Cleghorn J M, Bellissimo A, Will D
Can J Psychiatry. 1983 Apr;28(3):162-72. doi: 10.1177/070674378302800302.
One objective of psychiatric education can be to help trainees describe and understand major concerns patients experience in their key relationships, inner conflict and sense of self. A precis of major concepts and principles in this area (usually known as psychodynamics) is presented without the metapsychological framework which makes some of the literature difficult to grasp. This is intended to make learning more efficient and to facilitate the formulation of hypotheses about the presence or absence of specific conflicts, and problems in key relationships. We do not propose that these hypotheses necessarily explain psychopathology but that they (a) supplement formal diagnosis; (b) enrich the clinical data base by providing hypotheses which are testable in part by clinical observation and which can be tested scientifically; (c) provide understanding crucial to psychotherapy.
精神病学教育的一个目标可以是帮助受训人员描述和理解患者在其关键人际关系、内心冲突和自我意识中所经历的主要问题。本文介绍了该领域（通常称为心理动力学）的主要概念和原则概要，而没有采用使一些文献难以理解的元心理学框架。这样做旨在提高学习效率，并便于就特定冲突的存在与否以及关键人际关系中的问题形成假设。我们并非主张这些假设必然能解释精神病理学现象，而是认为它们（a）补充正式诊断；（b）通过提供部分可通过临床观察检验且可进行科学验证的假设来丰富临床数据库；（c）提供对心理治疗至关重要的理解。
