Hilton Claire
Historian in Residence, Royal College of Psychiatrists, UK.
BJPsych Bull. 2019 Jun;43(3):126-130. doi: 10.1192/bjb.2018.102. Epub 2018 Dec 27.
Historical evidence can be useful to inform debate about current dilemmas in health service policy. However, concepts of historical analysis may be problematic for doctors, for whom a model of 'history' is often based on clinical history-taking: a clinical history aims to explain the present, whereas a historical analysis aims to elucidate the past. This article discusses and illustrates these concepts, and highlights potential pitfalls of poor historical methodology. It also provides pointers about researching the history of psychiatry in the UK and how to contribute historical evidence to health service policy debates today.Declaration of interestNone.
历史证据有助于为当前卫生服务政策困境的辩论提供信息。然而,历史分析的概念对医生来说可能存在问题,因为他们的“历史”模式通常基于临床病史采集:临床病史旨在解释当下,而历史分析旨在阐明过去。本文讨论并阐释了这些概念,并强调了糟糕的历史方法论可能存在的潜在陷阱。它还提供了关于研究英国精神病学历史以及如何为当今卫生服务政策辩论提供历史证据的指导方针。利益声明无。