Jaeger M
Sante Ment Que. 1995 Spring;20(1):77-87.
Following psychiatry's turning point in 1960, as well as very slow progress in the establishment of a sectorial policy, these last few years have been characterized by the increased production of reports that aim to organize France's mental health policy in a coherent fashion. Meanwhile, thought on the issue has taken on a broader scope. The mental health issue is no longer limited to the structural modernization of the field of psychiatry, in the sense of remaining within traditional boundaries. From this approach arise two strategic orientations designed to let go patients and arise two strategic orientations designed to let go patients and find therapeutic responses from an institutional environment that has long kept to itself. The first orientation deals with mechanisms that are based in social support interventions, while the second focuses on integrating psychiatry in general hospitals. Faced with this bipolarization, how will psychiatric institutions fit in the overall scheme of things?
继1960年精神病学出现转折点,以及部门政策制定进展极为缓慢之后,过去几年的特点是旨在以连贯方式组织法国心理健康政策的报告产量增加。与此同时,对该问题的思考范围更广了。心理健康问题不再局限于精神病学领域的结构性现代化,即仍保持在传统界限内。从这种方法中产生了两种战略取向,旨在让患者摆脱长期自我封闭的机构环境并找到治疗对策。第一种取向涉及基于社会支持干预的机制,而第二种取向则侧重于将精神病学纳入综合医院。面对这种两极分化,精神病机构将如何融入整体格局呢?