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[对精神科医生和心理治疗师的跟踪骚扰:一项在线调查的结果]

[Stalking of psychiatrists and psychotherapists : Results of an online survey].

作者信息

Praus P, Riedel-Heller S, Dressing H

机构信息

Zentralinstitut für Seelische Gesundheit Mannheim, Universität Heidelberg, J5, 68159, Mannheim, Deutschland.

Institut für Sozialmedizin, Arbeitsmedizin und Public Health, Medizinische Fakultät, Universität Leipzig, Leipzig, Deutschland.

出版信息

Nervenarzt. 2018 Jan;89(1):58-63. doi: 10.1007/s00115-017-0304-4.

DOI:10.1007/s00115-017-0304-4
PMID:28289792
Abstract

BACKGROUND

Currently, there are clear indications that due to their exposed occupational position psychiatrists and psychotherapists are at a higher risk than the general public to become the victim of stalking by patients.

OBJECTIVES

This study investigated the frequency of stalking and its psychosocial impact among psychiatrists and psychotherapists in the Federal Republic of Germany.

METHODS

Analysis of an online survey among members of the German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN) from 23 September 2015 until 22 October 2015.

RESULTS

Of the respondents 26.5% reported having been the victim of stalking. In more than a third of the reported cases the stalking was described as severely or very severely debilitating. The majority of the perpetrators suffered from psychotic or personality disorders. Male victims were significantly more frequently stalked by a female perpetrator. Approximately 1 in 10 stalking victims continued the treatment of the perpetrator. The majority of the stalking victims did not obtain substantial support from their employer.

CONSLUSION

The phenomenon of stalking within therapeutic relationships needs to be incorporated into the medical and psychotherapeutic professional training, e. g. by implementing specialized training courses and the systematic integration of this topic into clinical supervision. The institutional dealing with stalking by patients needs to optimized, e. g. by promptly transferring treatment of patients who stalk to other professionals and, where required, providing assistance in reporting stalking incidents to the police.

摘要

背景

目前,有明确迹象表明,由于其职业暴露的地位,精神科医生和心理治疗师比普通公众更容易成为患者跟踪骚扰的受害者。

目的

本研究调查了德意志联邦共和国精神科医生和心理治疗师中跟踪骚扰行为的发生频率及其社会心理影响。

方法

对德国精神科、心理治疗与身心医学协会(DGPPN)成员在2015年9月23日至2015年10月22日期间进行的一项在线调查进行分析。

结果

26.5%的受访者报告曾是跟踪骚扰行为的受害者。在超过三分之一的报告案例中,跟踪骚扰行为被描述为严重或非常严重地使人衰弱。大多数肇事者患有精神疾病或人格障碍。男性受害者被女性肇事者跟踪骚扰的频率明显更高。大约十分之一的跟踪骚扰受害者继续对肇事者进行治疗。大多数跟踪骚扰受害者没有从雇主那里获得实质性支持。

结论

治疗关系中的跟踪骚扰现象需要纳入医学和心理治疗专业培训,例如通过开设专门培训课程以及将该主题系统地纳入临床督导。处理患者跟踪骚扰行为的机构需要进行优化,例如通过及时将跟踪骚扰患者的治疗转交给其他专业人员,并在需要时协助向警方报告跟踪骚扰事件。

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本文引用的文献

1
My Patient, My Stalker Empathy as a Dual-Edged Sword: A Cautionary Tale.我的病人,我的跟踪者:同理心是把双刃剑——一个警示故事。
Am J Psychother. 2015;69(3):331-55. doi: 10.1176/appi.psychotherapy.2015.69.3.331.
2
Health Care Professionals as Victims of Stalking: Characteristics of the Stalking Campaign, Consequences, and Motivation in Italy.作为跟踪骚扰受害者的医疗保健专业人员:意大利跟踪骚扰行为的特征、后果及动机
J Interpers Violence. 2017 Sep;32(17):2605-2625. doi: 10.1177/0886260515593542. Epub 2015 Jul 5.
3
[Stalking: diagnostics, risk assessment, principles of treatment and forensic psychiatric assessment].
[跟踪骚扰行为:诊断、风险评估、治疗原则及法医精神病学评估]
Nervenarzt. 2013 Nov;84(11):1385-94; quiz 1395-6. doi: 10.1007/s00115-013-3881-x.
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Under siege?: psychiatrists and stalking.处于困境?:精神科医生与跟踪骚扰行为
Int J Offender Ther Comp Criminol. 2013 May;57(5):523-5. doi: 10.1177/0306624X13485296.
5
Stalking by patients: doctors' experiences in a Canadian urban area.患者的跟踪行为:加拿大城市地区医生的经历
J Nerv Ment Dis. 2011 Oct;199(10):738-43. doi: 10.1097/NMD.0b013e31822fc7aa.
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Patient initiated aggression and violence in Australian general practice.澳大利亚全科医疗中患者引发的攻击行为和暴力行为。
Aust Fam Physician. 2010 May;39(5):323-6.
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Stalking behaviour by patients towards psychiatrists in a large mental health organization.
Int J Soc Psychiatry. 2008 Jul;54(4):350-7. doi: 10.1177/0020764008090690.
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[The effects of stalking on psychiatrists, psychotherapists and psychologists. Prevalence of stalking and its emotional impact].[跟踪行为对精神科医生、心理治疗师和心理学家的影响。跟踪行为的发生率及其情感影响]
Nervenarzt. 2007 Jul;78(7):809-17. doi: 10.1007/s00115-006-2203-y.
9
Association between stalking victimisation and psychiatric morbidity in a random community sample.随机社区样本中跟踪骚扰受害经历与精神疾病发病率之间的关联。
Br J Psychiatry. 2005 Nov;187:416-20. doi: 10.1192/bjp.187.5.416.
10
Lifetime prevalence and impact of stalking in a European population: epidemiological data from a middle-sized German city.欧洲人群中跟踪骚扰行为的终生患病率及影响:来自德国一个中等规模城市的流行病学数据。
Br J Psychiatry. 2005 Aug;187:168-72. doi: 10.1192/bjp.187.2.168.