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小儿双相情感障碍与发育性创伤及整体评估与护理:埃德·莱文博士的贡献

Pediatric bipolar disorder versus developmental trauma and holistic assessment and care: the contribution of Dr. Ed Levin.

作者信息

Parry Peter I

机构信息

Children's Health Research Clinical Unit, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia.

Department of Psychiatry, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.

出版信息

Front Psychiatry. 2025 Jul 7;16:1541905. doi: 10.3389/fpsyt.2025.1541905. eCollection 2025.

Abstract

This perspective article presents the work of Dr. Edmund (Ed) C Levin (1931-2022), child and adolescent psychiatrist in Berkeley, California. Levin drew from over half a century of continuity of clinical practice with his patients and knowledge of developmental psychopathology. He was witness to a paradigm shift in American psychiatry from what Eisenberg termed a 'brainless' to a 'mindless' approach in research and clinical practice. He was motivated by concern for medical ethical treatment guided by awareness of the patient's individual biopsychosocial contributing factors to their predicament and symptoms. He addressed the pediatric bipolar disorder era by championing a recognition of the long-term effects of childhood maltreatment and developmental trauma across the lifespan. His work in both child and youth residential and geriatric residential units exemplified this.

摘要

这篇观点文章介绍了埃德蒙·(埃德)·C·莱文博士(1931 - 2022)的工作,他是加利福尼亚州伯克利市的儿童和青少年精神病医生。莱文借鉴了他与患者长达半个多世纪的临床实践连续性以及发展性精神病理学知识。他见证了美国精神病学从艾森伯格所称的研究和临床实践中的“无头脑”方法到“无心灵”方法的范式转变。他出于对医学伦理治疗的关注,这种关注源于对患者个体生物心理社会因素对其困境和症状影响的认识。他通过倡导认识童年虐待和发展性创伤在整个生命周期的长期影响来应对儿童双相情感障碍时代。他在儿童和青少年住院部以及老年住院部的工作就是这一点的例证。

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Reification of the paediatric bipolar hypothesis in the USA.
Lancet Psychiatry. 2015 Jan;2(1):14-6. doi: 10.1016/S2215-0366(14)00075-3. Epub 2015 Jan 8.
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The challenges of treating developmental trauma disorder in a residential agency for youth.
J Am Acad Psychoanal Dyn Psychiatry. 2009 Fall;37(3):519-38. doi: 10.1521/jaap.2009.37.3.519.
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Pre-pubertal paediatric bipolar disorder: a controversy from America.
Australas Psychiatry. 2008 Apr;16(2):80-4; discussion 85-6. doi: 10.1080/10398560701829592.
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Child psychiatrists and the threat of nuclear war.
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