Canadian Psychiatric Association journal最新文献

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Position paper on "withholding treatment". 关于“扣缴待遇”的立场文件。

Canadian Psychiatric Association journal

Pub Date : 1979-06-01

W Kushner

引用次数: 0

Length of hospitalization predicted by self assessment of social competence. 社会能力自评预测住院时间。

Canadian Psychiatric Association journal

Pub Date : 1979-06-01 DOI: 10.1177/070674377902400411

G H Miller, B Willer

The purpose of the study was to assess the feasibility of using demographic and social competence information to predict length of stay in a psychiatric hospital. The results indicated that social competence variables were much better predictors of length of stay than demographic variables. Moreover, no combination of demographic and social competence variables led to more accurate predictors than social competence information alone.

本研究的目的是评估使用人口统计和社会能力信息预测精神病院住院时间的可行性。结果表明，社会能力变量比人口统计变量更能预测逗留时间。此外，人口统计学和社会能力变量的组合没有比单独的社会能力信息更准确的预测。

引用次数: 11

Monosymptomatic hypochondriacal psychosis. 单症状疑病症精神病。

Canadian Psychiatric Association journal

Pub Date : 1979-06-01 DOI: 10.1177/070674377902400426

B J Dorian

引用次数: 87

Psychosurgery. The position of the Canadian Psychiatric Association. 精神外科。加拿大精神病协会的立场。

Canadian Psychiatric Association journal

Pub Date : 1979-06-01

J D Earp

引用次数: 0

The Canadian certification examination in psychiatry. III. Towards better certification techniques. 加拿大精神病学认证考试。3迈向更好的认证技术。

Canadian Psychiatric Association journal

Pub Date : 1979-06-01 DOI: 10.1177/070674377902400403

F H Lowy, H Prosen

Although there has been much criticism of specialty certification examinations there is general agreement that they are an important safeguard of competence in medical specialties where the consumer cannot judge this. The Canadian Royal College has made strenuous attempts to improve certification techniques but these have not been heretofore widely reported. This paper reports on the rationale for the replacement of the essay examination by multiple choice questionnaires, the problems associated with MCQ, and the efforts made to improve the fairness, validity and reliability of the clinical (oral) examination. These efforts have been in the areas of selection of examiners, training for examiners, standardization of marking and the conduct of the examination. A description is given of the conduct of the examination and what the examiners look for in the candidate's performance. The development and increasing importance of the In-Training Evaluation are discussed. The publication of A Resident's Guide to Psychiatric Education with multinational participation advances the possibility of future reciprocity in psychiatric examinations conducted in several English speaking countries.

尽管对专业认证考试有很多批评，但普遍认为它们是消费者无法判断的医学专业能力的重要保障。加拿大皇家学院为改进认证技术作出了艰苦的努力，但迄今为止尚未得到广泛报道。本文报道了用选择题问卷代替论文考试的基本原理，MCQ相关的问题，以及为提高临床(口头)考试的公平性、效度和信度所做的努力。这些努力是在选择考官、培训考官、标准化评分和进行考试等领域进行的。对考试的进行以及考官在考生的表现中所寻找的内容进行了描述。讨论了培训评估的发展及其日益重要的意义。在多国参与下出版的《住院医师精神病学教育指南》提高了未来在几个英语国家进行精神病学检查的互惠性的可能性。

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引用次数: 16

Practising psychiatrists' views of the certification examination in psychiatry. 执业精神科医生对精神科资格考试的看法。

Canadian Psychiatric Association journal

Pub Date : 1979-06-01 DOI: 10.1177/070674377902400404

E Persad, P Garfinkel

This report is based on a survey of all those postgraduates in psychiatry who graduated from the training program at the University of Toronto between the years 1966–1976. We were interested in obtaining the views of our colleagues about the Certification Examination in Psychiatry, because it was our impression that there has been a great deal of dissatisfaction with the examination procedure over the years. A total of 238 questionnaires were sent out and 140 replies were received. Our analysis indicated that 90% of those responding had been successful in the certification examination, but 85.3% were dissatisfied with the examination process. It is significant that 85.3% of our sample felt that some form of certification procedure was necessary. The certification procedure is designed to determine whether an adequately trained physician is “safe and competent” to practise as a specialist in psychiatry. The examination's ability to assess areas of psychiatric practice (somatic and social therapies, interview and diagnostic technique, research and teaching skills) were also evaluated. The Royal College has made changes in the examination procedure over the last few years, for example the changeover to complete multiple choice questions was well received by our sample. Other suggested changes are examined in terms of our colleagues’ enthusiasm for their in-corporation into the examination procedure.

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引用次数: 11

Position paper on "withholding treatment". 关于“扣缴待遇”的立场文件。

Canadian Psychiatric Association journal

Pub Date : 1979-06-01

E Tunks, L Monti

引用次数: 0

Study difficulty. Psychiatric and psychological aspects. 研究的困难。精神病学和心理学方面。

Canadian Psychiatric Association journal

Pub Date : 1978-12-01 DOI: 10.1177/070674377802300806

J R Handforth

Difficulty in concentration is a common functional symptom, and students suffering from a variety of psychiatric conditions are liable to come to the Health Service with study difficulty as their presenting complaint. It then becomes necessary to determine whether this symptom is indeed secondary to some other problem of a situational, developmental, or psychiatric nature, or whether any associated emotional distress is secondary to study difficulties deriving from poor study habits. In this paper a pragmatic distinction has been made between Primary Study Difficulty and Secondary Study Difficulty, and between various subcategories of the latter. Useful as such a classification may be it remains, like most classifications, somewhat arbitrary and artificial. In any given case it is usually possible to relate a student's presenting complaints to a variety of factors, and to discern a subtle intertwining of cognitive and emotional determinants. The diagnostic and remedial needs of students with such problems are therefore best served by a clinic which involves psychiatrists and psychologists working in close collaboration.

引用次数: 1

"The 'impossible' child." Some approaches to treatment. “那个‘不可能’的孩子。”一些治疗方法。

Canadian Psychiatric Association journal

Pub Date : 1978-12-01

P Barker

引用次数: 0

Current utilization of day hospitalization. 目前日间住院的利用情况。

Canadian Psychiatric Association journal

Pub Date : 1978-12-01 DOI: 10.1177/070674377802300807

H F Azim, T D Weiden, W D Ratcliffe, R W Nutter, R J Dyck, B G Howarth

The present study examined characteristics of comparable samples of patients admitted to nonaffiliated day and full-time psychiatric hospitals. Moreover, the influence of the day hospital program on symptomatology and social functioning was assessed. In general, the results indicated that day patients were of higher socioeconomic status and had fewer previous hospitalizations in comparison to 24-hour patients. While fewer day patients were diagnosed as psychotic, they did obtain higher scores of social inadequacy, depression and social introversion. Participation in the day hospital program was generally found to be related to decreased psychopathology, increased self-esteem and social role activities, and symptom relief. However, patients suffering from functional psychoses were found to demonstrate improvement below the average of the patient sample. These results were discussed in relation to previous research.

引用次数: 9

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