Vasile R G, Samson J A, Bemporad J, Bloomingdale K L, Creasey D, Fenton B T, Gudeman J E, Schildkraut J J
Am J Psychiatry. 1987 Mar;144(3):341-4. doi: 10.1176/ajp.144.3.341.
The authors describe the development of an affective disorders consultation service that implemented a biopsychosocial model of subspecialty consultation within a university-affiliated community mental health center. They retrospectively analyzed the first 2 years of consultations, assessing the process of consultation and examining patterns of consultee inquiries and consultation recommendations. Consultants recommended combined psychopharmacologic and psychodynamic therapies for most patients and found psychodynamic psychotherapy strikingly overlooked by consultees, all of whom were psychiatrists or other mental health professionals. This evaluation documents the psychiatric consultees' deemphasis of the biopsychosocial perspective in clinical practice.
作者描述了一种情感障碍咨询服务的发展情况,该服务在一所大学附属社区心理健康中心内实施了亚专业咨询的生物心理社会模型。他们回顾性分析了前两年的咨询情况,评估咨询过程,并检查咨询对象的询问模式和咨询建议。顾问们为大多数患者推荐了联合药物治疗和心理动力治疗,发现心理动力心理治疗被咨询对象严重忽视,而这些咨询对象都是精神科医生或其他心理健康专业人员。这项评估记录了精神科咨询对象在临床实践中对生物心理社会观点的不重视。