Koupernik C
Encephale. 1981;7(4 Suppl):561-4.
The writer criticizes the unifying models such as the classical, nineteenth century Psychiatry which makes of Psychiatry a mere branch of Medicine or Psychosomatic Medicine which imposes a "psychodynamic" pattern for the whole Medicine. He therefore recommends a dual and simultaneous approach destined to decipher two series of different signals and to meet somewhat different situations and decisions. This dual approach supposes a double training; it applies to the patient seen for the first time, but also to the patient in treatment who can either unveil significant symptoms of an underlying somatic disease or become somatically ill, with no relation with his psychiatric symptoms. Finally, a similar attitude of vigilance should be observed as far as supervision of chemotherapy is concerned.
作者批评了诸如经典的19世纪精神病学之类的统一模式，这种模式将精神病学仅仅视为医学的一个分支，或者批评了心身医学，因为心身医学为整个医学强加了一种“心理动力学”模式。因此，他建议采用一种双重且同步的方法，旨在解读两组不同的信号，并应对一些不同的情况和决策。这种双重方法需要双重培训；它不仅适用于初诊患者，也适用于正在接受治疗的患者，这些患者可能会揭示潜在躯体疾病的重要症状，或者出现躯体疾病，而这与他们的精神症状无关。最后，在化疗监督方面也应保持类似的警惕态度。
