Eastman C, McPherson I
Br J Clin Psychol. 1982 Jun;21 (Pt 2):85-92. doi: 10.1111/j.2044-8260.1982.tb00536.x.
Structured interviews were carried out with 30 randomly selected general practitioners, to discover how they perceived and handled psychological problems in their patients. In addition, the doctors' perceptions and expectations of their professionals who might assist in the management of such problems were examined. Much of the previously published work was confirmed by the present investigation, but some new information was also uncovered. Thus, although almost all the GPs were sympathetic towards the wish of some clinical psychologists to work at the primary health care level, almost half the doctors would not want a psychologist within their practice, even if finance and accommodation were not problematic. Clinical psychologists were viewed, primarily, as therapists and, as such, were mostly expected to provide a regular part-time service to the practice. Only a minority of GPs wished to acquire skills from clinical psychology, but a large majority were in favour of direct referrals. The results of this study are discussed in terms of their implications for clinical psychology services.
我们对30名随机挑选的全科医生进行了结构化访谈,以了解他们如何看待和处理患者的心理问题。此外,还考察了医生对可能协助管理此类问题的专业人员的看法和期望。本次调查证实了许多先前发表的研究成果,但也发现了一些新信息。因此,尽管几乎所有全科医生都认同一些临床心理学家希望在初级卫生保健层面工作的愿望,但即使资金和场地不成问题,仍有近一半的医生不希望诊所内有心理学家。临床心理学家主要被视为治疗师,因此,大多数人期望他们为诊所提供定期的兼职服务。只有少数全科医生希望从临床心理学中获取技能,但绝大多数人赞成直接转诊。本文将根据这些结果对临床心理学服务的影响进行讨论。