Moules Nancy J, Thirsk Lorraine M, Bell Janice M
University of Calgary.
J Fam Nurs. 2006 Nov;12(4):426-41. doi: 10.1177/1074840706294244.
In clinical work using the Illness Beliefs Model, therapeutic leverage is focused on challenging constraining beliefs of family members that are contributing to their suffering. This challenge occurs in many ways, including offering alternative facilitating beliefs that may lead to healing rather than suffering. This article describes an exemplar of clinical work with a family who sought services in the Family Nursing Unit at the University of Calgary, with the presenting concern of unresolved grief. This analysis describes the therapeutic conversation that occurred between the family and a team of nurse clinicians, where the young woman's beliefs about grief and mothering were distinguished as beliefs that were contributing to her emotional pain and her belief in her mothering capabilities. The nursing team offered alternative beliefs of which the family rapidly embraced and, subsequently, experienced diminishment of the suffering previously experienced.
在运用疾病信念模型的临床工作中，治疗的着力点在于挑战那些导致家庭成员痛苦的限制性信念。这种挑战通过多种方式实现，包括提供可能带来治愈而非痛苦的替代性促进性信念。本文描述了一个临床工作实例，一个家庭在卡尔加里大学家庭护理单元寻求服务，主要问题是未解决的悲伤。该分析描述了这个家庭与一组护士临床医生之间发生的治疗性对话，其中年轻女性对悲伤和为人母的信念被认定为导致其情感痛苦以及影响其为人母能力信念的因素。护理团队提供了替代性信念，这个家庭迅速接受，随后，他们之前经历的痛苦有所减轻。
