Burgess J W
Department of Psychiatry and Behavioral Science, Stanford University Medical School.
Am J Psychother. 1993 Summer;47(3):393-403. doi: 10.1176/appi.psychotherapy.1993.47.3.393.
We believe that the duration and mileu of medication visits can be appropriately and effectively used for ongoing psychotherapy in patients who must come for the prescription and follow-up of psychiatric medications. Many physicians make unplanned therapeutic suggestions as a matter of course; in contrast, when interventions are planned, codified, and examined with respect to patient's needs and physician's personal internal responses, their effectiveness and consistency can be enhanced. Specific interventions such as role modeling mental health, identifying transference reactions, and addressing family systems process are easily and effectively made, without being onerous or threatening to patients with severe mental illness. Overall, our clinical experience suggests that planned psychotherapy can be advantageously combined with pharmacologic treatment to enhance patients' overall response.
我们认为，对于那些必须前来开具精神科药物处方及进行随访的患者，用药问诊的时长和环境能够被合理且有效地用于持续的心理治疗。许多医生会自然而然地给出一些未经计划的治疗建议；相比之下，当干预措施经过规划、整理并根据患者需求和医生个人内心反应进行审视时，其有效性和一致性会得到提高。诸如塑造心理健康榜样、识别移情反应以及处理家庭系统过程等特定干预措施实施起来轻松有效，不会给重症精神疾病患者带来负担或造成威胁。总体而言，我们的临床经验表明，有计划的心理治疗可以与药物治疗有效结合，以提高患者的整体反应。
