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首页> 外文期刊>The International journal of social psychiatry >The psychiatric profession: an expertise under siege?
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The psychiatric profession: an expertise under siege?

机译：精神病学专业：被围困的专业知识？

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BACKGROUND: Psychiatry along with other medical disciplines has been under siege in the UK and the USA for a number of years and for a number of reasons. These have varied from various medical scandals and funding changes to political imperatives and public expectations. Changes in the knowledge base have added yet another dimension to this debate. MATERIAL: The subject is explored using historical figures and their writings and an overview of historic views on the psychiatry profession. DISCUSSION: The demise of the psychiatrist as an expert and the profession of psychiatry as an expertise can be related to both real and perceived factors. Unlike, for instance, the language used by cardio-thoracic surgeons, the language used in and for professional communications in psychiatry has become very similar to that used in lay discourses on psychological and relationship matters in the general population--partly as a result of the Freudian project successfully insinuating itself into 'common knowledge' and partly as the influence of media grows across the globe. This language has been misappropriated by a wide variety of non-experts, who then speak and interpret it as if they are specialists and any challenge from professionals is seen as self-protection and heresy. As psychiatrists, we do not use technology in a persuasive way as other branches of medicine tend to and this takes away a powerful symbolic conveying 'expertise'. Increased consumerism adds yet another dimension to this discourse. CONCLUSIONS: The patient is definitely the expert on how their illness affects their life, but it is the psychiatrist who is the expert on the illness rather than simply focusing on disease. It is time for the profession loudly to proclaim itself for what it is and what it can and cannot do.
机译：背景：精神病学以及其他医学学科在英国和美国受到围攻已有多年，原因有很多。从各种各样的医疗丑闻和资金变化到政治要求和公众期望，这些都有所不同。知识库的变化为这场辩论增加了另一个层面。材料：使用历史人物及其著作以及对精神病学专业的历史观点的概述来探索该主题。讨论：精神科医生作为专家的消亡以及精神病学作为专业的知识可能与现实和感知因素有关。例如，与心胸外科医生所使用的语言不同，精神病学中和用于专业交流的语言已经与普通大众中关于心理和关系问题的通俗论述所使用的语言非常相似，部分原因是弗洛伊德计划成功地将自己融入了“常识”之中，部分原因是随着媒体的影响力在全球范围内的增长。这种语言已被各种各样的非专家所盗用，然后他们像专家一样说话和解释，而来自专家的任何挑战都被视为自我保护和异端。作为精神科医生，我们不会像其他医学分支那样以有说服力的方式使用技术，而这剥夺了传达“专长”的强大符号。越来越多的消费主义为这种话语增加了另一个层面。结论：患者绝对是疾病如何影响生活的专家，但是精神病专家是疾病专家，而不是仅仅关注疾病。现在是该行业大声疾呼自己是什么，它能做什么和不能做什么的时候了。

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