Berlin R M, Kales J D, Humphrey F J, Kales A
Am J Psychiatry. 1981 Apr;138(4):450-4. doi: 10.1176/ajp.138.4.450.
The authors examine the role of psychiatrists in community mental health centers and suggest that extensive psychiatric involvement is needed to ensure proper patient care. Within the context of four basic clinical models--social, psychological, behavioral, and biomedical--they describe the psychiatrist's unique clinical skills in history taking, differential diagnosis, case formulation, use of psychopharmacologic agents, and provision of leadership in patient care. Five case reports illustrate instances in which psychiatric intervention corrected serious problems in diagnosis and treatment that otherwise would have resulted in inadequate care or harm to the patient.
作者们研究了精神科医生在社区心理健康中心的作用，并指出需要精神科医生广泛参与以确保为患者提供恰当的护理。在社会、心理、行为和生物医学这四种基本临床模式的背景下，他们描述了精神科医生在病史采集、鉴别诊断、病例分析、使用精神药物以及在患者护理中发挥领导作用等方面独特的临床技能。五例病例报告说明了精神科干预纠正了诊断和治疗中严重问题的情况，否则这些问题可能会导致护理不足或对患者造成伤害。
