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Wake-up call for British psychiatry.

机译:叫醒英国精神病学专家。

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摘要

The recent drive within the UK National Health Service to improve psychosocial care for people with mental illness is both understandable and welcome: evidence-based psychological and social interventions are extremely important in managing psychiatric illness. Nevertheless, the accompanying downgrading of medical aspects of care has resulted in services that often are better suited to offering non-specific psychosocial support, rather than thorough, broad-based diagnostic assessment leading to specific treatments to optimise well-being and functioning. In part, these changes have been politically driven, but they could not have occurred without the collusion, or at least the acquiescence, of psychiatrists. This creeping devaluation of medicine disadvantages patients and is very damaging to both the standing and the understanding of psychiatry in the minds of the public, fellow professionals and the medical students who will be responsible for the specialty's future. On the 200th birthday of psychiatry, it is fitting to reconsider the specialty's core values and renew efforts to use psychiatric skills for the maximum benefit of patients.
机译:英国国家卫生局内部最近为改善精神疾病患者的社会心理护理所做的努力是可以理解的,也是值得欢迎的:基于证据的心理和社会干预对管理精神疾病极为重要。但是,随之而来的医疗护理方面的降级导致服务通常更适合于提供非特定的社会心理支持,而不是进行全面,基础广泛的诊断评估,从而导致特定的治疗以优化幸福感和功能。这些变化部分是由政治驱动的,但没有精神科医生的勾结或至少是默许,就不可能发生。不断下降的医学贬值使患者处于不利地位,并且将对负责该专业未来的公众,同行专业人士和医学生的精神病学地位和理解造成极大损害。在精神病学诞辰200周年之际,重新考虑该专业的核心价值并重新努力使用精神病学技能以使患者获得最大利益是合适的。

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