病例报告：法医精神卫生患者的性经历
Case Report: The Sexual Experiences of Forensic Mental Health Patients.
作者信息
Brand Elnike, Ratsch Angela, Heffernan Edward
机构信息
Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia.
Wide Bay Hospital and Health Service, Research Services, Hervey Bay Hospital, Hervey Bay, QLD, Australia.
出版信息
Front Psychiatry. 2021 Apr 9;12:651834. doi: 10.3389/fpsyt.2021.651834. eCollection 2021.
Abstract
The recovery-based approach to forensic mental health rehabilitation is to support the patient to achieve a fulfilling life-a principle which should include achieving a fulfilling sexual life. This paper presents four vignettes from forensic mental health patients. The four cases demonstrate the omission, avoidance and then judgement by forensic mental health clinicians around the intimate and sensitive, yet important domain of the patient's sexual life. The cases illustrate that gap in the clinical domain and demonstrate the requirement for forensic mental health clinicians to have a greater awareness, acknowledgment, and assessment of their patient's sexuality and sexual health needs. Incorporating sexual health into standard clinical assessments will contribute to improved patient management in addition to supporting the principles of holistic forensic mental health recovery and rehabilitation.
摘要
基于康复的法医精神卫生康复方法是支持患者实现充实的生活——这一原则应包括实现充实的性生活。本文介绍了四位法医精神卫生患者的案例。这四个案例展示了法医精神卫生临床医生在患者性生活这一亲密、敏感却又重要的领域中存在的忽视、回避，进而进行评判的情况。这些案例说明了临床领域存在的差距，并表明法医精神卫生临床医生需要对患者的性取向和性健康需求有更高的认识、认可和评估。将性健康纳入标准临床评估，除了支持整体法医精神卫生康复的原则外，还将有助于改善患者管理。
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2
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3
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Int J Ment Health Nurs. 2019 Dec;28(6):1278-1287. doi: 10.1111/inm.12633. Epub 2019 Jul 28.
4
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Int J Ment Health Nurs. 2018 Jun;27(3):966-974. doi: 10.1111/inm.12402. Epub 2017 Nov 18.
7
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Int J Law Psychiatry. 2016 Jan-Feb;44:15-23. doi: 10.1016/j.ijlp.2015.08.027. Epub 2015 Sep 19.
9
Sex on show. Issues of privacy and dignity in a Forensic mental health hospital: Nurse and patient views.展示中的性。法医精神卫生医院中的隐私与尊严问题：护士与患者的观点。
J Clin Nurs. 2015 Aug;24(15-16):2268-76. doi: 10.1111/jocn.12860. Epub 2015 Jun 3.
10
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Schizophr Bull. 2015 May;41(3):674-86. doi: 10.1093/schbul/sbv001. Epub 2015 Feb 25.
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