Jensen P S, Josephson A M, Frey J
Department of Psychiatry and Health Behavior, Medical College of Georgia.
Am J Psychother. 1989 Jul;43(3):378-86. doi: 10.1176/appi.psychotherapy.1989.43.3.378.
Significant changes in the nature of doctor-patient relationships have required more patient involvement in decision making and the therapeutic use of informed consent. Particularly in family therapy, open acknowledgment and discussion of potential hazards of psychotherapy not only establish trust, but also can deflect patients' resistance to therapy and strengthen their commitment to the therapeutic work. Three case reports of the successful use of "informed consent as a treatment strategy" are described.
医患关系性质的重大变化要求患者更多地参与决策,并在治疗中使用知情同意。特别是在家庭治疗中,公开承认并讨论心理治疗的潜在风险,不仅能建立信任,还能消除患者对治疗的抵触情绪,增强他们对治疗工作的投入度。本文描述了三例成功运用“将知情同意作为一种治疗策略”的病例报告。