Enelow A J
Calif Med. 1966 Jan;104(1):16-21.
As prevention in psychiatry really refers to early detection and consequent prevention of complications and chronicity, the general practitioner is the most important person in the medical community in preventing mental disorders. As more postgraduate courses in psychiatry become available to practicing family physicians, the majority of patients with psychiatric disorders will be effectively managed by the general medical practitioner. The family physician is already doing this, although not as well as he could. In some instances, he may be unaware of the extent to which the disease with which he deals is psychic disease. As the number of community health centers increases, family physicians will play a vital role in their function. With the necessary knowledge to detect psychic disturbance and to treat emotional disorders effectively, the family physician will prevent many of the instances of progression to chronic psychiatric illness with which we are now plagued. The psychiatrist of the future will act as consultant, treating only patients with the more complicated mental disorders.
由于精神病学中的预防实际上是指早期发现并随之预防并发症和慢性病，全科医生是医学界预防精神障碍最重要的人员。随着越来越多面向执业家庭医生的精神病学研究生课程出现，大多数精神障碍患者将由普通医生进行有效管理。家庭医生已经在这样做了，尽管做得还不够好。在某些情况下，他可能没有意识到自己所诊治的疾病在多大程度上是精神疾病。随着社区卫生中心数量的增加，家庭医生将在其功能中发挥至关重要的作用。凭借检测精神障碍和有效治疗情绪障碍的必要知识，家庭医生将预防许多我们目前所困扰的进展为慢性精神疾病的情况。未来的精神科医生将担任顾问，只治疗患有更复杂精神障碍的患者。
