Rave-Schwank Maria
Psychiatr Prax. 2006 Jul;33(5):245-7. doi: 10.1055/s-2005-866841.
The biography of a social-worker shows a positive development in her professional life in spite of several severe episodes of psychotic illness. The author knows her personally over three decades, partly as her psychiatrist. Whether to hide or reveal her psychotic illness as a stigma in professional life is discussed with her own examples. Her "management of the secret" is shown as a combination of hiding and revealing. A slow process of taking again the "risk of trust" with a few friends and within the therapeutic process helps her gain back selfconfidence and trust in others. This process is discussed with Luhmanns approach to trust and the current literature as a way to overcome the inner process of stigmatisation.
一位社会工作者的传记展现了她职业生涯中的积极发展，尽管经历了几次严重的精神病发作。作者与她相识超过三十年，部分是以她的精神科医生的身份。文中以她的亲身经历探讨了在职业生涯中是隐藏还是揭示自己的精神病病史这一耻辱问题。她“对秘密的处理”表现为隐藏与揭示的结合。在与几个朋友以及治疗过程中，她缓慢地重新承担起“信任风险”，这有助于她重新获得自信和对他人的信任。本文结合卢曼的信任理论和当前文献对这一过程进行了探讨，以此作为克服内心污名化过程的一种方式。
