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思维障碍者的成就:一项精神科医患互动的案例研究。

Accomplishments of the thought disordered person: a case study in psychiatrist-patient interaction.

机构信息

Discipline of Psychiatry, School of Medicine, University of Adelaide, Northern Mental Health, Adelaide, Australia.

出版信息

Med Hypotheses. 2011 Nov;77(5):900-4. doi: 10.1016/j.mehy.2011.08.006. Epub 2011 Aug 31.

DOI:10.1016/j.mehy.2011.08.006
PMID:21885205
Abstract

BACKGROUND

The research and clinical literature portrays the thought disordered person as incapable of meaningful social interaction. This model views thought disorder exclusively as a brain dysfunction, evidenced by dysfunctions in speech.

AIMS

The study seeks to address this deficit model by investigating the interactional accomplishments of thought disordered people in clinical interviews.

METHOD

An analysis of clinical interview data.

RESULTS

We investigate (1) what thought disordered people actually accomplish in interaction, and (2) how thought disordered people and their psychiatrists routinely communicate on matters consequential for treatment.

CONCLUSIONS

This paper introduces a new perspective on the interactional achievements of people with thought disorder. The skills required by both parties during routine clinical interviews have not previously been recognised or described.

摘要

背景

研究和临床文献将思维障碍者描绘为无法进行有意义的社会互动的人。这种模式将思维障碍完全视为大脑功能障碍,表现为言语功能障碍。

目的

本研究旨在通过研究思维障碍者在临床访谈中的互动表现来解决这种缺陷模式。

方法

对临床访谈数据的分析。

结果

我们调查了(1)思维障碍者在互动中实际完成的任务,以及(2)思维障碍者及其精神科医生在对治疗有重要影响的问题上的常规沟通方式。

结论

本文为思维障碍者的互动成就引入了一个新的视角。在常规临床访谈中,双方所需的技能以前没有被认识到或描述过。

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