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[依恋理论背景下的医患关系]

[The physician-patient relationship in the context of the attachment theory].

作者信息

Tyszkiewicz-Bandur Monika, Kozińska Beata

机构信息

Samodzielna Pracownia Psychologii i Socjologii Lekarskiej ul. Rybacka 1, Szczecin.

出版信息

Ann Acad Med Stetin. 2009;55(2):90-7; discussion 97-8.

Abstract

This work presents the application in medical practice of relationship rules derived from the theory of attachment which was first formulated in the fifties by John Bowlby, a British psychiatrist, and further developed by the American developmental psychologist Mary Ainsworth. This theory is considered to be one of the more outstanding achievements of psychology in the 20th century. Attachment types may reveal themselves in the form of specific behavior which characterizes the relationship of the patient with medical staff. The reaction to stress is shaped by the experience of childhood during which the child develops and perpetuates its own style of emotional expression and coping with stress. The child's model of coping with stress matures along with the experience of care from adult caregivers and determines the future pattern of coping with strange situations and solving problems through open communication and "accommodation" of negative or distressing emotions during therapy.

摘要

这项工作展示了源自依恋理论的关系规则在医学实践中的应用。依恋理论最初由英国精神病学家约翰·鲍尔比在20世纪50年代提出,并由美国发展心理学家玛丽·安斯沃思进一步发展。该理论被认为是20世纪心理学较为杰出的成就之一。依恋类型可能以特定行为的形式表现出来,这种行为表征了患者与医护人员之间的关系。对压力的反应是由童年经历塑造的,在童年时期,孩子形成并延续自己的情感表达和应对压力的方式。孩子应对压力的模式随着成年照顾者的照料经历而成熟,并决定了未来应对陌生情境以及在治疗过程中通过开放沟通和“接纳”负面或痛苦情绪来解决问题的模式。

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