A biopsychosocial approach to treating patients with affective disorders
The authors describe the development of an affective disorders consultation service that implemented a biopsychosocial model of subspecialty consultation within a university-affiliated community mental health center. They retrospectively analyzed the first 2 years of consultations, assessing the pro...
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| Veröffentlicht in: | The American journal of psychiatry 1987-03, Vol.144 (3), p.341-344 |
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| container_issue | 3 |
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| container_title | The American journal of psychiatry |
| container_volume | 144 |
| creator | VASILE, R. G SAMSON, J. A BEMPORAD, J BLOOMINGDALE, K. L CREASEY, D FENTON, B. T GUDEMAN, J. E SCHILDKRAUT, J. J |
| description | The authors describe the development of an affective disorders
consultation service that implemented a biopsychosocial model of
subspecialty consultation within a university-affiliated community mental
health center. They retrospectively analyzed the first 2 years of
consultations, assessing the process of consultation and examining patterns
of consultee inquiries and consultation recommendations. Consultants
recommended combined psychopharmacologic and psychodynamic therapies for
most patients and found psychodynamic psychotherapy strikingly overlooked
by consultees, all of whom were psychiatrists or other mental health
professionals. This evaluation documents the psychiatric consultees'
deemphasis of the biopsychosocial perspective in clinical practice. |
| doi_str_mv | 10.1176/ajp.144.3.341 |
| format | Article |
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consultation service that implemented a biopsychosocial model of
subspecialty consultation within a university-affiliated community mental
health center. They retrospectively analyzed the first 2 years of
consultations, assessing the process of consultation and examining patterns
of consultee inquiries and consultation recommendations. Consultants
recommended combined psychopharmacologic and psychodynamic therapies for
most patients and found psychodynamic psychotherapy strikingly overlooked
by consultees, all of whom were psychiatrists or other mental health
professionals. This evaluation documents the psychiatric consultees'
deemphasis of the biopsychosocial perspective in clinical practice.</description><identifier>ISSN: 0002-953X</identifier><identifier>EISSN: 1535-7228</identifier><identifier>DOI: 10.1176/ajp.144.3.341</identifier><identifier>PMID: 2881492</identifier><identifier>CODEN: AJPSAO</identifier><language>eng</language><publisher>Washington, DC: American Psychiatric Publishing</publisher><subject>Adolescent ; Adult ; Aged ; Antidepressive Agents - therapeutic use ; Antipsychotic Agents - therapeutic use ; Associated treatments ; Attitude of Health Personnel ; Biological and medical sciences ; Bipolar Disorder - diagnosis ; Bipolar Disorder - drug therapy ; Bipolar Disorder - therapy ; Community Mental Health Centers ; Depressive Disorder - diagnosis ; Depressive Disorder - drug therapy ; Depressive Disorder - therapy ; Electroconvulsive Therapy ; Female ; Health care ; Humans ; Male ; Medical sciences ; Mental disorders ; Mental Disorders - diagnosis ; Mental Disorders - drug therapy ; Mental Disorders - therapy ; Middle Aged ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotherapy - methods ; Referral and Consultation ; Social research ; Treatments</subject><ispartof>The American journal of psychiatry, 1987-03, Vol.144 (3), p.341-344</ispartof><rights>1987 INIST-CNRS</rights><rights>Copyright American Psychiatric Association Mar 1987</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a339t-69d70311f45d20ef8c13f15d8487397859e23358f7a0f9bf96597a4ae4742f533</citedby><cites>FETCH-LOGICAL-a339t-69d70311f45d20ef8c13f15d8487397859e23358f7a0f9bf96597a4ae4742f533</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/ajp.144.3.341$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/ajp.144.3.341$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,776,780,2846,21608,27846,27901,27902,77760,77761</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=8229472$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2881492$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>VASILE, R. G</creatorcontrib><creatorcontrib>SAMSON, J. A</creatorcontrib><creatorcontrib>BEMPORAD, J</creatorcontrib><creatorcontrib>BLOOMINGDALE, K. L</creatorcontrib><creatorcontrib>CREASEY, D</creatorcontrib><creatorcontrib>FENTON, B. T</creatorcontrib><creatorcontrib>GUDEMAN, J. E</creatorcontrib><creatorcontrib>SCHILDKRAUT, J. J</creatorcontrib><title>A biopsychosocial approach to treating patients with affective disorders</title><title>The American journal of psychiatry</title><addtitle>Am J Psychiatry</addtitle><description>The authors describe the development of an affective disorders
consultation service that implemented a biopsychosocial model of
subspecialty consultation within a university-affiliated community mental
health center. They retrospectively analyzed the first 2 years of
consultations, assessing the process of consultation and examining patterns
of consultee inquiries and consultation recommendations. Consultants
recommended combined psychopharmacologic and psychodynamic therapies for
most patients and found psychodynamic psychotherapy strikingly overlooked
by consultees, all of whom were psychiatrists or other mental health
professionals. This evaluation documents the psychiatric consultees'
deemphasis of the biopsychosocial perspective in clinical practice.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Antidepressive Agents - therapeutic use</subject><subject>Antipsychotic Agents - therapeutic use</subject><subject>Associated treatments</subject><subject>Attitude of Health Personnel</subject><subject>Biological and medical sciences</subject><subject>Bipolar Disorder - diagnosis</subject><subject>Bipolar Disorder - drug therapy</subject><subject>Bipolar Disorder - therapy</subject><subject>Community Mental Health Centers</subject><subject>Depressive Disorder - diagnosis</subject><subject>Depressive Disorder - drug therapy</subject><subject>Depressive Disorder - therapy</subject><subject>Electroconvulsive Therapy</subject><subject>Female</subject><subject>Health care</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental disorders</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - drug therapy</subject><subject>Mental Disorders - therapy</subject><subject>Middle Aged</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapy - methods</subject><subject>Referral and Consultation</subject><subject>Social research</subject><subject>Treatments</subject><issn>0002-953X</issn><issn>1535-7228</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><recordid>eNp10UFLIzEUB_Agitbq0aMwqHhYmJrkJZPkKLKrC4IXBW8hzSQ2ZToZk-mK334jLSKye3qE9-Pl8f4InRA8I0Q0V2Y5zAhjM5gBIztoQjjwWlAqd9EEY0xrxeH5AB3mvCxPDILuo30qJWGKTtDddTUPccjvdhFztMF0lRmGFI1dVGOsxuTMGPqXaijF9WOu3sK4qIz3zo7hj6vakGNqXcpHaM-bLrvjbZ2ip18_H2_u6vuH29831_e1AVBj3ahWYCDEM95S7Ly0BDzhrWRSgBKSK0cBuPTCYK_mXjVcCcOMY4JRzwGm6HIztyz5unZ51KuQres607u4zloIBpiUI0zR2Te4jOvUl900pZhJLhpW0Pn_EAGCm3JYEEXVG2VTzDk5r4cUVia9a4L1Rwi6hKCL1aBLCMWfbqeu5yvXfurt1Uv_Yts32ZrOJ9PbkD-ZpFQx8cF-bFhJJHxZ7J9__gWuy5qK</recordid><startdate>19870301</startdate><enddate>19870301</enddate><creator>VASILE, R. G</creator><creator>SAMSON, J. 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G ; SAMSON, J. A ; BEMPORAD, J ; BLOOMINGDALE, K. L ; CREASEY, D ; FENTON, B. T ; GUDEMAN, J. E ; SCHILDKRAUT, J. 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G</au><au>SAMSON, J. A</au><au>BEMPORAD, J</au><au>BLOOMINGDALE, K. L</au><au>CREASEY, D</au><au>FENTON, B. T</au><au>GUDEMAN, J. E</au><au>SCHILDKRAUT, J. J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A biopsychosocial approach to treating patients with affective disorders</atitle><jtitle>The American journal of psychiatry</jtitle><addtitle>Am J Psychiatry</addtitle><date>1987-03-01</date><risdate>1987</risdate><volume>144</volume><issue>3</issue><spage>341</spage><epage>344</epage><pages>341-344</pages><issn>0002-953X</issn><eissn>1535-7228</eissn><coden>AJPSAO</coden><abstract>The authors describe the development of an affective disorders
consultation service that implemented a biopsychosocial model of
subspecialty consultation within a university-affiliated community mental
health center. They retrospectively analyzed the first 2 years of
consultations, assessing the process of consultation and examining patterns
of consultee inquiries and consultation recommendations. Consultants
recommended combined psychopharmacologic and psychodynamic therapies for
most patients and found psychodynamic psychotherapy strikingly overlooked
by consultees, all of whom were psychiatrists or other mental health
professionals. This evaluation documents the psychiatric consultees'
deemphasis of the biopsychosocial perspective in clinical practice.</abstract><cop>Washington, DC</cop><pub>American Psychiatric Publishing</pub><pmid>2881492</pmid><doi>10.1176/ajp.144.3.341</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-953X |
| ispartof | The American journal of psychiatry, 1987-03, Vol.144 (3), p.341-344 |
| issn | 0002-953X 1535-7228 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_77430115 |
| source | MEDLINE; Psychiatry Legacy Collection Online Journals 1844-1996; Periodicals Index Online |
| subjects | Adolescent Adult Aged Antidepressive Agents - therapeutic use Antipsychotic Agents - therapeutic use Associated treatments Attitude of Health Personnel Biological and medical sciences Bipolar Disorder - diagnosis Bipolar Disorder - drug therapy Bipolar Disorder - therapy Community Mental Health Centers Depressive Disorder - diagnosis Depressive Disorder - drug therapy Depressive Disorder - therapy Electroconvulsive Therapy Female Health care Humans Male Medical sciences Mental disorders Mental Disorders - diagnosis Mental Disorders - drug therapy Mental Disorders - therapy Middle Aged Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapy - methods Referral and Consultation Social research Treatments |
| title | A biopsychosocial approach to treating patients with affective disorders |
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