Winter S M, Knölker U
Poliklinik für Kinder- und Jugendpsychiatrie, Medizinische Universität zu Lübeck.
Prax Kinderpsychol Kinderpsychiatr. 1993 Jul-Aug;42(6):208-15.
For this study the authors prepared a questionnaire for 662 child and youth psychiatrists with a return quota of 45%. Careerwise most medical doctors--working as psychiatrists and psychotherapists with an equal distribution in hospitals and offices--acquired further special training and education, particularly in Pediatrics, Psychotherapy and Autogenous Training. Work performance meets general agreement: a noticeable lack of corresponding doctors offices, mainly due to the economic situation. Unequivocal agreement exists concerning the necessity of diagnosis, the necessity of out-patient and in-patient therapy, as well the necessity of interdisciplinary cooperation. The views, however, on the quality of cooperation and the hierarchy within the team show differences. Views on self-concept almost equally determined an identification as doctor and as psychotherapist. The main professional motivations were enjoyment, success and ability. The professional concept was unvocally agreed upon. The survey revealed a poor reputation of child and adolescent psychiatrists. Professional basics include preserving the complexity in the field of child and adolescent psychiatry including medical assignments onesidedness rejected. Conflicts arise concerning the "professional self concept", resulting from the thin line between the required separation of child and adolescent psychiatry and associated professions and the required cooperation with associated professions.
在这项研究中，作者为662名儿童和青少年精神科医生准备了一份问卷，回收率为45%。在职业发展方面，大多数医生——担任精神科医生和心理治疗师，在医院和诊所的分布均衡——都接受了进一步的专业培训和教育，尤其是在儿科学、心理治疗和自我训练方面。工作表现得到了普遍认可：主要由于经济形势，明显缺乏相应的医生诊所。在诊断的必要性、门诊和住院治疗的必要性以及跨学科合作的必要性方面存在明确的共识。然而，对于合作质量和团队内部层级的看法存在差异。关于自我概念的看法几乎同样决定了将自己认同为医生和心理治疗师。主要的职业动机是享受、成功和能力。在职业概念上达成了一致。调查显示儿童和青少年精神科医生的声誉不佳。专业基础包括保持儿童和青少年精神病学领域的复杂性，包括拒绝医学任务的片面性。在“职业自我概念”方面出现了冲突，这源于儿童和青少年精神病学与相关专业所需的分离与与相关专业所需的合作之间的细微界限。
