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告知癌症患者其性格类型:情感高涨型(戏剧化)患者。

Informing cancer patient in relation to his type of personality: the emotional-hyperthymic (dramatizing) patient.

作者信息

Kallergis G

机构信息

Department of Mental Health and Behavioral Sciences, School of Health, University of Athens, Athens, Greece.

出版信息

J BUON. 2011 Oct-Dec;16(4):765-70.

Abstract

Informing a cancer patient has been an issue of particular interest to the scientific community over the last 50 years. Since 1989 we have been studying the characters or personality types based on the Kahana and Bibring's approach as part of Consultation-Liaison (C-L) Psychiatry. The question posed was how these characters or personality types could be useful in the process of informing the cancer patient. The aim of this paper was to describe the emotional-hyperthymic character or type of personality thoroughly, so that any physician can make a diagnosis and tailor the information strategy to the patient's needs. The qualitative method of research through groups with doctors and nurses was used, while the research within groups lasted for 5 years. The degree of patients' denial varied between "large" and "very large" and sometimes was "medium". Initially, the degree of information was "minimal", then "small" until it reached "medium". A discordance was evident between what the patient showed and what the family reported about him. The patient presented himself as courageous and extrovert, but the relatives considered him as faint-hearted.

摘要

在过去50年里,告知癌症患者病情一直是科学界特别感兴趣的一个问题。自1989年以来,我们一直在以卡哈纳和比布林的方法为基础,研究性格特征或人格类型,作为会诊联络(C-L)精神病学的一部分。提出的问题是,这些性格特征或人格类型在告知癌症患者病情的过程中如何发挥作用。本文的目的是全面描述情感-亢进性格或人格类型,以便任何医生都能做出诊断,并根据患者的需求调整信息告知策略。采用了与医生和护士分组进行研究的定性研究方法,组内研究持续了5年。患者否认的程度在“很大”和“非常大”之间变化,有时为“中等”。最初,信息告知的程度为“极少”,然后是“少”,直到达到“中等”。患者所表现出的情况与家人对他的描述之间存在明显不一致。患者表现得勇敢且外向,但亲属认为他胆小。

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