McMillan I
J Psychosoc Nurs Ment Health Serv. 1997 Jun;35(6):28-34. doi: 10.3928/0279-3695-19970601-19.
Mental health services are in a state of flux. We struggle with the most basic concepts-can we distinguish between the need for "health" as opposed to "social" care? Mental distress is instantly recognizable, but less clear is what causes such distress or how we should respond to it. We have become so involved with current challenges that we assume that these are new-that we are living in a world beyond the end of psychiatric history. This article focuses on the Bethlem Hospital, 750 years old this year. An overview may help us to appreciate that our contemporary problems are the result of history and that the concept of care is a vital part of that. Nurses are trying to improve the response to the special needs of mothers with a mental illness. Such developments are the latest in a history of innovation and change. We too are part of that process and hopefully, our efforts will be seen as a meaningful contribution to the care of those with mental illness.
心理健康服务正处于不断变化的状态。我们在最基本的概念上纠结——我们能区分对“健康”护理和“社会”护理的需求吗？精神痛苦很容易识别，但导致这种痛苦的原因或我们应如何应对却不太清楚。我们深陷当前的挑战，以至于认为这些都是新问题——我们生活在一个超越精神病史终结的世界。本文聚焦于今年迎来750周年的贝斯勒姆医院。概述或许能帮助我们认识到，我们当代的问题是历史的产物，而护理概念是其中至关重要的一部分。护士们正努力改善对患有精神疾病母亲特殊需求的应对。这些发展是创新与变革历史中的最新成果。我们也是这一进程的一部分，希望我们的努力能被视为对精神疾病患者护理的有意义贡献。
