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心理学家能识别出他们患者的神经疾病吗?

Can psychologists recognize neurological disorders in their patients?

作者信息

Sbordone R J, Rudd M

出版信息

J Clin Exp Neuropsychol. 1986 Jun;8(3):285-91. doi: 10.1080/01688638608401319.

DOI:10.1080/01688638608401319
PMID:3722353
Abstract

A variety of insidious neurological disorders may present initially as psychological difficulties. In an effort to determine whether psychologists could recognize these disorders in their patients and refer them to a neurologist or nonneurological physician, a questionnaire containing four clinical vignettes was sent to a total of 566 members of the Los Angeles Psychological Association. Each vignette contained a salient description of an underlying neurological disorder with a psychological presentation. No explicit indication was made that the psychological problem represented an underlying neurological disorder. Each psychologist was instructed to read each vignette carefully and to decide what to recommend for each patient. Analysis of the data revealed that nearly one-third of the psychologists failed to recognize the underlying neurological disorder.

摘要

多种隐匿性神经疾病最初可能表现为心理问题。为了确定心理学家是否能够识别其患者中的这些疾病并将他们转介给神经科医生或非神经科医生,一份包含四个临床病例的问卷被发送给了洛杉矶心理协会的总共566名成员。每个病例都包含了一种具有心理表现的潜在神经疾病的显著描述。没有明确指出心理问题代表潜在的神经疾病。每位心理学家都被要求仔细阅读每个病例,并决定为每位患者推荐何种治疗。数据分析显示,近三分之一的心理学家未能识别出潜在的神经疾病。

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