Commentary: Psychiatric training for physicians: a call to modernize.
Commentary: Psychiatric training for physicians: a call to modernize.
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评论：对医生的精神病学培训：呼吁现代化。
DOI：
10.1097/acm.0b013e3182082ec7
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Waterman,GScott
中科院分区：
文献类型：
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作者：
Althoff,RobertR;Waterman,GScott
遗传学和神经科学正在改变精神病学的知识基础。这篇评论的作者认为，如果精神病学要应对与吸收这些科学的快速发展相关的巨大挑战，并为该领域注入新的领导者，他们将为这些进步做出贡献，那么必须解决精神病学教育和培训的基本问题。作者认为，有三个领域特别需要改变——过分强调过时的诊断系统，对古老精神分析结构的残余依恋，以及对当前治疗能力的毫无根据的信心。然后，他们提出旨在纠正每个领域的初步步骤。作者建议在课程中增加对分类学方法的强调，区别于当前的《精神疾病诊断与统计手册》系统，加强对核心认知神经科学概念的关注和教学，并协调一致地强调对治疗学经验基础进行批判性评估所需的技能的发展。他们的结论是，精神病学的进步要求教育者将他们的重点转移到目前已知的和正在学习的东西上——包括评估这种知识主张所需的科学复杂性——远离那些明显有缺陷的分类和概念系统，如果不是完全错误的话。
Genetics and the neurosciences are changing the knowledge base of psychiatry. The authors of this commentary argue that if psychiatry is to meet the considerable challenges associated with assimilating the rapid advance of those sciences and populating the field with new leaders who will contribute to such advances, fundamental problems in psychiatric education and training must be addressed. The authors argue that three domains in particular require change—an overemphasis on the outmoded diagnostic system, a residual attachment to archaic psychoanalytic constructs, and an unwarranted confidence in current therapeutic capabilities. They then propose first steps aimed at remedying each domain. The authors suggest increased curricular emphasis on taxonomic approaches distinct from that of the current Diagnostic and Statistical Manual of Mental Disorders system, enhanced attention to and teaching of core cognitive neuroscientific concepts, and a concerted emphasis on the development of skills needed for critical evaluation of the empiric bases of therapeutics. They conclude that progress in psychiatry requires that educators shift their emphases toward what is currently known and being learned—including the scientific sophistication needed to assess such claims of knowledge—and away from taxonomic and conceptual systems that are demonstrably flawed, if not simply wrong.