浅论精神病学(典藏版) 9787513531306,7513531307

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本书为斑斓阅读典藏版中的一本,英汉对照,译文精良,观点独到新颖,是通识教育的必读之选。

作者简介

汤姆·伯恩斯,牛津大学社会精神病学教授,英国国家医疗服务执业的精神科顾问医师。他的著作包括《精神卫生的主动式外展服务:从业者手册》(2002,合著)和《社区精神卫生队伍:现行方法导论》(2004),均由牛津大学出版社出版。曾作为精神病学顾问为议会委员会审查《英国精神卫生法案》,并于2006年因其在精神卫生方面的贡献获得大英帝国司令勋章。

目录

前言
图目
第一章 精神病学是什么?
第二章 收容院和精神病学的起源
第三章 走进社区
第四章 精神分析和心理治疗
第五章 内外夹击下的精神病学
第六章 肆意滥用
第七章 进入21世纪

文摘

版权页:



What is a mental illness?
There is a marked circularity about this ('a psychiatrist is someone who diagnoses and treats psychiatric disorders', 'psychiatric disorders are those conditions which are diagnosed and treated by psychiatrists').There has been endless controversy about the reliability of psychiatric diagnoses and even whether or not mental illnesses exist at all (Chapter 5).It is worth spending a little time on why psychiatric diagnoses are so controversial both because it keeps cropping up and also because the same issues are fundamental to all medicine although rarely as striking.
The subjectivity of diagnosis The hallmark of the psychiatrist's trade is the interview.We make our diagnoses (and still conduct much of our treatment) in face-to-face discussions with patients.We take a careful history (as do all doctors) but then, instead of, or sometimes in addition to, conducting a physical examination (feeling the abdomen, taking the pulse, listening through a stethoscope) we conduct what is called a 'mental state exam'.In this we probe deeper into what is worrying the patient, their mood, way of thinking, etc.Some of this involves simply noting what the patient reports (that they are hearing strange sounds or that they panic every time they think of going out) but some involves us in constructing an understanding of what they are going through using 'directed empathy'.Directed empathy means actively putting ourselves in their shoes, understanding what they are feeling and thinking, even if they have difficulty in expressing it.For instance we may come to the conclusion that a patient who recounts a series of vindictive acts carried out against them by strangers and friends alike is, in fact, excessively suspicious (paranoid) leading to misinterpretation of common events.
This ability to piece together how other people experience things and what they are feeling is an essential human capacity.
ISBN9787513531306,7513531307
出版社外语教学与研究出版社
作者汤姆·伯恩斯 (Tom Burns)
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