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治疗的勇气。

The courage to treat.

作者信息

Fried Aviva

机构信息

Tel Aviv University Sackler Faculty of Medicine, Occupational Therapy, Tel Aviv, Israel.

出版信息

Scand J Occup Ther. 2020 Jan;27(1):1-3. doi: 10.1080/11038128.2019.1686062. Epub 2019 Nov 7.

DOI:10.1080/11038128.2019.1686062
PMID:31697900
Abstract

The treatment of a sick person is an invasive act of a professional and humane nature. It is based on both acquired and proven knowledge, as well as accrued clinical experience. When invading the patient's life during treatment in order to bring about beneficial results, we must rely on these two sources of knowledge. Knowledge based on clinical findings achieve validity in an empiric process of research. Knowledge based on clinical experience, by its very nature, cannot be validated empirically and depends on intuition, analogies, common sense and courage. Courage, among other things, is the ability to recognize one's own limitations as a therapist during treatment, and the readiness to change and expand them when necessary. This courage is the ability of the therapist to accept the existence of his own strengths and weaknesses, as well as those of his patient and to realize that empathy cannot be total. Furthermore, it is necessary to realize that a certain ambiguity is a necessary part of the treating process.

摘要

对病人的治疗是一种具有专业性和人道性的侵入行为。它基于既有的、经证实的知识以及积累的临床经验。在治疗过程中侵入患者的生活以带来有益结果时,我们必须依靠这两种知识来源。基于临床发现的知识在经验性研究过程中获得有效性。基于临床经验的知识,就其本质而言,无法通过经验进行验证,而是依赖于直觉、类比、常识和勇气。勇气尤其体现在治疗过程中能够认识到自己作为治疗师的局限性,并在必要时愿意改变和拓展这些局限。这种勇气是治疗师接受自身优缺点以及患者优缺点的存在,并认识到同理心不可能是完全的能力。此外,有必要认识到一定程度的模糊性是治疗过程的必要组成部分。

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Intuition in Occupational Therapists' Clinical Reasoning: A Scoping Review.职业治疗师临床推理中的直觉:一项范围综述
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