综合性医院老年与非老年患者精神康复会诊的对照分析

目的:探讨综合性医院老年与非老年患者精神康复会诊的临床特点。方法:将505例会诊病例分成老年组和非老年组,对会诊科室分布、共患躯体疾病和会诊诊断的资料进行统计学分析。结果:①康复科、呼吸内科与心血管内科的会诊,老年组多于非老年组(P<0.05);神经外科、妇产科,非老年组明显多于老年组(P<0.001)。②共患脑血管病、高血压及心脏病、慢性阻塞性肺疾病者,老年组多见(P<0.05);脑外伤、妇科疾病和病毒性脑炎,非老年组多见(P<0.05)。③诊断器质性精神障碍者,老年组明显多见(P<0.01),脑外伤所致精神障碍、神经症、癔症和单相抑郁,非老年组多见(P<0.05)。结论:通过对综合医院精神康复会诊临床特点的分析,有助于认识不同人群精神康复会诊集中于哪些疾病及其成因,为心理康复干预提供了客观依据。

A Conversation About the Sacred in Art, From Kandinsky to the Present

The relationship between art and spiritual are explored by reviewing the published conversation, beginning with Kandinsky＇s On the Spiritual in Art, then viewing highlights from the classic text Art, Creativity and the Sacred and ending with excerpts from the journal Image. The ways in which art is similar to religion are discussed. Pertinent concepts are explored, with awareness of shifting definitions and application of these concepts. This conversation seems to present a consensus that there are aspects of art that overlap with the spiritual or religious. There is not, however, consensus on what these aspects are or their significance to society, as perspectives and understanding continue to change with growing complexities and multiple viewpoints within this interdisciplinary field. It does seem to bring into question the distinction between the spiritual and the secular.