Wolk-Wasserman D
Acta Psychiatr Scand. 1985 Jun;71(6):581-95. doi: 10.1111/j.1600-0447.1985.tb02552.x.
Forty consecutively admitted suicide attempt patients, their 70 significant others, and the intensive care unit's personnel were interviewed about their feelings and reactions during the patients' stay on the intensive care unit. The patients belonged to three diagnostic groups. The most prominent feelings and reactions were shame and resistance towards the personnel in the neurosis group, anger and uneasiness in the abuse group, and indifference and apathy in the prepsychosis/psychosis group. The personnel did not observe the patients' underlying feelings and primarily responded to the patients' observable behaviour with different types of reactions, ranging from empathy to distancing and aggression. The latter reactions were due, in part, to the difficulties in dialogue between the patients and the personnel which aroused fear and anxiety in the personnel. The personnel's difficulties in communication with the patients, and the resulting problems are discussed. Significant others did not receive any support, in spite of their need for psychological help.
对40例连续收治的自杀未遂患者、他们的70位重要他人以及重症监护室的工作人员进行了访谈，了解他们在患者入住重症监护室期间的感受和反应。这些患者属于三个诊断组。最突出的感受和反应是神经症组患者对工作人员的羞耻感和抵触情绪，虐待组患者的愤怒和不安，以及精神病前期/精神病组患者的冷漠和无动于衷。工作人员没有察觉到患者潜在的感受，主要是对患者可观察到的行为做出不同类型的反应，从共情到疏远和攻击。后者的反应部分是由于患者与工作人员之间对话困难，这在工作人员中引起了恐惧和焦虑。讨论了工作人员与患者沟通的困难以及由此产生的问题。尽管重要他人需要心理帮助，但他们没有得到任何支持。
