دانلود رایگان مقاله انگلیسی روانپزشکی مشاوره و روان پزشکی و پزشکی روانشناسی - الزویر 2018

Background: In November of 2017, The Academy of the Psychosomatic Medicine voted to change its name to the Academy of Consultation-Liaison Psychiatry. It followed a similar change in which the American Board of Medical Specialties voted to change the name of the field to Consultation-Liaison Psychiatry. Objective: The authors, all instrumental in bringing about this change, discuss the history and rationale for this name change.

However, Consultation-Liaison psychiatrists who trained in a period before the formal accreditation of the field can remember that each of the 2 words in “Consultation-Liaison” had their own difficulties. There is the potential for some to think that the field is restricted to inpatient consultations, when in fact it encompasses a much broader spectrum of physicians working at the interface between psychiatry and the other medical specialties, including many outpatient settings. Similarly, “liaison” is not without its own connotative problems. It was first used by Billings, who formed the first formal division of ConsultationLiaison Psychiatry at the University of Colorado in 1934, to reflect the embedded role psychiatric fellows had in other medical services.14 “Liaison psychiatry” has been used to describe integrative care in many countries, including the United Kingdom which often uses the term instead of “consultation-liaison”; however, “liaison psychiatry” has encountered ambivalence even in countries where it is better established.15 In the United States, the relative importance of the consultative vs liaison role has historically been the subject of considerable debate.16–18 At this point in the history of the field, however, the growing importance of integrated care in psychiatry will make the liaison role more important than ever, and may in fact reflect the future of the field. Thus, this name change provides an opportunity for optimal branding of the specialty, so that the word “liaison” connotes the breadth and depth of the settings in which Consultation-Liaison psychiatrists work, the colleagues they work with, and the clinical services they have unique training and experience to provide. It is hoped, then, as this new name is integrated into the language of psychiatry, that ConsultationLiaison psychiatrists use this opportunity to educate their colleagues on the many facets of the field. Although the field is important by any name, and such changes are in themselves of limited significance, the change may well be an important part of a broader understanding of Consultation-Liaison Psychiatry’s scope and importance to the larger field of medicine.