Cooper Joseph J, Korb Alexander S, Akil Mayada
Department of Psychiatry, University of Illinois at Chicago (Cooper); Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles (Korb); Department of Psychiatry, MedStar Georgetown University Hospital, Washington, D.C. (Akil).
Focus (Am Psychiatr Publ). 2019 Jan;17(1):2-7. doi: 10.1176/appi.focus.20180033. Epub 2019 Jan 7.
Clinical psychiatry has not historically expected practitioners to learn the basic science of psychiatric illness. Despite wide recognition that all effective psychiatric treatments have neurophysiological mechanisms, the field has struggled to integrate concepts of the mind and brain. Because of historical separations of clinical psychiatry and evolving neuroscience research, many psychiatric residency programs feel underresourced to teach clinically relevant neuroscience, and current residency graduates are not being prepared to integrate neuroscience findings into their practice. Significant strides have been made in the understanding of the neurobiology of psychiatric disorders. Similarly, the neurobiological mechanisms of a wide variety of treatments have been elucidated, spanning interventions from psychotherapy to physical exercise, electroconvulsive therapy, and modern neuromodulation techniques. The authors discuss strategies for integrating the language of clinical neuroscience into everyday psychiatric practice and review resources available to clinicians and trainees to help them acquire and practice these skills.
从历史上看,临床精神病学并不期望从业者学习精神疾病的基础科学。尽管人们普遍认识到所有有效的精神科治疗都具有神经生理机制,但该领域在整合心智与大脑的概念方面一直存在困难。由于临床精神病学与不断发展的神经科学研究在历史上相互分离,许多精神科住院医师培训项目觉得缺乏资源来教授与临床相关的神经科学,而目前的住院医师毕业生也没有为将神经科学研究结果融入实践做好准备。在对精神疾病的神经生物学理解方面已经取得了重大进展。同样,从心理治疗到体育锻炼、电休克治疗和现代神经调节技术等各种治疗的神经生物学机制也已得到阐明。作者们讨论了将临床神经科学语言融入日常精神科实践的策略,并回顾了可供临床医生和学员使用的资源,以帮助他们掌握并运用这些技能。