Priebe S
Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Services Development, Queen Mary University of London, Newham Centre for Mental Health, E13 8SP, London, Großbritannien.
Nervenarzt. 2018 Nov;89(11):1217-1226. doi: 10.1007/s00115-018-0589-y.
The paper addresses possible perspectives for the future of psychiatry in Europe over the next 30 years. Initially, an historical overview over the history of psychiatry since the Enlightenment suggests that significant changes did not primarily originate in psychiatry itself but were rather the result of the given societal contexts. The paper then describes five different potential scenarios for psychiatric care in 30 years time. Following that, the current situation of psychiatrists and possible signs of a crisis are outlined, and specific aspects that characterize the job of psychiatrists, as compared to other medical disciplines and other professional groups in mental healthcare, are considered. Finally, suggestions are made to make psychiatry more attractive, effective and relevant in society, which may make the profession better equipped for future changes.
本文探讨了未来30年欧洲精神病学的可能前景。首先，对自启蒙运动以来的精神病学史进行的历史概述表明，重大变革并非主要源于精神病学本身，而是特定社会背景的结果。然后，本文描述了30年后精神科护理的五种不同潜在情景。在此之后，概述了精神科医生的现状和可能的危机迹象，并将精神科医生的工作与精神卫生保健中的其他医学学科和其他专业群体进行比较，考虑了其工作的具体特点。最后，提出了一些建议，以使精神病学在社会中更具吸引力、更有效且更具相关性，这可能会使该专业更好地应对未来的变化。
