Doherty E G
Arch Gen Psychiatry. 1975 May;32(5):562-8. doi: 10.1001/archpsyc.1975.01760230028002.
This report explores two theoretical positions regarding psychiatric inpatient self-labeling processes over time. One position suggests that acceptance of the deviant label "mentally ill" is benign; the other suggests that such label acceptance may be harmful to patients. Employing empirical, longitudinal data from a sample of 43 inpatients, three complex, but discernible, patterns of "acceptance," "rejection," or "denial" of the "deviant" label of mental patient emerged over time within a short-term hospital setting. The three patient groups varied on Minnesota Multiphasic Personality Inventory scales, staff behavioral ratings over time, involvement in approved ward activities, and length of hospitalization. Results were discussed in terms of patient-staff interaction and its possible relation to patient self-labeling.
本报告探讨了随着时间推移,关于精神科住院患者自我标签过程的两种理论立场。一种立场认为,接受“精神疾病”这一异常标签是无害的;另一种立场则认为,接受此类标签可能对患者有害。利用来自43名住院患者样本的实证纵向数据,在短期医院环境中,随着时间的推移,出现了三种复杂但可辨别的对精神科患者“异常”标签的“接受”“拒绝”或“否认”模式。这三组患者在明尼苏达多相人格调查表量表、工作人员随时间的行为评分、参与批准的病房活动以及住院时间方面存在差异。根据患者与工作人员的互动及其与患者自我标签的可能关系对结果进行了讨论。