O'Reilly Jo, Gibbons Rachel, Heyland Simon, Yakeley Jessica
Camden and Islington NHS Foundation Trust, London, UK.
Royal College of Psychiatrists, London, UK.
BJPsych Bull. 2023 Dec;47(6):311-315. doi: 10.1192/bjb.2023.62.
In recent years, the Royal College of Psychiatrists has been engaged in activities to ensure parity of esteem for mental health within the National Health Service, seeking to bring resources and services more in line with those available for physical health conditions. Central to this has been the promotion of psychiatry as a profession that takes a biopsychosocial approach, considering all aspects of the patient's presentation and history in the understanding and treatment of mental disorders. However, there has been a drift away from considering the psychological aspects of the patient's difficulties in recent years. This potentially has profoundly negative consequences for clinical care, training, workforce retention and the perception of our identity as psychiatrists by our colleagues, our patients and the general public. This editorial describes this issue, considers its causes and suggests potential remedies. It arises from an overarching strategy originating in the Royal College of Psychiatrists Medical Psychotherapy Faculty to ensure parity of esteem for the psychological within the biopsychosocial model.
近年来，皇家精神病医学院一直致力于开展活动，以确保在国民医疗服务体系中实现心理健康与其他健康领域同等受重视，力求使心理健康领域的资源和服务更能与身体健康状况方面的资源和服务相匹配。其中的核心是推动将精神病学作为一门采用生物心理社会方法的专业，即在理解和治疗精神障碍时考虑患者表现及病史的各个方面。然而，近年来在考虑患者困难的心理层面上出现了偏离。这可能会给临床护理、培训、员工留存率以及同事、患者和公众对我们作为精神科医生身份的认知带来极其负面的影响。本社论阐述了这一问题，分析了其成因，并提出了可能的补救措施。它源自皇家精神病医学院医学心理治疗学院发起的一项总体战略，旨在确保在生物心理社会模型中，心理层面能获得同等重视。
