Borus J F
Am J Psychiatry. 1984 Jul;141(7):868-71. doi: 10.1176/ajp.141.7.868.
Many early community mental health center (CMHC) consultations floundered when consultants attempted to apply Gerald Caplan 's community consultation theory, which the author describes as based on a private consultation paradigm, to the very different realities of government-mandated public paradigm consultation by CMHCs to public agencies. CMHC consultants were often perceived by consultees as "strangers bearing gifts" due to the lack of clarity concerning the rationale, contracts, roles, responsibilities, evaluation, and consultant- consultee exchanges of their public paradigm consultations. The otherwise disastrous recent losses of financial support for CMHCs are beneficially forcing them to shift their community consultation practices toward the private paradigm.
许多早期社区心理健康中心（CMHC）的咨询工作陷入困境，当时顾问们试图将杰拉尔德·卡普兰的社区咨询理论应用于CMHC对公共机构进行的政府强制要求的公共范式咨询这一截然不同的现实情况，作者将该理论描述为基于私人咨询范式。由于公共范式咨询的基本原理、合同、角色、责任、评估以及顾问与被咨询者之间的交流缺乏明确性，CMHC顾问常常被被咨询者视为“带着礼物的陌生人”。CMHC近期在财政支持方面遭遇的灾难性损失，正有益地迫使它们将社区咨询实践转向私人范式。
