Kwentus J A
J Clin Psychiatry. 1981 Nov;42(11):432-6.
Drug assisted interviewing is of demonstrated value in differentiating organic from functional delirious states. Its role in the differential diagnosis of major mental illness is unclear; but well-timed interviews may provide useful additional data. Unfortunately the data is usually difficult to interpret. It certain forms of amnesia, drug assisted interviewing may facilitate retrieval of otherwise unavailable memories, yet these memories are no more reliable than those obtained in conventional interviews. The use of intravenous drugs in psychotherapy has generated encouraging reports which have not, however, been subjected to controlled study. The use of drug interviews, similar to hypnosis, in the treatment of intractable conversion has been long known in clinical practice. The long-term benefit of such interventions is not known. Drug-assisted interviewing has a long, if controversial, history in clinical psychiatry. Its limitations and usefulness are often misunderstood. In addition, there is a deficit of well-controlled study of drug-assisted interviewing. Nevertheless, well-timed interviews, employing properly executed technique, may be helpful in a range of diagnostic and therapeutic situations.
药物辅助访谈在区分器质性与功能性谵妄状态方面已显示出价值。其在重性精神疾病鉴别诊断中的作用尚不清楚；但适时的访谈可能会提供有用的额外数据。不幸的是，这些数据通常难以解释。在某些形式的失忆症中，药物辅助访谈可能有助于找回原本无法获取的记忆，但这些记忆并不比传统访谈中获得的记忆更可靠。在心理治疗中使用静脉注射药物已产生了令人鼓舞的报告，但这些报告尚未经过对照研究。在临床实践中，使用类似于催眠的药物访谈来治疗难治性转换障碍由来已久。此类干预的长期益处尚不清楚。药物辅助访谈在临床精神病学中有着悠久的历史，尽管存在争议。其局限性和实用性常常被误解。此外，对药物辅助访谈缺乏充分对照的研究。然而，适时进行访谈，并采用正确实施的技术，可能在一系列诊断和治疗情况下有所帮助。
