Stephenson P S, Walker G A
Can J Psychiatry. 1979 Feb;24(1):5-17. doi: 10.1177/070674377902400105.
This paper contends that the psychiatrist-woman patient relationship is affected by a number of powerful, yet often subtle, pressures. There are three major interacting sets of factors: the medical and mental health systems and the process of medicalization of life that has taken place over the last century; the psychiatrist, his or her training, attitude and theoretical background; and the woman patient, her socialization and view of the world which is based on perspectives formulated from a male viewpoint. As a result of these factors, any woman referred to a psychiatrist is likely to be given a psychiatric diagnosis, her problems viewed as individual and intrapsychic, the societal obstacles she faces ignored or minimized, and treatment probably geared to helping her adapt to traditional expectations. The implications for therapy are discussed, with emphasis on the need to appreciate how women have been forced into a second-hand understanding of the world. Alternatives to traditional psychotherapy are discussed briefly, stressing the need for recognition and use of these resources.
本文认为，精神科医生与女性患者之间的关系受到一些强大但往往微妙的压力影响。存在三组主要的相互作用因素：医疗和心理健康系统以及过去一个世纪发生的生活医学化过程；精神科医生及其培训、态度和理论背景；以及女性患者，她的社会化过程和基于男性视角形成的世界观。由于这些因素，任何被转介给精神科医生的女性都可能会被给予精神科诊断，她的问题被视为个体的和内心的，她所面临的社会障碍被忽视或最小化，并且治疗可能旨在帮助她适应传统期望。文中讨论了对治疗的影响，强调需要认识到女性是如何被迫对世界形成二手理解的。还简要讨论了传统心理治疗的替代方法，强调了认识和利用这些资源的必要性。
