BACKGROUND & AIMS:
:Developing scientifically sound and clinically meaningful case formulations is so challenging that it may verge on becoming a "lost art." Pressures (scientific, economic, and cultural) remain that prevent child and adolescent psychiatrists from getting a complete understanding of the patient and family. Including a strong consideration of data related to religion, spirituality, and worldview may seem only to complicate an already arduous task. The clinician who includes these factors in treatment is faced with decisions of when to discuss these issues, how to discuss them and in what depth, and finally, when to refer to a religious/spiritual professional. Nonetheless, the importance of these factors in the lives of many children and families leaves no option but to address them as directly as possible. It is well worth the effort and, in many cases, will open new areas for clinical improvement in patients.
背景与目标:
: 开发科学合理且具有临床意义的病例配方非常具有挑战性,以至于它可能会成为 “失落的艺术”。压力 (科学,经济和文化) 仍然存在,阻止儿童和青少年精神科医生完全了解患者和家庭。包括对与宗教,灵性和世界观有关的数据的强烈考虑似乎只会使已经艰巨的任务复杂化。在治疗中包含这些因素的临床医生面临着何时讨论这些问题,如何讨论这些问题以及在什么深度上以及最后何时提及宗教/精神专业人士的决定。尽管如此,这些因素在许多儿童和家庭生活中的重要性别无选择,只能尽可能直接地解决这些问题。这是非常值得的努力,并且在许多情况下,将为患者的临床改善开辟新的领域。