Fink P J
Hosp Community Psychiatry. 1986 Aug;37(8):814-8. doi: 10.1176/ps.37.8.814.
The stigma associated with psychiatry is the most critical problem facing the profession, the author contends. He identifies the major sources of stigma as psychiatrists' internal conflicts over treatment ideologies and methods and the hostility between psychiatrists and other physicians that has led to disparagement of psychiatry as a medical specialty. To combat the stigma he recommends that highest priority be given to efforts to unify the profession and to increase psychiatry's participation in organized medicine. He also urges psychiatrists to limit self-revelation and self-exploration in the media, to emphasize the broad range of knowledge and skills that makes them uniquely suited to perform evaluative and triage functions, and to halt the current practices of shunting whole classes of patients off to other disciplines for care and of educating other disciplines in psychiatric techniques.
作者认为，与精神病学相关的污名是该行业面临的最关键问题。他指出污名的主要来源是精神科医生在治疗理念和方法上的内部冲突，以及精神科医生与其他医生之间的敌意，这种敌意导致了对精神病学作为一门医学专业的贬低。为了对抗污名，他建议将最高优先级给予统一该行业以及增加精神病学在有组织医学中的参与度的努力。他还敦促精神科医生在媒体上限制自我暴露和自我探索，强调使他们特别适合履行评估和分诊功能的广泛知识和技能范围，并停止目前将整类患者分流到其他学科进行治疗以及在精神病学技术方面培训其他学科的做法。
