Ashencaen Crabtree S
College of Family Sciences, Zayed University, Dubai, United Arab Emirates.
J Psychiatr Ment Health Nurs. 2003 Dec;10(6):713-21. doi: 10.1046/j.1365-2850.2003.00665.x.
This paper draws upon findings from an ethnographic study of psychiatric service users in a psychiatric institution in Sarawak, East Malaysia. Findings focus primarily on the accounts of nursing staff in relation to attitudes towards psychiatric work and patients. These indicate that despite a rhetoric of decentralized services, a custodial 'asylum' model continues to influence the care of patients at many levels. Negative professional attitudes towards patients lead to issues of both moral and physical containment. However, an associated attitude of stigma and prejudice towards mental illness impacts upon how attractive a career in psychiatric nursing is perceived to be by respondents, subject to gender differentials.
本文借鉴了对马来西亚东部沙捞越一家精神病院精神科服务使用者的人种志研究结果。研究结果主要集中在护理人员对精神科工作和患者态度的描述上。这些结果表明，尽管有分散服务的言辞，但一种监护性的“收容所”模式在许多层面上仍继续影响着患者的护理。对患者的负面职业态度导致了道德和身体约束方面的问题。然而，对精神疾病的相关污名化和偏见态度，在存在性别差异的情况下，影响了受访者对精神科护理职业吸引力的看法。
