Wengle H P
Unit for Psychosocial Medicine (Psychiatric Clinic), University Hospital, Zurich, Switzerland.
Ann Plast Surg. 1986 Jun;16(6):487-93. doi: 10.1097/00000637-198606000-00006.
Numerous patient referrals and discussions with the plastic surgeons of the Zurich University Hospital, and the lack of "hard" data in the literature motivated me to delve more into the problems of patient selection in cosmetic surgery. The first section of this article consists of a discussion of the selection criteria in the literature. Although they may be important in single cases, none of the criteria proves to be statistically significant in regard to the outcome of cosmetic surgery. After a short outline of the development of research in cosmetic surgery, a systemic-interactional model of thinking is introduced and applied to the patient selection process. The sections on coping, the patient/surgeon/psychiatrist triangle, and management of the patient in the screening interview illustrate that the systemic hypothesis can enhance the understanding of patient attitudes and behaviors. Practical implications are discussed.
众多患者转诊以及与苏黎世大学医院整形外科医生的讨论，再加上文献中缺乏“确凿”数据，促使我更深入地探究整形手术中患者选择的问题。本文的第一部分是对文献中选择标准的讨论。尽管这些标准在个别案例中可能很重要，但就整形手术的结果而言，没有一个标准在统计学上具有显著意义。在简要概述整形手术研究的发展之后，引入了一种系统互动的思维模式并将其应用于患者选择过程。关于应对、患者/外科医生/精神科医生三角关系以及筛选面谈中患者管理的章节表明，系统假设可以增进对患者态度和行为的理解。还讨论了实际应用。
