Reimer C
Abteilung für Psychotherapie und Psychohygiene, Psychiatrische Uni-Klinik Basel.
Schweiz Rundsch Med Prax. 1991 Feb 19;80(8):157-62.
There are difficult patients, but there are difficult therapists too. The problems on either side may encumber and disturb the relationship between the doctor and his patient. Based on the author's experience in the field of clinical psychiatry, of clinical as well as of out-patient psychotherapy, typical problems of interaction with so called difficult patients are presented. At first these groups of patients are characterized, which are frequently experienced by doctors as being particularly difficult. Doctors describe and explain certain features of those patient's character and behaviour. Furtheron problematic doctor-patient interactions may also be induced by problematic sides of the therapist. Typical problems of therapists are dealt with in the last part of the article.
有难缠的患者，但也有难缠的治疗师。医患双方的问题都可能妨碍并扰乱医生与患者之间的关系。基于作者在临床精神病学领域、临床及门诊心理治疗方面的经验，本文呈现了与所谓难缠患者互动的典型问题。首先对这类患者群体进行了特征描述，医生们经常觉得这些患者特别难应对。医生们描述并解释了那些患者性格和行为的某些特征。此外，治疗师自身存在问题的方面也可能引发有问题的医患互动。本文最后一部分探讨了治疗师的典型问题。
