Schwab J J
Psychosomatics. 1989 Summer;30(3):245-54. doi: 10.1016/S0033-3182(89)72268-4.
The author reviews the history of consultation-liaison psychiatry from its roots in the 1751 charter of the Pennsylvania Hospital in Philadelphia. The field has evolved through three distinct phases and has currently entered a fourth stage, called the consolidation phase, which is characterized by shrinkage of programs, marked reduction in liaison activities, and anxiety about its validity and future. While the survival of consultation-liaison psychiatry is threatened by inadequate financial resources, the author believes that the increasing demand for C-L psychiatrists will eventually mandate a greater investment in the special expertise they offer.
作者回顾了会诊联络精神病学的历史，其起源可追溯至1751年费城宾夕法尼亚医院的宪章。该领域已历经三个不同阶段，目前进入了第四个阶段，即整合阶段，其特点是项目缩减、联络活动显著减少以及对其有效性和未来的焦虑。尽管会诊联络精神病学的生存受到资金不足的威胁，但作者认为，对会诊联络精神病医生日益增长的需求最终将促使对他们所提供的专业知识进行更多投资。
