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重新审视医疗环境中的去人性化、同理心和职业倦怠。

Rethinking dehumanization, empathy, and burnout in healthcare context.

作者信息

Hoogendoorn Claire J, Rodríguez Naira Delgado

机构信息

Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY.

Department of Medicine, Albert Einstein College of Medicine, Bronx, NY.

出版信息

Curr Opin Behav Sci. 2023 Aug;52. doi: 10.1016/j.cobeha.2023.101285. Epub 2023 Jun 30.

Abstract

Dehumanization has been characterized as common in medical settings, despite limited work directly examining this. In this context, everyday dehumanization is believed to be largely unconscious and unintentional, resulting from a variety of factors often related to structural and organizational aspects of healthcare. This article adopts the patients' and the healthcare providers' perspective to explore how dehumanization can have helpful and hurtful effects on patient outcomes and provider well-being. Future directions include more direct assessment of dehumanization in healthcare settings, centering the needs and experiences of people with mental illness and comorbid conditions, and improving our understanding of dehumanization relative to emotion regulation processes.

摘要

尽管直接研究这一现象的工作有限,但在医疗环境中,去人性化被认为是普遍存在的。在这种情况下,日常的去人性化被认为在很大程度上是无意识和无意的,是由多种通常与医疗保健的结构和组织方面相关的因素导致的。本文从患者和医疗服务提供者的角度探讨去人性化如何对患者的治疗结果和医疗服务提供者的幸福感产生有益和有害的影响。未来的方向包括更直接地评估医疗环境中的去人性化,以患有精神疾病和合并症的人的需求和经历为中心,并增进我们对与情绪调节过程相关的去人性化的理解。

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