Andrews G, Hadzi-Pavlovic D
School of Psychiatry, University of New South Wales.
Aust N Z J Psychiatry. 1988 Jun;22(2):153-65. doi: 10.3109/00048678809158955.
A random sample of psychiatrists was asked to supply details about their last 20 patients. Sixty percent responded. The median patient in treatment was aged 36 and saw a psychiatrist in office practice once a month over a three year period. Forty-one percent of the patient case load suffered from a psychotic disorder, 39% from a neurosis, and 6% from a personality disorder. Marital problems, problems in living and drug or alcohol dependence were infrequent reasons for consultation. Two positive conclusions were drawn: that the case load reflected the morbidity in the community, and that the prognosis for patients with personality disorders was better than usually expected. There were two areas of concern that may need attention: that insight and group psychotherapy require substantial numbers of treatment hours, and that behavioural psychotherapy is rarely used for patients with neurotic conditions.
随机抽取了一些精神科医生，请他们提供其最近20名患者的详细信息。60%的医生做出了回应。接受治疗的患者年龄中位数为36岁，在三年时间里每月到门诊看一次精神科医生。41%的患者患有精神障碍，39%患有神经症，6%患有精神人格障碍。婚姻问题、生活问题以及药物或酒精依赖是不常见的咨询原因。得出了两个积极的结论：病例数量反映了社区的发病率，以及人格障碍患者的预后比通常预期的要好。有两个可能需要关注的方面：领悟疗法和团体心理治疗需要大量的治疗时间，以及行为心理治疗很少用于患有神经症的患者。
