Waldvogel B, Seidl O, Ermann M
Abteilung für Psychotherapie und Psychosomatik, Universität München.
Psychother Psychosom Med Psychol. 1991 Sep-Oct;41(9-10):347-53.
Caring for people with AIDS physicians and nurses are confronted with special problems. Compared to other severe illnesses there are specific problems in the relationship between doctors and nurses with their patients due to the similarity in age, the risk of infection and that most of the patients belong to stigmatized, marginal groups, that represent despised and threatening impulses (homosexu-ality, promiscuity, addiction). The results of our survey of 85 physicians and 111 nurses suggest, that physicians and nurses react with a typically professional attitude concerning the identification with AIDS-patients. The "concordant identification", that is induced by the same age of many AIDS-patients, is followed by a "complementary identification" with the professional role that serves as a defence and helps in coping with threatening internal conflicts. Wherein physicians have a mainly neutral attitude and delegate their feelings to the nurses, nurses show an unlimited commitment for AIDS-patients delegating their aggressive reactions to the physicians.
照顾艾滋病患者时,医生和护士面临着特殊问题。与其他严重疾病相比,由于艾滋病患者与医护人员年龄相仿、存在感染风险,且大多数患者属于受歧视的边缘群体,代表着被鄙视和具有威胁性的冲动行为(如同性恋、滥交、成瘾),所以医患关系存在一些特定问题。我们对85名医生和111名护士的调查结果表明,医护人员在认同艾滋病患者方面表现出典型的职业态度。许多艾滋病患者与医护人员年龄相同所引发的“一致认同”,随后是对专业角色的“互补认同”,这种认同起到防御作用,有助于应对具有威胁性的内心冲突。其中,医生主要持中立态度,将情感托付给护士,而护士则对艾滋病患者表现出无限的投入,将攻击性反应托付给医生。