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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Do we do what we know works, and if not why not?
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Do we do what we know works, and if not why not?

机译:我们会做我们知道的工作吗?如果不是,为什么呢?

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摘要

There have always been a range of treatments for mental illness. Evidence exists of ancient trepanning, and through the ages other techniques have been used such as blood letting, exorcism, confinement, dietary interventions, environmental interventions, talking therapies of various modalities, industrial therapies, insulin comas, and ice baths among many others. In the past the view was held that physicians were people of such sober judgement and fine knowledge that 'all remedies whatever are at the disposal of practitioners to reject or employ them under the sole guidance of their own judgment' [1]. But in more recent times, for reasons of efficacy and economics, there has been greater concern with using treatments for which there is the best evidence of a positive outcome.
机译:一直以来,精神疾病都有各种各样的治疗方法。有证据表明存在古老的枪击行为,并且很久以来就使用了其他技术,例如放血,驱魔,禁闭,饮食干预,环境干预,各种方式的谈话疗法,工业疗法,胰岛素昏迷和冰浴等。过去,人们认为医师是具有如此清醒的判断力和精通知识的人,“所有的补救措施都可以由医生根据自己的判断来指导或拒绝” [1]。但是在最近一段时间,由于功效和经济性的原因,人们越来越关注使用有最佳结果的积极疗法。

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