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作为精神科医生的家庭医生。

The family practitioner as psychiatrist.

作者信息

Feldman A

出版信息

Am J Psychiatry. 1978 Jun;135(6):728-31. doi: 10.1176/ajp.135.6.728.

Abstract

The author describes attitudes held by nonpsychiatric physicians that are responsible for poor psychological handling of patients, including low interest in psychosocial aspects of illness, judgment of and disinterest in hypochondriasis or conversion reaction, avoidance of psychotic or terminally ill patients, and anger toward patients with unpleasant characteristics. He discusses reasons for these attitudes and suggests that medical schools increase psychological education and psychiatry departments increase the relevance of their teaching.

摘要

作者描述了非精神科医生所持有的一些态度,这些态度导致了对患者心理问题处理不当,包括对疾病心理社会方面兴趣低、对疑病症或转换反应的评判和不感兴趣、回避精神病患者或绝症患者,以及对具有令人不悦特征的患者感到愤怒。他讨论了这些态度产生的原因,并建议医学院增加心理教育,精神病学系提高其教学的相关性。

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