Sands R G
Soc Work Health Care. 1985 Spring;10(3):91-105. doi: 10.1300/J010v10n03_06.
With the introduction of lithium and increasing evidence that bipolar disorder is a biogenetic condition, changes have occurred in the diagnosis and treatment of bipolar disorder. Cross-cultural studies indicate that in the United States there is a tendency to overuse the diagnosis of schizophrenia when bipolar may be indicated. Both disorders have psychotic symptoms, rendering diagnostic confusion possible. This paper describes the characteristics of bipolar disorder, explanatory theories and treatment. A medical model of treatment is preferred. Issues of concern to social workers are addressed.
随着锂盐的引入以及越来越多的证据表明双相情感障碍是一种生物遗传性疾病，双相情感障碍的诊断和治疗发生了变化。跨文化研究表明，在美国，当可能提示为双相情感障碍时，存在过度诊断精神分裂症的倾向。这两种疾病都有精神病性症状，可能导致诊断混淆。本文描述了双相情感障碍的特征、解释性理论和治疗方法。首选医学治疗模式。文中还讨论了社会工作者关注的问题。
