Gallop R, Wynn F
Can J Psychiatry. 1987 Apr;32(3):211-5. doi: 10.1177/070674378703200310.
This paper discusses the findings of a pilot study of the phenomenology of the "difficult" psychiatric inpatient. Twenty-five nurses and 12 psychiatric residents were asked to identify and describe the behaviours or characteristics of patients they found difficult. In addition, subjects were asked to describe behaviours and feelings they experienced when treating or caring for a specific difficult patient. Content analysis revealed similar diagnostic categories of patients identified as difficult. While feelings of incompetence and lack of control were aroused in both nurses and residents their expression and identified origins pointed to some interesting differences. Nurses' responses were more personalized and affect-laden. Residents tended to blame the system and remain more objective.
本文讨论了一项关于“难对付的”精神科住院患者现象学的初步研究结果。25名护士和12名精神科住院医师被要求识别并描述他们认为难对付的患者的行为或特征。此外，还要求受试者描述在治疗或护理某一特定难对付患者时所经历的行为和感受。内容分析揭示了被认定为难对付的患者的类似诊断类别。虽然护士和住院医师都会产生无能感和失控感，但他们的表现和所认定的根源却存在一些有趣的差异。护士的反应更具个性化且充满情感。住院医师则倾向于指责制度并保持更客观的态度。
