Ginzberg E
Hosp Community Psychiatry. 1987 Jul;38(7):725-8. doi: 10.1176/ps.38.7.725.
The author assesses psychiatry's accomplishments during the past quarter century and the challenges the profession faces in a changing political, economic, and medical environment. He believes that several of the policy decisions of the early 1960s, particularly the deinstitutionalization movement, were based on faulty premises and that their consequences hold valuable lessons for future policy planning. Among psychiatry's major challenges are advancing its knowledge base through intensive research; increasing the accessibility and quality of existing therapeutic services despite constrained resources; and enhancing confidence of the voting and paying public, including other physicians, in the field's unique capabilities. Such confidence will be conditioned on a rigorous redefinition of the boundaries of psychiatry, acknowledging both the field's limitations and its responsibilities to other than the "traditional" psychiatric patient.
作者评估了精神病学在过去四分之一个世纪中的成就，以及该专业在不断变化的政治、经济和医疗环境中所面临的挑战。他认为，20世纪60年代初的几项政策决定，尤其是去机构化运动，是基于错误的前提做出的，其后果为未来的政策规划提供了宝贵的教训。精神病学面临的主要挑战包括通过深入研究推进其知识基础；尽管资源有限，但仍要提高现有治疗服务的可及性和质量；以及增强投票的公众和付费的公众，包括其他医生，对该领域独特能力的信心。这种信心将取决于对精神病学边界的严格重新定义，既要承认该领域的局限性，也要承认其对“传统”精神病患者以外的人的责任。
