当代中国推广促进心理治疗的机遇与挑战(英文)

中国第一部精神卫生法于去年开始生效,将心理治疗整合到各级医疗保健之中。但实现这一目标还存在着很多障碍。新法案赋予精神科医生提供心理治疗的权力,但是由于非生物学治疗所得到的收入较低,很少有医生会有时间或愿意去做。训练有素的临床心理治疗师非常紧缺,部分原因是缺乏督导培训的机会,也与目前的医疗制度有关,新的精神卫生法未给予他们在没有医生直接监督下诊断或治疗病人的权力。为了实现新法律的崇高目标,需要大幅度修改法规;也许更重要的是大力改变人们对于心理治疗师在医疗保健服务体系中作用和地位的态度。

Opportunities and challenges for promoting psychotherapy in contemporary China

Summary： China＇s first mental health law, which went into effect last year, envisages a world in which psychotherapy is an integral part of all levels of medical care. There are many obstacles to achieving this goal. The new law empowers psychiatrists to provide psychotherapy but few of them have the time or inclination to do so because of the lower incomes generated by non-biological treatments. Trained clinical psychologists are in very short supply partly because of the lack of supervised training opportunities and partly because the current medical system - and the new mental health law - does not empower them to diagnose or treat patients without the direct supervision of a physician. Achieving the laudable goals of the new law will require substantial changes in the regulations and, perhaps more importantly, in attitudes about the role and status of psychologists within the medical care delivery system.