Brown H N, Zinberg N E
Am J Psychiatry. 1982 Dec;139(12):1576-80. doi: 10.1176/ajp.139.12.1576.
The authors, who support in principle the important goal of integrated psychological and physical care, discuss five sources of difficulty in the practical application of such integration: 1) differences in values and, consequently, in systems of practice, 2) training influences, 3) differences in dealing with emotions, 4) conflicting patient expectations, and 5) limitations on the degree of intimacy tolerable in professional relationships. They suggest that practitioners and educators take these difficulties into account without abandoning a holistic perspective.
作者们原则上支持心理与身体综合护理这一重要目标，讨论了这种整合在实际应用中的五个困难来源：1）价值观差异，进而导致实践体系的差异；2）培训影响；3）处理情绪的差异；4）患者相互冲突的期望；5）职业关系中可容忍的亲密程度的限制。他们建议从业者和教育工作者在不放弃整体视角的情况下考虑这些困难。
