Meyer W S
Department of Psychiatry, Duke University Medical Center, Durham, NC 27710.
Soc Work. 1993 Sep;38(5):571-8.
There are compelling similarities in the caregiving functions of good clinicians and good parents. Both clinicians and parents function best in a supportive environment. Yet many clinicians do not feel supported. They are under relentless pressure to find ever-briefer forms of treatment for all individuals, regardless of the individual's symptoms or circumstances. This pressure is especially distressing for the clinical social worker who, by tradition, has provided therapeutic services for the most-troubled individuals. This article is intended as a supportive gesture for the clinician who is struggling with questions about long-term treatment. Health care trends and contraindications for short-term therapy are addressed. A clinical case is presented.
优秀的临床医生和优秀的父母在照顾职责方面存在令人信服的相似之处。临床医生和父母在支持性环境中工作时表现最佳。然而，许多临床医生并未感到得到支持。他们面临着持续不断的压力，要为所有个体找到越来越简短的治疗形式，而不顾个体的症状或情况。这种压力对于传统上为问题最严重的个体提供治疗服务的临床社会工作者来说尤其令人苦恼。本文旨在向那些在长期治疗问题上苦苦挣扎的临床医生表达支持之意。文中探讨了医疗保健趋势以及短期治疗的禁忌症。还呈现了一个临床案例。
