Conroe R M, Cassata D M, Racer H J
J Fam Pract. 1978 Dec;7(6):1137-42.
A systematic approach to psychological intervention that can be used by the primary care physician is presented. The approach specifies the sequence the physician takes when providing therapy: (1) identify the context of the patient's complaint(s), (2) assess the patient's current status, (3) develop a therapeutic plan, and (4) implement a therapy approach. These steps are based on four current status categories-functional, ambiguous, crisis, and dysfunctional-that describe the patient's life situation. Each category serves as a gateway for planning and for carrying out therapy. Four types of psychological intervention-short-term therapy, structured assessment, crisis intervention, and referral-are described and methods for implementing each activity are given. The advantages of the schema and a brief critique are presented.
本文介绍了一种可供初级保健医生使用的系统心理干预方法。该方法明确了医生在提供治疗时采取的步骤顺序：（1）确定患者投诉的背景；（2）评估患者的当前状况；（3）制定治疗计划；（4）实施治疗方法。这些步骤基于描述患者生活状况的四个当前状况类别——功能正常、情况不明、危机和功能失调。每个类别都是规划和实施治疗的切入点。文中描述了四种心理干预类型——短期治疗、结构化评估、危机干预和转诊，并给出了实施每项活动的方法。还介绍了该模式的优点及简要评价。
