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美国的成瘾医学与成瘾精神病学:康复医生对成瘾医学治疗的影响。

Addiction medicine and addiction psychiatry in America: The impact of physicians in recovery on the medical treatment of addiction.

作者信息

Freed Christopher R

出版信息

Contemp Drug Probl. 2007 Spring;34(1):111-135.

Abstract

Two distinct medical disciplines treat addiction in the United States: Addiction medicine and addiction psychiatry. This article argues that physicians recovering from alcoholism or drug abuse played a key role in creating the field of addiction medicine, and that the development of addiction medicine inadvertently contributed to the formation of addiction psychiatry. Addiction medicine's undercurrent of recovery, specifically questions about the knowledge that recovering physicians call on to treat addiction, remains central to an ongoing professional conflict between addiction medicine and addiction psychiatry.

摘要

在美国,有两个不同的医学学科治疗成瘾问题:成瘾医学和成瘾精神病学。本文认为,从酗酒或药物滥用中康复的医生在创建成瘾医学领域中发挥了关键作用,并且成瘾医学的发展无意中促成了成瘾精神病学的形成。成瘾医学中康复的暗流,特别是关于康复医生用于治疗成瘾的知识的问题,仍然是成瘾医学和成瘾精神病学之间持续的专业冲突的核心。

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本文引用的文献

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The impaired physician movement: an interim report.受损医生行动:中期报告。
Hosp Community Psychiatry. 1985 Mar;36(3):294-7. doi: 10.1176/ps.36.3.294.
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The impact of specialization on health care.专业化对医疗保健的影响。
Ann Surg. 1985 May;201(5):537-44. doi: 10.1097/00000658-198505000-00001.
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Treating substance abusers: why therapists fail.治疗药物滥用者:治疗师为何失败。
Hosp Community Psychiatry. 1986 Aug;37(8):769. doi: 10.1176/ps.37.8.769.

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