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医生对老年患者的同情性刻板印象:修正社会接触假说

Compassionate stereotyping of elderly patients by physicians: revising the social contact hypothesis.

作者信息

Revenson T A

机构信息

Graduate School of the City University of New York.

出版信息

Psychol Aging. 1989 Jun;4(2):230-4. doi: 10.1037//0882-7974.4.2.230.

Abstract

Departing from previous research on age stereotypes, this study examined degree of contact with elderly patients as a factor affecting age stereotyping by physicians. Included are measures of behavioral intentions as well as more traditional attitudinal measures. A total of 63 rheumatologists completed a brief questionnaire on which they rated a 53- or an 83-year-old target patient on a number of dimensions including psychological adjustment and need for support and information. Patients' age and physicians' degree of contact with elderly patients had few direct effects on physicians' ratings; their interaction, however, yielded a strong and consistent finding: The elderly patient was rated as less adjusted, autonomous, and instrumental and in greater need of support and information by high-contact physicians. These findings suggest that although negative age stereotypes are less prevalent than has previously been indicated, rheumatologists, particularly those who treat elderly patients, may draw on compassionate stereotypes in their care of elderly patients.

摘要

与以往关于年龄刻板印象的研究不同,本研究考察了与老年患者的接触程度这一影响医生年龄刻板印象的因素。其中包括行为意图的测量以及更传统的态度测量。共有63名风湿病学家完成了一份简短问卷,他们在问卷中就包括心理调适以及对支持和信息的需求等多个维度,对一名53岁或83岁的目标患者进行评分。患者年龄和医生与老年患者的接触程度对医生的评分几乎没有直接影响;然而,它们之间的相互作用产生了一个强烈且一致的结果:高接触程度的医生认为老年患者在心理调适、自主性和工具性方面较差,且更需要支持和信息。这些发现表明,尽管负面年龄刻板印象并不像之前所指出的那样普遍,但风湿病学家,尤其是那些治疗老年患者的医生,在照顾老年患者时可能会采用同情性刻板印象。

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