心身医学与会诊-联络精神病学的关系。
The relationship of psychosomatic medicine to consultation-liaison psychiatry.
作者信息
Rosenbaum M, McCarty T
机构信息
Department of Psychiatry, University of New Mexico School of Medicine, Albuquerque.
出版信息
Psychosomatics. 1994 Nov-Dec;35(6):569-73. doi: 10.1016/S0033-3182(94)71725-4.
Consultation-liaison psychiatry arose in the mid-1960s from the matrix of psychoanalytically oriented psychosomatic medicine. The influence of psychoanalysis and psychoanalytically trained academic psychiatrists gradually waned. The liaison aspect of consultation-liaison psychiatry faded in the early 1980s, and most consultation-liaison services are now primarily high-quality consultation services that contribute much to university teaching hospitals. The consultation-liaison service at the University of New Mexico (UNM) and several others have eliminated the term "liaison." The consultation service at UNM sees relatively few patients with classic psychosomatic disorders. The majority of requests to UNM's consultation service relate to suicide attempts, delirium, complicated medical problems with psychiatric illness, substance abuse, burns, trauma, and competency evaluations.
会诊联络精神病学兴起于20世纪60年代中期，源自以精神分析为导向的心身医学体系。精神分析及接受过精神分析培训的学术型精神科医生的影响力逐渐减弱。会诊联络精神病学的联络方面在20世纪80年代初逐渐式微，如今大多数会诊联络服务主要是高质量的会诊服务，对大学教学医院贡献颇大。新墨西哥大学（UNM）及其他几家机构的会诊联络服务已不再使用“联络”一词。新墨西哥大学的会诊服务中，患有典型心身疾病的患者相对较少。向新墨西哥大学会诊服务提出的大多数请求涉及自杀未遂、谵妄、伴有精神疾病的复杂医疗问题、药物滥用、烧伤、创伤以及能力评估。
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