Zarifian E
CHU Côte de Nacre, Caen.
Bull Acad Natl Med. 1998;182(7):1439-46; discussion 1446-7.
The prescription of psychotropic drugs in France rises questions dealing with public health and medical ethics. Mental disorders are too often turned into target-symptoms for psychotropic drugs minimizing the importance of individual psychism which requires specific help. Prescribed either excessively or insufficiently psychotropic drugs are used mainly in general practice according to questionable criteria. The importance of a good initial training in pharmacology and therapeutics is stressed. A post graduate medical training totally independent is the only warranty of a prescription adapted to patients' needs.
法国精神药物的处方引发了有关公共卫生和医学伦理的问题。精神障碍常常沦为精神药物的目标症状,从而淡化了需要特殊帮助的个体心理的重要性。精神药物的处方要么过量要么不足,主要是在全科医疗中根据可疑标准使用。强调了药理学和治疗学方面良好初始培训的重要性。完全独立的毕业后医学培训是开出符合患者需求处方的唯一保障。