Coryell W
Am J Psychiatry. 1987 Jul;144(7):913-7. doi: 10.1176/ajp.144.7.913.
Psychiatric residents completing their training in 1976, 1978, 1980, and 1986 were sent surveys on their attitudes toward treatment and training among a "dynamic-organic continuum." Their responses indicated decreasing antagonism toward the medical model and increasing endorsement of medical education, experience in neurology, and the internship as essential aspects of psychiatric education. The rankings of various treatment modalities for each of four disorders were remarkably stable across surveys. Except for megavitamin therapy, residents in 1986 were at least somewhat more likely to consider essential each of six therapies for each of the four disorders, indicating a general increase in therapeutic optimism.
1976年、1978年、1980年和1986年完成培训的精神科住院医师收到了关于他们在“动态-器质性连续体”中对治疗和培训态度的调查问卷。他们的回答表明，对医学模式的敌意有所减少，对医学教育、神经学经验以及实习作为精神科教育重要方面的认可度有所提高。在各项调查中，四种疾病各自的各种治疗方式排名都非常稳定。除了大剂量维生素疗法外，1986年的住院医师至少在某种程度上更倾向于认为四种疾病各自的六种疗法中的每一种都是必不可少的，这表明治疗乐观情绪普遍有所增加。
