坦率地说，我们确实在乎：通过咒骂来改善患者的治疗效果。
Frankly, we do give a damn: improving patient outcomes with swearing.
作者信息
Washmuth Nicholas B, Stephens Richard
机构信息
Department of Physical Therapy, Samford University, 800 Lakeshore Dr, Birmingham, AL, 35229, United States.
School of Psychology, Keele University, Keele, Staffordshire, ST5 5BG, UK.
出版信息
Arch Physiother. 2022 Mar 17;12(1):6. doi: 10.1186/s40945-022-00131-8.
BACKGROUND
Words can change the way a patient thinks, feels, and performs. Swearing, or uttering a word that is considered taboo, is an often-ignored part of our language, even though over 50% of the population swears "sometimes" or "often". If used correctly, within a biopsychosocial approach to care, swearing has the potential to significantly improve patient outcomes.
DISCUSSION
Swearing can create tighter human bonds and enhance the therapeutic alliance between a patient and a physical therapist. Improvements in social pain, physical pain tolerance, and physical pain threshold can occur by strategic swearing by our patients. Even physical performance measures, such as power and force could be enhanced if patients swear.
CONCLUSION
Although the mechanism by which swearing is effective is unclear, swearing deserves attention in the physical therapy setting based on evidence indicating potential positive effects on patient outcomes.
背景
言语能够改变患者的思维、感受及行为方式。咒骂，即说出被视为禁忌的词汇，是我们语言中常被忽视的一部分，尽管超过半数的人“有时”或“经常”会咒骂。如果在生物心理社会护理方法中正确使用，咒骂有可能显著改善患者的治疗效果。
讨论
咒骂能够建立更紧密的人际关系，并加强患者与物理治疗师之间的治疗联盟。患者有策略地咒骂可改善社交疼痛、提高身体疼痛耐受力及疼痛阈值。甚至，如果患者咒骂，诸如力量等身体表现指标也可能得到提升。
结论
尽管咒骂产生效果的机制尚不清楚，但基于有证据表明咒骂对患者治疗效果有潜在积极影响，在物理治疗环境中咒骂值得关注。
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