Trummer Garrett, Stephens Richard, Washmuth Nicholas B
Godspeed, Hoover, AL, United States.
School of Psychology, Keele University, Keele, Staffordshire, United Kingdom.
J Rehabil Med Clin Commun. 2023 Apr 27;6:10277. doi: 10.2340/jrmcc.v6.10277. eCollection 2023.
Swearing deserves attention in the physical therapy setting due to its potential positive psychological, physiological, and social effects. The purpose of this case series is to describe 2 cases in which a physical therapist swears in the clinical setting and its effect on therapeutic alliance.
Case 1 is a 19-year-old male treated for a hamstring strain, and case 2 is a 23-year-old male treated post-operatively for anterior cruciate ligament reconstruction. The physical therapist utilized social swearing in the clinic with the goal of motivating the patient and enhancing the social connection with the patient, to improve therapeutic alliance.
The patient in case 1 reported a decrease in therapeutic alliance after the physical therapist began swearing during physical therapy treatments, whereas the patient in case 2 reported an increase in therapeutic alliance. Both patients disagreed that physical therapist swearing is unprofessional and disagreed that swearing is offensive, and both patients agreed physical therapists should be able to swear around their patients.
Physical therapist swearing may have positive and negative influences in the clinic setting and may not be considered unprofessional. These are, to our knowledge, the first published cases of a physical therapist swearing in the clinical setting.
由于咒骂可能产生积极的心理、生理和社会影响，因此在物理治疗环境中值得关注。本病例系列的目的是描述2例物理治疗师在临床环境中咒骂及其对治疗联盟的影响的案例。
病例1是一名19岁男性，因腘绳肌拉伤接受治疗；病例2是一名23岁男性，接受了前交叉韧带重建手术后的治疗。物理治疗师在诊所中使用社交性咒骂，目的是激励患者并加强与患者的社会联系，以改善治疗联盟。
病例1的患者报告称，在物理治疗师开始在治疗过程中咒骂后，治疗联盟有所下降；而病例2的患者报告治疗联盟有所增加。两名患者均不同意物理治疗师咒骂是不专业的，也不同意咒骂是冒犯性的，并且两名患者均同意物理治疗师应该能够在患者周围咒骂。
物理治疗师咒骂在临床环境中可能有积极和消极影响，并且可能不被视为不专业。据我们所知，这是首次发表的物理治疗师在临床环境中咒骂的案例。
