Gharaibeh N M
University of Arizona, Tucson, AZ, USA.
Acta Psychiatr Scand. 2005 Apr;111(4):316-9. doi: 10.1111/j.1600-0447.2004.00489.x.
To explore quantitatively how American movies portray psychiatrists/therapist.
A total of 106 movies were reviewed regarding how psychiatrists/therapists were portrayed. The psychiatrist's or therapist's sex, age, clinical competence and knowledge, boundary violations, attitude toward the patient, influence in the movie's events, treatment modality or modalities used, intervention's outcome, and therapeutic setting.
The psychiatrists/therapists tended to be males (71.2%), and (regardless of sex) middle-aged (50.8%). Despite the general view of the psychiatrists/therapists as friendly (63.6%), there was an over-representation of boundary violations. The percentage of total boundary violations was 44.9% of the cases portrayed and sexual violations accounted for 23.7%, while non-sexual violations accounted for 30.5% (with 9.3% overlap). The appearance of clinical incompetence was 47.5%.
The image of psychiatrists/therapists in commercially available movies is not flattering: close to one out of two violated boundaries, close to one out of four committed a sexual boundary violation, and the psychiatrist/therapist was as likely to be incompetent as competent. The bright point is that psychiatrists/therapists were depicted as more likely to be friendly.
定量探究美国电影如何刻画精神科医生/治疗师。
共审查了106部电影中精神科医生/治疗师的刻画方式。包括精神科医生或治疗师的性别、年龄、临床能力与知识、违反界限行为、对患者的态度、在电影情节中的影响、所采用的治疗方式、干预结果以及治疗环境。
精神科医生/治疗师多为男性（71.2%），且（无论性别）多为中年（50.8%）。尽管普遍认为精神科医生/治疗师友善（63.6%），但违反界限行为的呈现比例过高。刻画案例中违反界限行为总数的比例为44.9%，其中性侵犯占23.7%，非性侵犯占30.5%（有9.3%的重叠）。临床能力不足的出现比例为47.5%。
商业电影中精神科医生/治疗师的形象不佳：近二分之一违反界限，近四分之一存在性界限侵犯，且精神科医生/治疗师无能与胜任的可能性相当。亮点在于精神科医生/治疗师被描绘得更有可能友善。
