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非形式性强制:德瑞精神科设置中被忽视的沟通形式

Informal coercion as a neglected form of communication in psychiatric settings in Germany and Switzerland.

机构信息

Department of Development and Research in Nursing, Therapies and Social Work, Psychiatric Hospitals of the University of Basel, Switzerland; Chair of Social Networks, Department of Humanities, Social and Political Sciences, ETH Zurich, Switzerland.

Department of Development and Research in Nursing, Therapies and Social Work, Psychiatric Hospitals of the University of Basel, Switzerland.

出版信息

Psychiatry Res. 2018 Apr;262:400-406. doi: 10.1016/j.psychres.2017.09.014. Epub 2017 Sep 11.

DOI:10.1016/j.psychres.2017.09.014
PMID:28958458
Abstract

AIMS

Informal coercion is a frequently used form of communication among mental health professionals to influence treatment outcomes. This study investigates the recognition, attitude, and application of different forms of informal coercion by mental health professionals.

METHODS

Mental health professionals of five psychiatric institutions in Germany and Switzerland (n = 424) took part in an online survey assessing the recognition of, attitudes towards, and application of different forms of informal coercion.

RESULTS

Mental health professionals did not recognize the extent of informal coercion adequately; especially stronger forms were underestimated. Recognition and application of informal coercion was predicted by attitudes towards coercion. Furthermore, there were differences between profession of participants regarding the recognition and application of informal coercion.

CONCLUSIONS

It is important to realize that the extent of applied informal coercion in therapeutic communication is often not recognized by practitioners, although it might interfere with a sound therapeutic relationship.

摘要

目的

非形式强制是心理健康专业人员之间常用的一种沟通形式,用于影响治疗结果。本研究调查了心理健康专业人员对不同形式的非形式强制的识别、态度和应用。

方法

德国和瑞士五家精神病院的心理健康专业人员(n=424)参加了一项在线调查,评估他们对不同形式的非形式强制的识别、态度和应用。

结果

心理健康专业人员没有充分认识到非形式强制的程度;尤其是更强形式的非形式强制被低估了。对强制的态度预测了对非形式强制的识别和应用。此外,参与者的职业之间在对非形式强制的识别和应用方面存在差异。

结论

重要的是要意识到,尽管非形式强制可能会干扰良好的治疗关系,但在治疗性沟通中应用的非形式强制的程度往往没有被从业者所认识到。

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