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[改善精神科患者门诊挂号的前提条件及新方法]

[Prerequisites and new approaches toward improving the outpatient registration of mental patients].

作者信息

Churkin A A, Gurovich I Ia, Kiselev A S

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1987;87(11):1725-31.

PMID:2963468
Abstract

An increase in the registered numbers of mental outpatients, particularly at the expense of persons with borderline abnormalities, which is attendant by certain social restrictions for the latter group, is fraught with compromising the personality of these on the whole normal persons, which necessitates reorganization of the existing practice of registering patients in psychoneurological institutions. It is proposed that the existing form of registration be applied only to psychotic patients. In accordance with the level criterion patients with mental disorders of the borderline level are not liable to registration, provided their main links and relations in the social environment have remained intact. Registration should be strictly based on such time limits which can be justified on medico-social and clinico-therapeutical grounds.

摘要

精神科门诊登记人数的增加,尤其是以边缘性异常患者为代价,同时对后一组患者有一定的社会限制,这有可能损害这些总体正常的人的人格,因此有必要重新组织精神神经科机构现有的患者登记做法。建议现有的登记形式仅适用于精神病患者。根据水平标准,边缘性精神障碍患者若其在社会环境中的主要联系和关系保持完整,则无需登记。登记应严格基于可从医学 - 社会和临床治疗角度证明合理的时间限制。

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