Debus Stephan
Klinik für Psychiatrie, Sozialpsychiatrie und Psychotherapie, Medizinische Hochschule Hannover.
Psychiatr Prax. 2019 Mar;46(S 01):S11-S20. doi: 10.1055/a-0785-6527. Epub 2019 Feb 11.
Psychiatric research needs more information about what happens in times using coercive measures. In their structure jeopardizing situations are fundamental different from allday-life situations (e. g. school lesson) or even other environmental crisis situations (e. g. airplane cockpit). Results of communication analysis of jeopardizing situations in psychiatry ward within mixed-methods design are presented for the first time. Data basis comprises videos of psychodramatical rearranged standard conflict situations. By means of deductive identification (N = 2338) of observed utterances and followed by statistical evaluation, quantitative and qualitative procedures are able to distinguish different scenes (in school education vs. psychiatry) and actor communication patterns (therapists vs. inpatients). Using declaratives (determining, regulating) and commissives (promising, threatening) the actor communication profiles are totally different. The methods enrich the psychiatric process- and conflict research. More results are given in SRZP-PART II to PART VI.
精神病学研究需要更多关于使用强制手段时所发生情况的信息。在其结构中,危及安全的情况与日常生活情境(如学校课程)甚至其他环境危机情境(如飞机驾驶舱)有着根本的不同。首次呈现了在混合方法设计中对精神病病房危及安全情况的沟通分析结果。数据基础包括心理剧重新编排的标准冲突情境的视频。通过对观察到的话语进行演绎识别(N = 2338),然后进行统计评估,定量和定性程序能够区分不同场景(学校教育与精神病学)以及参与者的沟通模式(治疗师与住院患者)。使用陈述句(确定、规范)和承诺句(承诺、威胁)时,参与者的沟通概况完全不同。这些方法丰富了精神病学过程和冲突研究。更多结果在SRZP第二部分至第六部分给出。