Rice H W, Greenberg L W
J Dev Behav Pediatr. 1982 Dec;3(4):201-5. doi: 10.1097/00004703-198212000-00005.
Pregnancy and parturition represent stressful situations in the human life cycle, affecting both parents and family members. Psychological, physiological, social, and cultural changes during these periods demand new adjustments and adaptations by the family. Health care professionals can help parents cope effectively with these normal developmental crises by providing support, reassurance, and guidance. Unfortunately, during these periods many physicians feel incompetent in relating to their patients. Medical school and residency training programs have not provided adequate supports for the emotional and cognitive development of the student. The student of medicine often leaves training feeling insecure in this area and is reluctant to initiate and perpetuate collaborative liaison programs and psychiatric colleagues. The authors developed a pediatric-child psychiatry liaison program on the postpartum division of a community hospital, realizing the need for medical students and pediatric residents to appreciate and understand the normal developmental crises inherent in parturition and pregnancy. The program was created within the context of a developmental framework which emphasizes the normal psychophysiological experiences occurring during these periods. Issues concerning the emotional well-being of patients and the responsibility of training programs promoting emotional and intellectual growth are discussed.
怀孕和分娩是人类生命周期中的压力情境，会影响父母及家庭成员。这些时期的心理、生理、社会和文化变化要求家庭做出新的调整和适应。医疗保健专业人员可以通过提供支持、安慰和指导，帮助父母有效应对这些正常的发育危机。不幸的是，在这些时期，许多医生觉得自己在与患者沟通方面能力不足。医学院校和住院医师培训项目并未为学生的情感和认知发展提供足够的支持。医学生在结束培训时，往往在这方面感到不自信，并且不愿启动和维持协作联络项目，也不愿与精神科同事合作。作者们在一家社区医院的产后科室开展了一项儿科-儿童精神病学联络项目，意识到医学生和儿科住院医师需要认识和理解分娩及怀孕过程中固有的正常发育危机。该项目是在一个强调这些时期发生的正常心理生理体验的发展框架内创建的。文中讨论了有关患者情感幸福以及培训项目促进情感和智力成长的责任等问题。
