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意大利的综合医院精神病学:关于1978年第180号法律之后精神病患者的住院治疗及会诊-联络精神病学

General hospital psychiatry in Italy: on the hospitalization of psychiatric patients and consultation-liaison psychiatry after Law 180, 1978.

作者信息

Cazzullo C L, Comazzi A M, Guaraldi G P, Rigatelli M, Verdecchia A

出版信息

Gen Hosp Psychiatry. 1984 Oct;6(4):261-5. doi: 10.1016/0163-8343(84)90019-7.

DOI:10.1016/0163-8343(84)90019-7
PMID:6489745
Abstract

The type of psychiatric assistance carried out in Italy before Basaglia's views gained ground--that is, before 1968, when his book L'Istituzione Negata was published--is first described. The "Democratic Psychiatry" movement he launched was the mainspring of Law 180 (1978), known to have led to the closing of asylums. This law has brought about moves to create new mental health community services covering wide areas, the setting up of special diagnosis and care sections in general hospitals responsible for compulsory admissions--and overcrowding in private clinics and University clinics within general hospitals. The role of the psychiatric ward (opposed by the supporters of "Democratic Psychiatry") and of consultation-liaison psychiatry within the ambit of the general hospital is then discussed in the light of our experience.

摘要

首先描述了在意大利,在巴萨利亚的观点得到广泛认可之前——即1968年他的著作《被否定的机构》出版之前——所开展的精神科援助类型。他发起的“民主精神病学”运动是第180号法律(1978年)的主要推动力,该法律导致了精神病院的关闭。这项法律推动了一系列举措,包括创建覆盖广泛地区的新的心理健康社区服务,在综合医院设立负责强制收治的特殊诊断和护理部门,以及私立诊所和综合医院内大学诊所的过度拥挤问题。然后根据我们的经验,讨论了精神科病房(遭到“民主精神病学”支持者反对)和综合医院范围内的会诊联络精神病学的作用。

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General hospital psychiatry in Italy: on the hospitalization of psychiatric patients and consultation-liaison psychiatry after Law 180, 1978.意大利的综合医院精神病学:关于1978年第180号法律之后精神病患者的住院治疗及会诊-联络精神病学
Gen Hosp Psychiatry. 1984 Oct;6(4):261-5. doi: 10.1016/0163-8343(84)90019-7.
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引用本文的文献

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Consultation-Liaison Psychiatry in the General Hospital: the Experience of UK, Italy, and Japan.综合医院的会诊-联络精神病学:英国、意大利和日本的经验。
Curr Psychiatry Rep. 2015 Jun;17(6):44. doi: 10.1007/s11920-015-0581-1.
2
General hospital psychiatry: the Italian experience.综合医院精神病学:意大利的经验。
World Psychiatry. 2003 Jun;2(2):104-13.