心理咨询热线在突发性公共卫生事件中的应用分析

2003年SARS在中国一些地区的流行给社会公众在心理上带来了一定程度的影响,在SARS流行期间期间及时开通了面向公众的心理咨询热线,成为了广大公众寻求心理支持的有效途径,为缓解社会压力、促进社会正常秩序恢复起到了积极作用。该文结合中国科学院心理研究所“非典心理咨询热线”的统计数据,进一步探讨了心理咨询热线在应对突发性公共卫生事件中的作用和工作特点。     

Family systems psychiatry in an acute in‐patient setting: the implementation and sustainability 5 years after its introduction

From 2003 to 2008 a multicentre research project, systems therapy methods in acute psychiatry (SYMPA), attempted to establish structured in‐patient treatment based on systemic interventions in German non‐university psychiatric hospitals. Utilising multi‐professional family systems training for team members in six in‐patient wards, its main goal was to improve the involvement of familial and non‐familial important others. This follow‐up study explores the sustainability of family systems psychiatry by evaluating the frequency of the utilisation of four core systemic interventions; elements of a systemic organizational culture in psychiatry; and institutional barriers to this new approach. The degree of implementation was high to moderate, depending on the intervention. More intense communication developed among staff of different professions and the status of nursing staff improved. Organizational barriers to implementation included the ambiguous role of junior doctors in teams, continuously understaffed wards and frequent over‐occupancy.     

重症胰腺炎外科治疗观之辩

分析了当前外科治疗重症胰腺炎（ＳＡＰ）原则仍然不能提高手术后生存率的原因，用辩证法的观点，剖析当代手术治疗ＳＡＰ的误区，提出判断ＳＡＰ手术时机的简易方法和ＳＡＰ开腹手术的基本原则，应该按照辩证法的观点来正确看待ＳＡＰ的手术时机，应该用发展的眼光来分析传统治疗ＳＡＰ的手术方法，不能用一成不变的观点对待传统的手术方式，不能照搬书本教条，不能违背外科手术的基本原则。只有这样才有助于提高外科治疗ＳＡＰ的成功率。