Psychiatry in the Time of COVID: Credibility, Uncertainty, and Self-Reflection.
Psychiatry in the Time of COVID: Credibility, Uncertainty, and Self-Reflection.
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DOI：
10.1097/nmd.0000000000001404
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发表时间：
2021-11-01
影响因子：
1.9
通讯作者：
Wagner, Elizabeth S.
中科院分区：
文献类型：
--
作者：
Adler, David A.;Erlich, Matthew D.;Goldman, Beth;Berlant, Jeffrey;Edwards, Matthew L.;First, Michael B.;Oslin, David W.;Siris, Samuel G.;Talley, Rachel M.;Wagner, Elizabeth S.
关键词：
在COVID-19大流行和美国日益严重的社会政治分歧中，公众对医学和医生信誉的信任受到了严峻考验。医生被要求成为向公众传播科学信息的大使。精神科医生有机会帮助公众在这种不确定的时期理解和接受“新常态”。通过一个案例，我们回顾了不确定性和恐惧对科学和医学可信度的影响。虽然大流行病为系统性变革提供了机会，但任何变革的后果仍然未知。为了帮助患者驾驭不确定性，我们最后向临床医生提供了四条指导方针：公众对理解科学方法没有兴趣;我们需要承认我们没有所有的答案;可信度和可信赖性与我们成为可信赖的，可信的信使的能力有关;我们可以在承认不确定性的同时保持科学可信度。
Public trust in the credibility of medicine and physicians has been severely tested amid the COVID-19 pandemic and growing sociopolitical fissures in the United States. Physicians are being asked to be ambassadors to the public of scientific information. Psychiatrists have an opportunity to help the public understand and accept a “new normal” during a time of such uncertainty. Using a case example, we review the impact of uncertainty and fear on scientific and medical credibility. Although the pandemic provides an opportunity for systemic change, the consequences of any change remain unknown. To help patients navigate the uncertainty, we conclude by offering four guidelines to clinicians: the public has little interest in understanding the scientific method; we need to acknowledge that we do not have all the answers; credibility and trustworthiness are linked to our ability to be trusted, believable messengers; and we can retain scientific credibility while acknowledging uncertainty.