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[公共卫生服务人员及时进行精神科评估咨询]

[Timely consultation of psychiatric assessment by members of the public health services].

作者信息

Creutz R

机构信息

Kreisgesundheitsamt Recklinghausen.

出版信息

Gesundheitswesen. 1993 Jun;55(6):294-300.

PMID:8358186
Abstract

The present possibilities and limitations of psychiatric expertising (supplementary or main) by the Public Health services are explained taking the proband group of public servants as an example. The need, preconditions, planning, designing, interaction, methods, amount of work and cost involved in such expertising are described in detail and illustrated by brief case reports, including psychodynamic aspects and definition and outlining of various phases of the relevant examinations. A guiding thesis is proposed: Successful psychiatric assessment of an individual is always also a crisis intervention with therapeutic changes and effects--even if this aim has not been consciously aimed at, but better still if performed with this purpose in mind. Obsolete approaches are pinpointed and quality standards stipulated. Possibilities of improvement and preventive aspects are shown.

摘要

以公务员先证者群体为例,解释了公共卫生服务部门进行精神病学专业鉴定(补充性或主要性)的当前可能性和局限性。详细描述了此类专业鉴定所涉及的需求、前提条件、规划、设计、互动、方法、工作量和成本,并通过简短的病例报告进行说明,包括心理动力学方面以及相关检查各阶段的定义和概述。提出了一个指导性论点:对个体进行成功的精神病学评估始终也是一种具有治疗性改变和效果的危机干预——即使这一目标并非有意识地设定,但如果以此为目的进行评估则更佳。指出了过时的方法并规定了质量标准。展示了改进的可能性和预防方面。

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