Abstract
Liaison psychiatry has emerged in the past several years as a major subdivision, some would say a subspecialty, of psychiatry. Its rapid emergence from relative obscurity reflects changing trends in medicine and psychiatry, and in health care delivery. More specifically, it owes much to a 1974 decision of the Psychiatry Education Branch at NIMH to give high priority to the development of consultation-liaison services in the general hospitals.1 That decision was apparently based on two sets of premises:(1) Medicine is shifting its focus to primary care and primary care physicians identify and treat (or fail to treat) about three fifths of psychiatric disorders. Medical students and nonpsychiatric physicians should be prepared for that task, and liaison psychiatrists are the right persons to help with the preparation. (2) Psychiatry’s drift away from medicine needs to be arrested if the specialty is to be salvaged.1,2 Since liaison psychiatry represents the main viable bridge between medicine and psychiatry, it is logical to expand it.
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References
Eaton JS, Goldberg R, Rosinski E, et al:The educational challenge of consultation-liaison psychiatry. Am J Psychiatry 134 (suppl):20–23, 1977.
Goldberg RL, Haas MR, Eaton JS, et al:Psychiatry and the primary care physician. JAMA 236:944–945, 1976.
Lipowski ZJ:Consultation-liaison psychiatry:An overview. Am J Psychiatry 131:623–630, 1974.
Lipowski ZJ:Consultation-liaison psychiatry:Past failures and new opportunities. Gen Hosp Psychiatry 1:3–10, 1979.
Barrett AM:The broadened interests of psychiatry. Am J Psychiatry 2:1–13, 1922.
Pratt GK:Psychiatric departments in general hospitals. Am J Psychiatry 5:403–410, 1925–26.
Billings EG:Liaison psychiatry and intern instruction. J Assoc Am Med Coll 14:376–385, 1939.
Lipowski ZJ:Review of consultation psychiatry and psychosomatic medicine. 1. General principles. Psychosom Med 29:153–171, 1967.
Lipowski ZJ, Wolston EJ:Liaison psychiatry:Referral patterns and their stability over time. Am J Psychiatry 138:1608–1611, 1981.
Dunbar FH, Wolfe TP, Rioch JM:Psychiatric aspects of medical problems. Am J Psychiatry 93:649–679, 1936.
Blanchard EB:Behavioral medicine; A perspective, in Williams RB, Gentry WD (eds):Behavioral Approaches to Medical Treatment . Cambridge, Mass, Ballinger Publishing Co., 1977, pp 1–6.
Goldiamond I:Behavioral approaches and liaison psychiatry. Psychiatr Clin North Am 2:379–401, 1979.
McKegney FP, Weiner S:A consultation-liaison psychiatry clinical clerkship. Psychosom Med 38:45–54, 1976.
Schubert D:Teaching psychiatry to medical students on a consultation service. Int J Soc Psychiatry 23:282–284, 1977.
Weddington WW, Hine FR, Houpt JL, et al:Consultation-liaison versus other psychiatry clerkships:A comparison of learning outcomes and student reactions. Am J Psychiatry 135:1509–1512, 1978.
Lipowski ZJ:Physical illness and psychiatric disorder:A neglected relationship. Psychiatr Fenn (suppl):32–57, 1979.
Lipowski ZJ:Delirium:Acute Brain Failure in Man . Springfield, Ill, Charles C Thomas, 1980.
Koran LM, Van Natta J, Stephens JR, et al:Patients reactions to psychiatric consultation. JAMA 241:1603–1605, 1979.
Kramer BA, Spikes J, Strain JJ:The effects of a psychiatric liaison program on the utilization of psychiatric consultations. Gen Hosp Psychiatry 1:122–128, 1979.
Payson HE, Davis JM:The psychosocial adjustment of medical inpatients after discharge:A follow- up study. Am J Psychiatry 123:1220–1225, 1967.
Reifler B, Eaton JS:The evaluation of teaching and learning by psychiatric consultation and liaison training programs. Psychosom Med 40:99–106, 1978.
Sasser M, Kinzie JD:Evaluation of medical-psychiatric consultation. Int J Psychiatry Med 9:123–134, 1978–79.
Karasu TB, Plutchik R, Conte H, et al:What do physicians want from a psychiatric consultation service? Compr Psychiatry 18:73–81, 1977.
Sanders CA:Reflections on psychiatry in the general-hospital setting. Hosp Commun Psychiatry 30:185–189, 1979.
Greenhill MH:Teaching and training of the psychosomatic approach. Biblthca Psychiatr 159:15–22, 1979.
Melchiode GA:Psychoanalytic teaching in medical education. Am J Psychiatry 136:1071–1073, 1979.
Lipowski ZJ:Holistic-medical foundations of American psychiatry:A bicentennial. Am J Psychiatry 138:888–895, 1981.
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© 1985 Plenum Publishing Corporation
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Lipowski, Z.J. (1985). Liaison Psychiatry, Liaison Nursing, and Behavioral Medicine. In: Psychosomatic Medicine and Liaison Psychiatry. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2509-3_24
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DOI: https://doi.org/10.1007/978-1-4613-2509-3_24
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4612-9517-4
Online ISBN: 978-1-4613-2509-3
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