Detre T
Am J Psychiatry. 1987 May;144(5):621-5. doi: 10.1176/ajp.144.5.621.
The author reviews the vicissitudes of psychiatry's history over the past 50 years and urges the profession to abandon false boundaries between mind and brain and to make a commitment to the scientific validation of prevailing theories of the etiology of psychiatric disorders. He argues that the separation of psychiatry and neurology is no longer justified. He calls instead for a carefully conceived new career path leading to specialization in clinical neuroscience and further urges that psychiatric training programs be restructured to focus on the critical examination of problem solving and validation methods.
作者回顾了过去50年精神病学的历史变迁,并敦促该行业摒弃精神与大脑之间的虚假界限,致力于对当前精神疾病病因理论进行科学验证。他认为,精神病学与神经病学的分离已不再合理。相反,他呼吁精心设计一条通向临床神经科学专业化的新职业道路,并进一步敦促调整精神病学培训项目,以专注于对问题解决和验证方法的批判性审视。