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[作为家庭成员、患者以及精神科医生对康复的思考]

[Consideration of Recovery, as a Family Member, as a Patient, and as a Psychiatrist].

作者信息

Natsukari Ikuko

出版信息

Seishin Shinkeigaku Zasshi. 2016;118(10):750-756.

PMID:30620829
Abstract

I have previously published a paper in this journal that described my mother's schizo- phrenia, how I became a patient and the process by which I subsequently became a psychia- trist. After that paper, I began to think that my mother made a strong recovery. I no longer see my mother as an 'unfortunate person'. This change in perspective has also altered my values and internal strength, and I have begun to see the course of my own recovery. It is directed toward my 'recovery as a psychia- trist' ; it involves my contribution to psychiatric care and the social activities that I can par- ticipate in as a patient's family member and as a patient myself. For one of these activities, I administered a questionnaire survey directed toward patients and their family members throughout the country on 'psychiatrists' communication abilities' in June 2015. This survey is based on my frustrating experience of being unable to speak hon- estly with my attending physician when my mother and I were receiving psychiatric care. From my own experiences, I realised that recovery represents subjective improvement. Being subjective, it changes throughout life ; therefore, it is not something that can be defi- nitely ended, as in 'recovered'. I feel that recovery is similar to constantly 'climbing up a hill'. Sometimes, encounters and events in life may make us feel that we have fallen down. Dur- ing such times, we need people who can support us to climb 'the hill of recovery'. I believe that a psychiatric specialist is an important person who supports 'recovery according to the patient' by the side of the hill, firmly grounded in medical knowledge but also based on a sub- jective viewpoint of the patient and his/her family. In my description of these changes, I hope that this article can depict how I am climbing the hill to'recovery as a psychiatrist' and serve as a reference for the readers' clinical practice.

摘要

我之前在这本期刊上发表过一篇论文,讲述了我母亲的精神分裂症、我如何成为一名患者以及随后我成为一名精神科医生的过程。在那篇论文发表之后,我开始认为我母亲恢复得很好。我不再把我母亲看作是一个“不幸的人”。这种观点的转变也改变了我的价值观和内在力量,并且我开始看到自己康复的过程。这一过程指向我“作为一名精神科医生的康复”;它涉及我对精神科护理的贡献以及我作为患者家属和患者本人能够参与的社会活动。在其中一项活动中,我于2015年6月针对全国的患者及其家属进行了一项关于“精神科医生沟通能力”的问卷调查。这项调查基于我在母亲和我接受精神科护理时无法与我的主治医生坦诚交流的沮丧经历。从我自己的经历中,我意识到康复代表着主观上的改善。由于是主观的,它在一生中都会发生变化;因此,它不像“康复”那样是可以明确结束的事情。我觉得康复就类似于不断地“爬山”。有时,生活中的遭遇和事件可能会让我们觉得自己摔倒了。在这些时候,我们需要能够支持我们爬上“康复之山”的人。我相信精神科专家是在山边支持“根据患者情况进行康复”的重要人物,他们牢牢扎根于医学知识,但也基于患者及其家属的主观观点。在我描述这些变化时,我希望这篇文章能够描绘出我是如何攀爬“作为一名精神科医生的康复之山”的,并为读者的临床实践提供参考。

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