Freeman A M, Applegate W R
Hosp Community Psychiatry. 1976 Jan;27(1):40-2. doi: 10.1176/ps.27.1.40.
Staff on the rehabilitation unit for amputees at the Navy Regional Medical Center in Oakland, California, requested psychiatric consultation after a group of young patients had shown destructive behavior and resistance to the rehabilitation program. After two unsuccessful attempts at consultation, an approach was adopted in which a psychiatrist functions as a training consultant in group therapy to the orthopedic staff. The primary therapists are two orthopedic nurses, who conduct two weekly therapy sessions for the amputees under the consultant's supervision. The sessions have given amputees a chance to ventilate their feelings of alienation, powerlessness, and boredom, and have been effective in halting destructive behavior and increasing self-esteem.
加利福尼亚州奥克兰海军地区医疗中心的截肢者康复科工作人员，在一群年轻患者出现破坏性行为并抵制康复计划后，请求进行精神科会诊。在两次会诊尝试均未成功后，采用了一种方法，即由一名精神科医生担任骨科工作人员团体治疗的培训顾问。主要治疗师是两名骨科护士，他们在顾问的监督下，为截肢者每周开展两次治疗课程。这些课程让截肢者有机会抒发他们的疏离感、无力感和无聊情绪，并且在制止破坏性行为和增强自尊心方面取得了成效。
