Lewis D C
Center for Alcohol and Addiction Studies, Brown University, Providence, RI 02912, USA.
J Addict Dis. 1996;15(1):1-17. doi: 10.1300/J069v15n01_01.
Internal Medicine must play an important role in addiction medicine. Although Psychiatry has been the dominant discipline in the addictions field, this article explores how the internist can bring special insight to the understanding of addictions. The article documents how Internal Medicine, historically, has helped define and diversify the field of addiction medicine. A survey of recent history, however, shows that Internal Medicine has only minimally broadened its role in the addiction field, despite the pronouncements of numerous committees, despite the urging of several medical groups that it do so. The article shows that some internists want to play an increased role in the field of addiction medicine, but often feel limited by their lack of knowledge and by the professional biases they confront. In conclusion, new suggestions for improving internist education and increasing their interest and participation in addiction medicine are offered.
内科医学必须在成瘾医学中发挥重要作用。尽管精神病学一直是成瘾领域的主导学科，但本文探讨了内科医生如何能为成瘾的理解带来独特见解。文章记录了内科医学在历史上如何帮助界定和丰富成瘾医学领域。然而，对近期历史的调查显示，尽管有众多委员会的声明，尽管有几个医学团体敦促内科医学这样做，但内科医学在成瘾领域的作用仅略有扩展。文章表明，一些内科医生希望在成瘾医学领域发挥更大作用，但往往因知识不足和面临的专业偏见而感到受限。总之，本文提出了改进内科医生教育、提高他们对成瘾医学的兴趣和参与度的新建议。
