Queen Mary University of London, Newham Centre for Mental Health, Barts and the London School of Medicine and Dentistry, Unit for Social and Community Psychiatry, London E13 8SP, UK.
Eur Psychiatry. 2011 Oct;26(7):403-7. doi: 10.1016/j.eurpsy.2010.07.010. Epub 2011 May 14.
The communication between clinician and patient is the basis of psychiatric treatment. However, there has been little practical attention to training in it, and no specific theory of what constitutes good communication in psychiatry has been developed. This review aims to identify principles that guide good communication.
A conceptual review of guiding principles for how clinicians should communicate with patients to achieve clinical objectives in psychiatry.
Five guiding principles for clinicians were identified: a focus on the patient's concerns; positive regard and personal respect; appropriate involvement of patients in decision making; genuineness with a personal touch; and the use of a psychological treatment model.
The principles are mostly generic, but their implementation can be particularly challenging in psychiatry. They may guide further empirical research on effective communication in psychiatry and be utilised using different personal skills of clinicians.
医患沟通是精神科治疗的基础。然而，对于这方面的培训关注甚少，也没有针对精神科良好沟通的具体理论。本综述旨在确定指导良好沟通的原则。
对指导临床医生与患者沟通以实现精神科临床目标的原则进行概念性综述。
确定了五条指导临床医生的原则：关注患者的关注点；积极的态度和个人尊重；适当让患者参与决策；真诚并具有个人特色；使用心理治疗模式。
这些原则大多是通用的，但在精神科实施可能具有特别的挑战性。它们可以指导精神科有效沟通的进一步实证研究，并通过不同临床医生的个人技能加以利用。
