Ben-Tovim D I, Boyce G P
Department of Psychiatry, Repatriation General Hospital, Adelaide, Australia.
Acta Psychiatr Scand. 1988 Aug;78(2):222-6. doi: 10.1111/j.1600-0447.1988.tb06327.x.
Cohorts of patients admitted to psychiatric hospitals in Botswana and South Australia were compared. The psychiatric hospital in Botswana was used almost entirely for the care of patients with psychotic disorders, whilst one third of the patients in South Australia had either a neurotic or personality disorder diagnosis. A higher proportion of patients in Botswana than South Australia had had only a brief period of illness prior to admission. Violence was equally common amongst Tswana and Australian patients, but was directed outwards towards property and other people in Botswana and inwards towards the self in Australia. It was tentatively concluded that in both countries there was a group of severely ill patients who could not be handled without containment.
对博茨瓦纳和南澳大利亚精神病院收治的患者队列进行了比较。博茨瓦纳的精神病院几乎完全用于护理精神障碍患者，而南澳大利亚三分之一的患者被诊断患有神经症或人格障碍。博茨瓦纳入院前患病时间较短的患者比例高于南澳大利亚。茨瓦纳人和澳大利亚患者中暴力行为同样常见，但在博茨瓦纳暴力行为是针对财产和他人的外向型，而在澳大利亚是针对自身的内向型。初步得出结论，在这两个国家都有一组重症患者，如果不进行管控就无法处理。
