Psychiatric Disorders in Clinical Genetics I: Addressing Family Histories of Psychiatric Illness

This is the first article of a two-part professional development series addressing genetic counseling for personal and family histories of psychiatric disorders. It is based on an Educational Breakout Session presented by the Psychiatric Special Interest Group of the National Society of Genetic Counselors at the 2006 Annual Education Conference. This article examines issues that arise in addressing family histories of psychiatric illness, while the second article in the series considers the generation and provision of individualized recurrence risks for psychiatric disorders. In this article we discuss the importance of managing uncertainty for affected individuals and their close family members who have been referred to genetics for a number of different indications. We then use four simulated cases to make recommendations about the scope and timing of discussions related to the psychiatric family history.     

综合医院开展临床预防服务的可行性

临床预防服务是预防医学的重要组成部分,也是临床医学的重要内容.鉴于慢性非传染性疾病对社会、家庭及个人的负担越来越重,在各级医院尤其综合医院开展临床预防服务,对预防慢性病的发生、发展,降低死亡率、减轻社会、家庭负担,将起到事半功倍的作用,产生深远影响.     

综合医院开展临床预防服务的可行性

临床预防服务是预防医学的重要组成部分,也是临床医学的重要内容。鉴于慢性非传染性疾病对社会、家庭及个人的负担越来越重,在各级医院尤其综合医院开展临床预防服务,对预防慢性病的发生、发展,降低死亡率、减轻社会、家庭负担,将起到事半功倍的作用,产生深远影响。     

人性化药学服务与我院药物咨询

为了解我院药物咨询工作情况,提高药学服务质量,随机抽取562例药物咨询记录,按患者咨询内容进行分析和总结.结果显示咨询对象以患者为主;咨询内容主要是药理作用与用途(占16.7％)、用法用量(占16.0％)、不良反应及注意事项(占12.5％)等.从而得知药物咨询是人性化药学服务的重要组成部分,对提高药学服务水平,保证药物疗效、保障患者用药安全及促进合理用药等有积极的推动作用.     

关于综合医院中医科发展的若干思考

综合医院中医科的发展面临很多难题,其根源既有中医自身存在的问题,也有综合医院大环境的影响.只有认清自身的优势与不足,加上好的政策扶持,中医科才有发展的希望.     

关于综合医院中医科发展的若干思考

综合医院中医科的发展面临很多难题,其根源既有中医自身存在的问题,也有综合医院大环境的影响。只有认清自身的优势与不足,加上好的政策扶持,中医科才有发展的希望。     

心身疾病新的评估策略:心身医学研究诊断标准

心身研究的诊断标准(DCPR)是由国际调研组提出的心身医学研究临床诊断概念和结构框架.人们对影响躯体疾病的易损性,病程,预后,康复的心理因素的评估受到日益关注.DCPR的研发理论基础是将来源于心身研究的心理变量转变成用以鉴别诊断的可操作性诊断标准.ICPR是一个简单、有效和可靠的定式访谈工具,可用于筛查、诊断心身疾病和心理生理障碍.补充ICD- 10、DSM、CCMD的临床诊断应用的不足.包含了十二组心身综合征,其目的是将影响躯体状况预后和治疗价值中的心理变量转化为客观的心身医学研究用诊断标准用工具.这十二组症状包括健康焦虑,死亡恐惧症,疾病恐惧症,疾病否认,持续的躯体化症状,转换性障碍,继发于精神障碍的功能性躯体症状,周年反应,精神消沉,易激惹心境,A型行为和述情障碍.提出心身疾病临床多轴诊断系统.     

The Utility of the Megargee-Bohn Typology in a Forensic Psychiatric Hospital

The utility of the Megargee-Bohn MMPI typology (Megargee & Bohn, 1979) was examined in 1007 male forensic psychiatric inpatients. The 10 profile types were identified although the proportions differed as expected fiom the original sample. Comparison of demographic, clinical, and forensic characteristics revealed significant differences between 9 of the profile types. Our fmdings indicate that the typology can reliably and usefully describe different categories of patients in our setting. The typology can also be used to make inferences about treatment needs. Our findings support the continued development of an MMPI-based actuarial system for criminal populations as has been done for psychiatric populations.     

An Approach to the Study of the Small Group in a Psychiatric Day Hospital

Adults in midlife can be significantly helped through group treatment that is sensitive to the developmental issues of the age period. The author suggests that the developmental crisis of midlife—Generativity versus Stagnation—can, through unconscious processes, become a group crisis as well. A group state of stagnation, enveloping the members as well as the leader, if understood and worked through, can significantly facilitate the developmental progress of its midlife members. A clinical example demonstrates how a therapist helped his midlife group move out of stagnation and toward generativity.     

书写中国伊斯兰教故事——以修清真寺志为例

清真寺不仅是宗教活动的场所,而且是穆斯林文化生活和人际交往的场所,被视为穆斯林的精神家园。(1)地方志的编修是中华民族优秀文化传统之一,在明清以来一直存在寺院志、庙宇志的编修,但是很少有清真寺志的编纂实践。新中国成立后,各地部分清真寺进行了志书的编修,清真寺与志书结合,体现了中国特色,为讲好中国伊斯兰教故事提供了新的文献载体。     

浅谈医院服务中的人性化

随着社会的发展,医院迫切需要实行人性化服务.诠释了人性化服务的内涵,探讨了服务意识淡漠的根源,提出了医院人性化服务的必要性和紧迫性,重点阐明了转变观念,树立"病人至上"的服务理念,以病人需求为导向,提高医院服务质量的人性化服务做法,并且提出了建立人性化服务的考核标准.     

浅谈医院服务中的人性化

随着社会的发展,医院迫切需要实行人性化服务。诠释了人性化服务的内涵,探讨了服务意识淡漠的根源,提出了医院人性化服务的必要性和紧迫性,重点阐明了转变观念,树立“病人至上”的服务理念,以病人需求为导向,提高医院服务质量的人性化服务做法,并且提出了建立人性化服务的考核标准。