一般精神病学,仍然在无人的土地上,经过这么多年
1Centre for Affective Disorders, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
The British journal of psychiatry : the journal of mental science
|November 29, 2023
概括
在过去的38年里,心理健康服务发生了重大变化,对患者护理和员工士气产生了负面影响. 现代服务已经侵蚀了精神病治疗所必不可少的关键治疗关系.
科学领域:
- 精神病学是一个精神病学.
- 心理健康服务研究 心理健康服务研究
背景情况:
- 在过去的40年里,心理健康服务的格局发生了巨大的变化.
- 治疗关系被认为是有效精神病治疗的基础.
研究的目的:
- 在38年的职业生涯中,反思心理健康服务的演变.
- 确定影响患者护理和员工士气的关键问题.
- 检查现代服务对治疗关系的影响.
主要方法:
- 基于38年精神卫生服务专业经验的定性反思.
- 分析服务提供中的变化及其后果.
主要成果:
- 心理健康服务发生了重大变化.
- 目前的服务模式正在破坏患者护理和员工士气.
- 在当代心理健康护理中,基本的治疗关系已经被削弱.
结论:
- 治疗关系的侵蚀对精神病治疗质量构成严重威胁.
- 迫切需要注意解决破坏心理健康护理的系统性问题.
- 重建治疗联盟对于改善患者结果和员工福祉至关重要.
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