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看见精神病背后的那个人。

Seeing the person behind the psychosis.

出版信息

Can Fam Physician. 1984 Feb;30:369-72.

PMID:21279014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2154036/
Abstract

The psychotic patient may lose his sense of individuality and his physician may see him in a way that stereotypes or depersonalizes him. Three principles or attitudes of the physician help prevent this depersonalization. They include judging all interventions by whether they improve the patient's confidence and sense of self-control; understanding the reason behind the patient's behavior, and avoiding the view that he is author of his own fate. Specific methods help the physician to manage a patient who has suffered a psychosis. These include: treating the patient sympathetically; taking time to discover his fears; setting limits so he observes the basic rules of human interaction; individualizing medication regimens; being attentive to his physical complaints; allotting sufficient time for counselling; recognizing his positive attributes; treating crises as opportunities to help him understand his problems better; encouraging him to record problems in a diary; and recognizing one's own needs and limits.

摘要

精神病患者可能会失去自我意识,医生可能会以刻板或非个人化的方式看待他。医生的三个原则或态度有助于防止这种非个人化。它们包括判断所有干预措施是否能增强患者的信心和自我控制感;理解患者行为背后的原因,并避免认为他是自己命运的主宰。具体的方法可以帮助医生治疗患有精神病的患者。这些方法包括:同情地对待患者;花时间发现他的恐惧;设定限制,以便他遵守人际交往的基本规则;个体化药物治疗方案;关注他的身体抱怨;为咨询分配足够的时间;认识到他的积极属性;将危机视为帮助他更好地理解问题的机会;鼓励他在日记中记录问题;并认识到自己的需求和局限性。

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本文引用的文献

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Psychotherapy: the restoration of morale.心理治疗:士气的恢复。
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