James N M
Royal Park Hospital, Parkville, Victoria.
Aust N Z J Psychiatry. 1993 Jun;27(2):192-9. doi: 10.1080/00048679309075768.
Since the beginning of recorded history, mental illness has been recognised as being primarily in the province of the healing profession. This view has continued, despite the fact that psychiatry left the mainstream of medicine with the development of asylums during the 19th century. With the advent of deinstitutionalization however, psychiatrists, particularly in Australia, have increasingly left public practice. As a result, the treatment of the severely and chronically mentally ill, especially those with behavioural disorder, has become neglected. It is argued that moves toward the mainstreaming of acute psychiatry to general hospitals offer a new opportunity for the profession to reassert itself in this essential but difficult area of psychiatric practice.
自有记录的历史开始以来，精神疾病就一直被视为主要属于治疗行业的范畴。尽管19世纪随着精神病院的发展，精神病学脱离了医学主流，但这种观点依然存在。然而，随着非机构化的出现，精神病医生，尤其是在澳大利亚，越来越多地离开了公共医疗实践。结果，重症和慢性精神疾病患者，特别是那些有行为障碍的患者的治疗被忽视了。有人认为，将急性精神病学纳入综合医院主流的举措为该行业在这一重要但困难的精神病学实践领域重新确立自身地位提供了新机会。
