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反移情剖析:工作人员对精神科医院难缠患者的反应

An anatomy of countertransference: staff reactions to difficult psychiatric hospital patients.

作者信息

Colson D B, Allen J G, Coyne L, Dexter N, Jehl N, Mayer C A, Spohn H

出版信息

Hosp Community Psychiatry. 1986 Sep;37(9):923-8. doi: 10.1176/ps.37.9.923.

DOI:10.1176/ps.37.9.923
PMID:3758976
Abstract

Countertransference among hospital staff was investigated as part of ongoing research on difficult-to-treat psychiatric hospital patients. Staff's ratings of their emotional reactions to 127 patients on long-term units were analyzed by factor analysis, and the resulting factors were correlated by discipline with patient problem behaviors. Among the conclusions were that different forms of psychopathology elicit characteristic patterns of emotional reaction from staff; that some dimensions of psychopathology, particularly suicidal-depressed behavior and violence-agitation, elicit different emotional reactions among different disciplines, thus laying the groundwork for division among staff; and that the more difficult the process of hospital treatment, the more likely staff will experience a variety of emotions.

摘要

作为对难以治疗的精神病院患者进行的一项正在进行的研究的一部分,对医院工作人员的反移情进行了调查。通过因子分析对工作人员对长期病房中127名患者的情绪反应评分进行了分析,并将所得因子按学科与患者的问题行为进行了关联。研究得出的结论包括:不同形式的精神病理学引发工作人员特征性的情绪反应模式;精神病理学的某些维度,特别是自杀性抑郁行为和暴力-激越行为,在不同学科中引发不同的情绪反应,从而为工作人员之间的分歧埋下伏笔;以及医院治疗过程越困难,工作人员就越有可能经历多种情绪。

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An anatomy of countertransference: staff reactions to difficult psychiatric hospital patients.反移情剖析:工作人员对精神科医院难缠患者的反应
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Patterns of staff perception of difficult patients in a long-term psychiatric hospital.长期精神病医院工作人员对难缠患者的认知模式。
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Problems to anticipate in treating difficult patients in a long-term psychiatric hospital.在长期精神病医院治疗难治性患者时需要预见的问题。
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Countertransference feelings and the psychiatric staff's self-image.反移情感受与精神科工作人员的自我形象。
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Profiles of difficult psychiatric hospital patients.难治性精神病医院患者的概况。
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Therapists' emotional state after sessions in which suicidality is addressed: need for improved management of suicidal tendencies in patients with borderline personality pathology.
治疗师在处理自杀问题后的情绪状态:需要改善对边缘型人格障碍患者自杀倾向的管理。
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Psychometric Properties of Difficulties of Working with Patients with Personality Disorders and Attitudes Towards Patients with Personality Disorders Scales.《与人格障碍患者合作的困难及对人格障碍患者态度量表的心理测量学特性》
Noro Psikiyatr Ars. 2014 Dec;51(4):318-327. doi: 10.5152/npa.2014.7056. Epub 2014 Dec 1.
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Perceived competence and attitudes towards patients with suicidal behaviour: a survey of general practitioners, psychiatrists and internists.对有自杀行为患者的感知能力及态度:全科医生、精神科医生和内科医生的一项调查
BMC Health Serv Res. 2014 May 8;14:208. doi: 10.1186/1472-6963-14-208.
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Clinical and demographic characteristics of 15 patients with repetitively assaultive behavior.
Psychiatr Q. 1988 Fall;59(3):213-24. doi: 10.1007/BF01064244.
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Clinicians' self-reported reactions to psychiatric emergency patients: effect on treatment decisions.临床医生对精神科急诊患者的自我报告反应:对治疗决策的影响。
Psychiatr Q. 1990 Summer;61(2):155-62. doi: 10.1007/BF01064915.