generis. In addition, aspects of the cl-psychiatrists role at two important interfaces of somatic and psychological medicine, i.e. primary care and emergency rooms, are highlighted. Finally, some information about the development of the professionalization of cl-psychiatry in Europe is given.

摘要

在过去几十年中,在德语国家,我们可以看到精神病学和身心医学越来越多地融入(躯体)医学,尽管规模较小。本文概述了老年患者在医疗保健中的数量不断增加的重要性,这是临床精神科医生在为该患者群体实施适当的诊断和治疗结构及流程方面发挥积极作用的一个有利视角。有人认为,(痴呆症中的)谵妄可以而且应该被视为一种独特的生物心理社会障碍的范例。此外,还强调了临床精神科医生在躯体医学和心理医学的两个重要接口,即初级保健和急诊室中的作用。最后,提供了一些关于欧洲临床精神病学专业化发展的信息。

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