Miller S I, Frances R
University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark 07103.
Am J Drug Alcohol Abuse. 1986;12(3):187-97. doi: 10.3109/00952998609007389.
4,657 out of a total APA membership of 28,000 expressed a particular interest in alcoholism and substance abuse. 1,705 of these responded to a questionnaire studying their attitudes and practices. Most of these do part-time work in the field with 9.9% being subspecialists. Self-report responses indicated that psychiatrists have incorporated a disease concept, abstinence orientation, utilized AA, education, supportive therapy, and a range of other modalities, think of addictions as treatable psychiatric disorders, and very infrequently use maintenance minor tranquilizers. Most became interested because of community need. However, 41.4% had a training experience including 36.1% who had a rotation on a substance abuse service. Psychiatrists are becoming aware that substance use disorders are an important component of psychiatry, and they are growing more assertive about their role in it.
在28000名美国精神病学协会会员中，有4657人对酗酒和药物滥用表现出特别兴趣。其中1705人回复了一份研究他们态度和做法的调查问卷。这些人中大多数从事该领域的兼职工作，9.9%是专科医生。自我报告的结果表明，精神科医生已经纳入了疾病概念、戒酒导向，采用了戒酒互助会、教育、支持性治疗以及一系列其他方法，将成瘾视为可治疗的精神障碍，并且很少使用维持性小剂量镇静剂。大多数人是因为社区需求而产生兴趣。然而，41.4%的人有过培训经历，其中36.1%的人曾在药物滥用服务部门轮岗。精神科医生逐渐意识到物质使用障碍是精神病学的一个重要组成部分，并且他们对自己在其中的作用越来越坚定。
