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综合医院心理咨询的研究

RESEACH ON PSYCHOLOGICAL COUNSELING IN GENERAL HOSPITAL

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【作者】 赵耕源张晋碚张亚哲黄铎香蔡香山潘集阳肖小琴洪文香

【Author】 Zhao Gengyuan Zhang Jinpei Zhang Yazhe Huang Duoxiang Cai Xiangsan Pan Jiyang Xiao Xiaoqin Hong Wenxiang( Department of Psychiatry Medicine, Third Affiliated Hospital )

【机构】 中山医科大学附属第三医院精神医学教研室中山医科大学附属第三医院精神医学教研室

【摘要】 分析8年内在本院心理咨询门诊观察到的4173例心理咨询病例,发现在综合医院心理咨询门诊中,有变态心理或精神疾病的病例占87.54%,而有心理问题的健康人仅为12.46%;神经症在心理咨询中最为多见;儿童、青少年咨询病例多于其他年龄;中、老年的心理咨询有其特殊性。作者认为,中国综合医院的心理咨询是医学心理咨询,其模式、内容与国外完全不同;心理咨询的治疗应是综合性的;心理咨询在精神病二级预防中可起重要作用。

【Abstract】 The 4173 cases of psychological counseling in specified room of general hospital were observed and analysed. The results revealed that 87.54% of clients suffered from psychopathy or mental diseases, only 12.46% was healthy people with psychological problems. Neurosis was the most common diagnosis in this group. The number of children and adolescent clients was larger than that of adults and the aged. The counseling cases in middle age and the aged were peculiar in, some aspects. The authors suggest that psychological counseling in general hospital of China is medical psychological-counseling and is different from that of foreign countries in respect of counseling model and content. The therapy approach should be taken comprehesively. It plays an important role in secondary pervention of psychiatry. The authors firmly believe that medical psychological counseling will be gradually developed into a special discipline in medical services.

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