Carr M, Robinson G E
Toronto General Hospital, Ontario.
Can J Psychiatry. 1990 Mar;35(2):122-7. doi: 10.1177/070674379003500203.
This article reviews the existing literature on the subject of patient-therapist sexual contact. Seven point one percent to 10.9% of male therapists and 1.9% to 3.5% of female therapists admit to engaging in intimate contact with patients. Offenders tend to justify their behaviour as being at least innocuous if not beneficial for the patients. The consequences to the patients include increased psychological and psychosomatic complaints, greater mistrust and anger towards men, hospitalization and suicide. Transference and countertransference issues which account for this behaviour are explored as is the issue of post-termination involvement. Education of physicians and residents concerning the temptations and dangers of this type of contact is strongly recommended.
本文回顾了关于患者与治疗师发生性接触这一主题的现有文献。7.1%至10.9%的男性治疗师以及1.9%至3.5%的女性治疗师承认与患者有过亲密接触。这些违规者往往将自己的行为辩解为即便对患者没有益处，至少也是无害的。对患者造成的后果包括心理和身心方面的不适增加、对男性的不信任和愤怒加剧、住院以及自杀。文中探讨了导致这种行为的移情和反移情问题，以及终止治疗后的关系问题。强烈建议对医生和住院医师进行关于此类接触的诱惑和危险的教育。
