www.psychspace.com心理学空间网
写案例报告的建议(总体陈述时间30分钟)
- A short note on the patient’s gender, age, education background, marriage situation and vocation
简要记录病人的性别、年龄、教育背景、婚姻状况和职业
- Reason for referral: which problems was mentioned. Psychiatric diagnosis: who made it and when? Do the patient use medication?
就诊原因:提到什么问题。精神疾病诊断:由谁做出的,给出诊断的时间,病人是否使用药物
- A short note on your first impression of your patient
简要记录你对病人的第一印象
- Which problems and complaints did the patient mention in the first interview?. How did the patient present her/his problems and suffering?
第一次治疗中,病人提到了哪些问题和痛苦?病人是如何描述他/她的问题和痛苦的?
- Early life background: important others and important experiences. Just give a clear–cut summary; you don't need to describe in to much detail.
早期生活背景:重要他人和重要经历。只需给出一个清晰明确的摘要即可,不必描述过多细节。