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法医精神病学与心理治疗期间精神科医生注意力及中立性的扰动

Forensic psychiatry and the perturbation of psychiatrists' attention and neutrality during psychotherapy.

作者信息

Simon R I

机构信息

Georgetown University School of Medicine, Bethesda, Md 20814-2441.

出版信息

Bull Am Acad Psychiatry Law. 1994;22(2):269-77.

PMID:7949415
Abstract

Most psychiatrists who practice the specialty of forensic psychiatry also conduct a general psychiatric practice. The free-floating attention necessary for the conduct of psychotherapy can be distracted by the many exigent demands a forensic practice places on the clinician. On the other hand, forensic psychiatrists are exposed to challenging cases and learn clinical skills ordinarily not obtainable from the general practice of psychiatry. The conduct of general practice is quite different from that of forensic practice. Understanding the essential differences should help maintain the equanimity of the psychiatrist and preserve the psychiatrist's attention to his or her patients.

摘要

大多数从事法医精神病学专业的精神科医生也开展普通精神病学业务。心理治疗所需的自由浮动注意力可能会被法医业务对临床医生提出的诸多紧急要求分散。另一方面,法医精神科医生会接触到具有挑战性的病例,并学习普通精神病学实践中通常无法获得的临床技能。普通业务的开展与法医业务有很大不同。理解这些本质区别应有助于精神科医生保持镇定,并使精神科医生能够持续关注其患者。

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