Unhappy bedfellows. Psychiatric consultation in general practice. 1977

M Leggatt

Interviews with 20 general practitioners within a five mile radius of a State Psychiatric Clinic in Melbourne, revealed many difficulties associated with the reported increase in social and emotional problems presented by their patients. Most general practices are structured to cope best with the medical aspects of patients' problems. Those problems that are essentially non-medical, create situations where the general practitioner makes decisions in areas not taught to medical students in the past. The directions in which he turns for assistance depend upon a variety of attitudinal factors and the availability of appropriate facilities. An uneasy relationship between many general practitioners, psychiatrists, and psychiatric agencies was noted. A sociological analysis of the results suggests that status and role inconsistencies could be a major factor in some of the problems. This paper aims to stimulate participants towards the resolution of the conflicts.

UI MeSH Term Description Entries
D011570 Psychiatry The medical science that deals with the origin, diagnosis, prevention, and treatment of mental disorders.
D011613 Psychotherapy A generic term for the treatment of mental illness or emotional disturbances primarily by verbal or nonverbal communication. Psychotherapies
D012017 Referral and Consultation The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide. Consultation,Gatekeepers, Health Service,Hospital Referral,Second Opinion,Consultation and Referral,Health Service Gatekeepers,Hospital Referrals,Referral,Referral, Hospital,Referrals, Hospital,Consultations,Gatekeeper, Health Service,Health Service Gatekeeper,Opinion, Second,Opinions, Second,Referrals,Second Opinions
D003142 Communication The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups. Miscommunication,Misinformation,Social Communication,Communication Programs,Communications Personnel,Personal Communication,Communication Program,Communication, Personal,Communication, Social,Communications, Social,Miscommunications,Misinformations,Personnel, Communications,Program, Communication,Programs, Communication,Social Communications
D003376 Counseling The giving of advice and assistance to individuals with educational or personal problems.
D005194 Family Practice A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family. Family Practices,Practice, Family,Practices, Family
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001523 Mental Disorders Psychiatric illness or diseases manifested by breakdowns in the adaptational process expressed primarily as abnormalities of thought, feeling, and behavior producing either distress or impairment of function. Mental Illness,Psychiatric Diseases,Psychiatric Disorders,Psychiatric Illness,Behavior Disorders,Diagnosis, Psychiatric,Mental Disorders, Severe,Psychiatric Diagnosis,Illness, Mental,Mental Disorder,Mental Disorder, Severe,Mental Illnesses,Psychiatric Disease,Psychiatric Disorder,Psychiatric Illnesses,Severe Mental Disorder,Severe Mental Disorders

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