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角色与职责:会诊联络精神病学定义中的理论问题

Roles and responsibilities: theoretical issues in the definition of consultation liaison psychiatry.

作者信息

Agich G J

出版信息

J Med Philos. 1985 May;10(2):105-26. doi: 10.1093/jmp/10.2.105.

DOI:10.1093/jmp/10.2.105
PMID:4009078
Abstract

Central to much medical ethical analysis is the concept of the role of the physician. While this concept plays an important role in medical ethics, its function is largely tacit. The present paper attempts to bring the concept of a social role to prominence by focusing on an historically recent and rather richly contextured role, namely, that of consultation liaison psychiatry. Since my intention is primarily theoretical, I largely ignore the empirical studies which purport to develop the detailed functioning of the role. My limited intent is to draw attention to the theoretical complexity of the consultation liaison role as an example of the general relevance of role concepts to medical ethics. For this reason, consultation liaison psychiatry will function as an illustration of fundamental concepts of medical ethics rather than as a subject of analysis in its own right. Similarly, the concept of the social role will be developed only as is necessary to explore the general relationship between the consultation liaison role and ethical analysis.

摘要

许多医学伦理分析的核心是医生角色的概念。虽然这个概念在医学伦理中起着重要作用,但其功能在很大程度上是隐含的。本文试图通过关注一个历史上较新且背景丰富的角色,即会诊联络精神病学的角色,来突出社会角色的概念。由于我的意图主要是理论性的,所以我在很大程度上忽略了那些旨在阐述该角色详细功能的实证研究。我有限的目的是提请注意会诊联络角色的理论复杂性,以此作为角色概念与医学伦理普遍相关性的一个例子。出于这个原因,会诊联络精神病学将作为医学伦理基本概念的一个例证,而不是其本身作为一个分析对象。同样,社会角色的概念将仅在探索会诊联络角色与伦理分析之间的一般关系所必需的范围内展开。

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Roles and responsibilities: theoretical issues in the definition of consultation liaison psychiatry.角色与职责:会诊联络精神病学定义中的理论问题
J Med Philos. 1985 May;10(2):105-26. doi: 10.1093/jmp/10.2.105.
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[In favour of a systemic vision of liaison psychiatry].[支持联络精神医学的系统观]
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Consultation-liaison psychiatry and clinical ethics: a model for consultation and teaching.会诊联络精神病学与临床伦理学:一种会诊与教学模式
Gen Hosp Psychiatry. 1986 Nov;8(6):415-8. doi: 10.1016/0163-8343(86)90022-8.
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Ethical issues in the practice of forensic psychiatry.法医精神病学实践中的伦理问题。
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Consultation-liaison psychiatry and clinical ethics. Historical parallels and diversions.会诊联络精神病学与临床伦理学。历史的相似与差异。
Psychosomatics. 1997 Jul-Aug;38(4):309-12. doi: 10.1016/S0033-3182(97)71437-3.
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Political and interpersonal aspects of ethics consultation.伦理咨询的政治与人际因素
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Consultation-liaison psychiatry and the teaching of ethics.会诊联络精神病学与伦理学教学
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Response to the articles "Consultation-liaison psychiatry and the teaching of ethics," by J. R. McCartney and "Consultation-liaison psychiatry and clinical ethics," by J. R. Hayes.对J. R. 麦卡特尼所著《会诊联络精神病学与伦理学教学》以及J. R. 海斯所著《会诊联络精神病学与临床伦理学》两篇文章的回应。
Gen Hosp Psychiatry. 1986 Nov;8(6):419-21. doi: 10.1016/0163-8343(86)90023-x.
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Ethics consultation: skills, roles, and training.伦理咨询:技能、角色与培训。
Ann Intern Med. 1991 Jan 15;114(2):155-60. doi: 10.7326/0003-4819-114-2-155.
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Contemporary issues in obstetrics and gynecology for the consultation-liaison psychiatrist.联络会诊精神科医生面临的当代妇产科问题。
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