Rowland N, Irving J, Maynard A
J R Coll Gen Pract. 1989 Mar;39(320):118-20.
It has been suggested that general practitioners are in a prime position to counsel patients presenting with psychosocial problems. While many doctors use counselling skills in their consultations few have received training in counselling and the difference between the use of counselling skills and the process of counselling is not always understood. This paper examines the differences between counselling and counselling skills and compares the role of doctors and counsellors. It is concluded that there is a need for trained counsellors to work alongside general practitioners and that this is of benefit to patients and all members of the primary care team.
有人认为,全科医生处于为出现社会心理问题的患者提供咨询的有利位置。虽然许多医生在诊疗过程中会运用咨询技巧,但很少有人接受过咨询方面的培训,而且咨询技巧的运用与咨询过程之间的差异并不总是被理解。本文探讨了咨询与咨询技巧之间的差异,并比较了医生和咨询师的角色。结论是,需要有经过培训的咨询师与全科医生一起工作,这对患者和基层医疗团队的所有成员都有益处。