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以患者为中心及专业榜样性别对实习生心理化反应的影响。对电影辅助教育的启示。

The effect of patient-centeredness and gender of professional role models on trainees' mentalization responses. Implications for film-aided education.

作者信息

Bálint Katalin, Nagy Tamás, Csabai Márta

机构信息

Institute for Cultural Inquiry (ICON) - Media and Performance Studies, Utrecht University, The Netherlands.

Doctoral School of Psychology, University of ELTE, Budapest, Hungary.

出版信息

Patient Educ Couns. 2014 Oct;97(1):52-8. doi: 10.1016/j.pec.2014.06.005. Epub 2014 Jun 23.

Abstract

OBJECTIVE

To examine how certain characteristics of film-presented practitioner role-models influence trainees' mentalization.

METHODS

In an experimental setting, psychology students watched four film clips presenting a patient-practitioner session; the clips varied in the practitioner's patient-centeredness (positive vs. negative) and gender. Participants commented on the practitioner's thoughts, emotions and intentions through the session. Analysis of 116 comments focused on the effect of patient-centeredness and gender variables on mentalization and judgment utterances.

RESULTS

Negative role-models and female role-models induced higher levels of mentalization compared to positive and male role-models. There was no gender difference in the level of mentalization; however male participants gave more judgmental responses than female participants. The patient-centeredness had a larger effect on mentalization when trainees described the opposite gender role-model.

CONCLUSION

In a systematic comparison, students' capacity for mentalization differed according to role-models' patient-centeredness and gender, as well as the gender-match of students with role-models.

PRACTICE IMPLICATIONS

When working with film-presented role-models, educators should be aware of the differences in the level of mentalization elicited by positive and male role-models, as opposed to negative and female role-models. Educators should also consider the gender-match between trainees and role-models, therefore students should be exposed to both cross- and same-gender role-models.

摘要

目的

探讨电影中呈现的从业者榜样的某些特征如何影响受训者的心理化能力。

方法

在一个实验环境中,心理学专业学生观看了四个呈现医患诊疗过程的电影片段;这些片段在从业者的以患者为中心程度(积极与消极)以及性别方面存在差异。参与者在整个诊疗过程中对从业者的想法、情感和意图进行评论。对116条评论的分析聚焦于以患者为中心程度和性别变量对心理化及判断性话语的影响。

结果

与积极榜样和男性榜样相比,消极榜样和女性榜样引发了更高水平的心理化。心理化水平不存在性别差异;然而,男性参与者给出的判断性回应比女性参与者更多。当受训者描述异性榜样时,以患者为中心程度对心理化的影响更大。

结论

在一项系统比较中,学生的心理化能力因榜样的以患者为中心程度、性别以及学生与榜样的性别匹配情况而有所不同。

实践意义

在使用电影呈现的榜样时,教育工作者应意识到积极榜样和男性榜样与消极榜样和女性榜样所引发的心理化水平的差异。教育工作者还应考虑受训者与榜样之间的性别匹配,因此学生应接触到跨性别和同性别榜样。

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