Perlmutter R A, Jones J E
Psychiatr Q. 1985 Spring;57(1):23-32. doi: 10.1007/BF01064974.
The first phase of the interview with families in psychiatric emergencies assesses the emergency and the family system. This is in preparation for the second phase, problem solving. Problem solving can consist of crisis intervention, social systems brokering, and/or therapy consultation. The authors describe a way of thinking about and intervening in family emergencies that maximizes therapist leverage and effectiveness with highly stressed and difficult families. Case examples are used to illustrate both the utility of the approach and the mistakes the authors made when certain tasks were ignored. The effective practice of emergency psychiatry is enhanced by the flexible use of systems and strategic principles.
在精神科急诊中，对家庭进行访谈的第一阶段是评估急诊情况和家庭系统。这是为第二阶段即解决问题做准备。解决问题可以包括危机干预、社会系统协调和/或治疗咨询。作者描述了一种思考和干预家庭急诊的方法，这种方法能在面对压力极大且难以应对的家庭时，最大限度地发挥治疗师的影响力和有效性。文中通过案例来说明该方法的实用性以及作者在忽略某些任务时所犯的错误。灵活运用系统和策略原则可提升急诊精神病学的有效实践。
