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小木虫论坛-学术科研互动平台 » 科研生活区 » English Cafe » Today‘s news » 【Original】Psychology vs. Psychiatry: What's the Difference, and Which Is Bette
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singer32

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[交流] 【Original】Psychology vs. Psychiatry: What's the Difference, and Which Is Bette



     Psychologists and psychiatrists tend to hate each other. The reasons are historical: beginning even before Freud, psychologists held enormous power over the cultural imagination. The whole idea of psychiatry — an explicitly chemical rather than behavioral treatment of the mind — didn't start until the industrial age, and for a long time afterward, psychiatrists were held in disregard.

   Friday morning, psychiatrists take a bit of revenge. Even after years of symposia and papers designed to reconnect the two tendril branches of mental-health treatment, the American Psychiatric Association has released new guidelines for treatment of depression that still denigrate the cognitive and behavioral approaches of the American Psychological Association
        
    According to the new guidelines — which will govern treatment for the 200,000 in-patient psychiatric patients in the U.S., as well as the 20 million or so who get out-patient treatment — the No.-1 preferred approach is drugs. Just drugs. The guidelines don't mention psychological approaches like cognitive-behavioral therapy until No. 3, just after electroshock therapy. Ouch.

The new guidelines underplay an enormous body of data from the past decade showing that even the best psychiatric drugs work better than sugar pills only when the drugs are used in conjunction with psychological therapies that help patients change how they behave and how they form their thoughts. Neither a strictly psychiatric approach (just drugs) nor a strictly psychological approach (just talk therapy) works much better than a placebo pill on its own. But when used in combination, the psychiatric and psychological treatments help a majority of people get better.

So why can't A.P.A. and A.P.A. get along?

   One reason is a problem of data. The new American *Psychiatric* guidelines released today conflate several psychotherapy approaches equally because at least one or two randomized trials has shown them to be effective. But cognitive-behavioral therapy has a huge base of evidence compared to rather obscure approaches such as interpersonal therapy. In the context of national guidelines that will shape the treatment of millions, it borders on quackery to include cognitive-behavioral therapy in the same sentence that the A.P.A. (American *Psychiatric*, ugh) calls “problem-solving therapy.”
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1楼2010-10-02 22:12:23
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三更雨~

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小木虫(金币+0.2):抢了个小板凳，给个红包
That is really a little
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3楼2010-10-02 22:23:45
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三更雨~

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hehe...welcome you and have a good dream...
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4楼2010-10-02 22:24:07
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singer32

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引用回帖:
Originally posted by 三更雨~ at 2010-10-02 22:23:45:
That is really a little

if u ，which one do U prefer to ？
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5楼2010-10-03 00:04:54
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xia_chong

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I think we should combine these two methods to cure the desease. Thank you for sharing. It is very academical. We would really appreciate it if you write down the main idea using your own language. It is also a good practice for you as your major is medical science.O(∩_∩)O~
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Godhelpsthosewhohelpthemselves!
6楼2010-10-03 11:03:53
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