Weissman S
Stritch School of Medicine, Loyola University, Maywood, Illinois 60153.
Bull Menninger Clin. 1994 Fall;58(4):502-18.
As the 21st century nears, various forces are affecting American mental health care delivery. After reviewing these forces in terms of their impact on psychiatry, the author summarizes the nature of psychiatry and psychiatric practice as branches of medicine. He then presents a picture of new and graduating psychiatric residents, focusing on (1) their changing views of the role of biological and psychological work with patients, and (2) their future career plans. The author concludes with a challenge to maintain a definition of psychiatry that links mind and brain, and from this foundation to demonstrate to students, society, and policymakers alike a model of psychiatry that integrates biological, psychological, and social perspectives in the treatment of patients.
随着21世纪的临近，各种力量正在影响美国的精神卫生保健服务。在从这些力量对精神病学的影响方面进行审视之后，作者总结了作为医学分支的精神病学及精神病学实践的本质。然后，他描绘了新毕业和即将毕业的精神科住院医师的情况，重点关注：（1）他们对与患者进行生物和心理治疗工作作用的不断变化的看法，以及（2）他们未来的职业规划。作者最后提出了一项挑战，即保持将精神与大脑联系起来的精神病学定义，并在此基础上向学生、社会和政策制定者展示一种在患者治疗中整合生物、心理和社会观点的精神病学模式。
