身、心、灵：将精神领域纳入精神卫生保健。
The Body, the Mind, and the Spirit: Including the Spiritual Domain in Mental Health Care.
机构信息
VA Connecticut Healthcare System, 950 Campbell Avenue, West Haven, CT, 06516, USA.
Yale University School of Medicine, New Haven, CT, USA.
出版信息
J Relig Health. 2022 Oct;61(5):3571-3588. doi: 10.1007/s10943-022-01609-2. Epub 2022 Jul 19.
This article supports the expansion of Engel's (Science (AAAS) 196(4286):129-136, 1977) biopsychosocial model into a biopsychosocial-spiritual model, as Sulmasy (The Gerontologist 42(5):24-33, 2002) and others have suggested. It utilizes case studies to describe five areas of clinical work within mental health (religious grandiosity, depression and grief, demoralization and suicidality, moral injury, and opioid use disorder) with emerging evidence for the inclusion of the spiritual domain in addition to the biological, psychological, and social. For each clinical area, an underutilization of the spiritual domain is compared with a more developed and integrated use. An argument is made for continuing to develop, understand, and utilize a biopsychosocial-spiritual model in mental health.
本文支持将恩格尔（《科学》（美国科学促进会）196(4286):129-136, 1977）的生物-心理-社会模型扩展为生物-心理-社会-精神模型，正如苏尔马希（《老年医学杂志》42(5):24-33, 2002）和其他人所建议的那样。它利用案例研究来描述心理健康领域的五个临床工作领域（宗教浮夸、抑郁和悲伤、士气低落和自杀倾向、道德伤害和阿片类药物使用障碍），除了生物、心理和社会领域外，还出现了纳入精神领域的证据。对于每个临床领域，都将精神领域的未充分利用与更发达和综合的利用进行了比较。本文提出了在心理健康领域继续发展、理解和利用生物-心理-社会-精神模型的论点。
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