Head, Department of Medical Specialties and Professor, Discipline of Psychiatry, University of Adelaide, SA, Australia; Ramsay Health Care (SA) Mental Health, SA, Australia; and Northern Adelaide Local Health Network (NALHN), SA, Australia.
Consultant Psychiatrist, Central Adelaide Local Health Network (CALHN), SA, Australia; and Associate Professor, Discipline of Psychiatry, University of Adelaide, SA, Australia.
Australas Psychiatry. 2020 Apr;28(2):193-198. doi: 10.1177/1039856219889316. Epub 2019 Dec 22.
To identify and understand the linguistic expertise of psychiatrists in clinical interviews with patients experiencing thought disorder (TD).
Qualitative analysis of 24 routine clinical interviews between psychiatrists and inpatients with TD.
Psychiatrists demonstrated the expertise with which they navigated clinical interviews and accomplished shared goals with patients experiencing TD. These findings highlight the need to rethink the notion that such patients are incapable of productive communication. Capturing and describing psychiatrists' tacit expertise provides a foundation for documenting an under-recognised skill set.
Understanding such expertise could enhance the care of patients with TD, repositioning them as active participants in the accomplishment of shared therapeutic goals. Teaching these skills to mental health clinicians during their training would improve their ability to establish effective therapeutic relationships with these patients.
识别和理解精神科医生在与思维障碍（TD）患者进行临床访谈时的语言专业知识。
对 24 例精神科医生与 TD 住院患者之间的常规临床访谈进行定性分析。
精神科医生展示了他们在临床访谈中驾驭和与 TD 患者实现共同目标的专业知识。这些发现强调了重新思考这样的患者无法进行富有成效的沟通的观念的必要性。捕捉和描述精神科医生的隐性专业知识为记录未被充分认识的技能提供了基础。
理解这种专业知识可以增强对 TD 患者的护理，使他们重新成为共同治疗目标实现的积极参与者。在培训期间向心理健康临床医生教授这些技能将提高他们与这些患者建立有效治疗关系的能力。
