Pasnau R O
Hosp Community Psychiatry. 1982 Dec;33(12):989-95. doi: 10.1176/ps.33.12.989.
Consultation-liaison psychiatry did not emerge as a prominent psychiatric subspecialty until the remedicalization of the psychiatric profession in the 1970s. The author traces the history of consultation-liaison and discusses the various definitions of the subspecialty. He outlines how consultation-liaison psychiatrists work in general hospitals and medical school departments of psychiatry. The future of consultation-liaison psychiatry, the author says, depends on developments in four areas: psychosomatic research, behavioral medicine, holistic health care, and general hospital psychiatry. To ensure a bright future for the subspecialty, consultation-liaison psychiatrists must meet fiscal, research, and political challenges, make peace with other behavioral scientists, develop close relations with the nursing profession, enjoy the support of medical school departments of psychiatry, and transform the consultation model into a comprehensive consultation-liaison model.
直到20世纪70年代精神科职业重新医学化,会诊联络精神病学才成为一个突出的精神科亚专业。作者追溯了会诊联络的历史,并讨论了该亚专业的各种定义。他概述了会诊联络精神科医生在综合医院和医学院精神科的工作方式。作者表示,会诊联络精神病学的未来取决于四个领域的发展:身心研究、行为医学、整体医疗保健和综合医院精神病学。为确保该亚专业有光明的未来,会诊联络精神科医生必须应对财务、研究和政治挑战,与其他行为科学家和解,与护理专业建立密切关系,获得医学院精神科的支持,并将会诊模式转变为全面的会诊联络模式。