Ribner D S
Hosp Community Psychiatry. 1980 May;31(5):338-41. doi: 10.1176/ps.31.5.338.
Fewer and fewer psychiatrists seem interested in pursuing a career in community mental health. The author examines some of the possible reasons for the lack of interest, such as role diffusion and the jealousy and hostility of nonpsychiatric mental health staff. He discusses the shift in community treatment approaches toward teamwork and increased duties for the other mental health professionals, and examines the consequences of these changes. The author also discusses several different philosophies of community psychiatry, focusing on the place of the medical model. Finally, he offers suggestions for encouraging more psychiatrists to work in the community and for carving out a greater role for community psychiatry in mental health programs.
似乎越来越少的精神科医生对从事社区心理健康方面的职业感兴趣。作者探究了一些导致缺乏兴趣的可能原因，比如角色模糊以及非精神科心理健康工作人员的嫉妒和敌意。他讨论了社区治疗方法向团队合作的转变以及其他心理健康专业人员职责的增加，并审视了这些变化的后果。作者还讨论了社区精神病学的几种不同理念，重点关注医学模式的地位。最后，他提出了一些建议，以鼓励更多精神科医生在社区工作，并为社区精神病学在心理健康项目中争取更大的角色。
