Objective: Face validity and the best available evidence strongly support the value of early intervention (EI) for psychotic disorders, and increasingly for other mental illnesses. Yet its value continues to be intensely criticised by some academics and doubted by many psychiatrists. This disconnect is examined through the lens of the ‘clinician’s illusion’. Conclusions: A number of sources fuel resistance to EI; however, the cumulative exposure to persistent and disabling illness that dominates the day-to-day experience of psychiatrists may be a key influence. This experience forms the basis of the clinician’s illusion, a hidden bias health professionals develop as a natural consequence of their clinical experiences, which shapes belief and perception of prognosis, and breeds therapeutic nihilism. This bias has been reinforced by grossly under-resourced systems of mental health care, undermining morale and adding a sense of learned helplessness to our mindset.

中文翻译：

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为什么精神科医生怀疑早期干预的价值？幻觉的力量

目标：表面效度和现有的最佳证据强烈支持早期干预 (EI) 对精神病以及越来越多的其他精神疾病的价值。然而，它的价值继续受到一些学者的强烈批评，并受到许多精神科医生的质疑。这种脱节是通过“临床医生的错觉”的镜头来检查的。结论：许多来源对 EI 有抵抗力；然而，主导精神科医生日常经验的持续性和致残性疾病的累积暴露可能是一个关键影响。这种经历构成了临床医生错觉的基础，一种隐藏的偏见健康专业人员作为他们临床经历的自然结果而发展，它塑造了对预后的信念和看法，并滋生了治疗虚无主义。