Neill J R
J Clin Psychiatry. 1979 May;40(5):209-12.
A group of "difficult" psychiatric outpatients in a university hospital system was identified and its distinguishing characteristics compared to a sample of other psychiatric outpatients not so labeled. "Difficult" patients were perceived to be significantly more demanding (p less than or equal to 0.005), dangerous, difficult to empathize with, manipulative and likely to polarize the staff. These patient were perceived differently by physician and nonphysican staff. An analysis revealed that a major source of "difficulty" appeared to be the structure of the treatment system rather than the patient. A corrective strategy was devised to test this hypothesis.
在一个大学医院系统中，一组“难对付”的精神科门诊患者被识别出来，并将其与未被如此归类的其他精神科门诊患者样本的显著特征进行了比较。“难对付”的患者被认为要求更高（p≤0.005）、更危险、更难产生共情、爱操纵他人且可能使工作人员产生两极分化。医生和非医生工作人员对这些患者的看法有所不同。一项分析显示，“难对付”的一个主要根源似乎是治疗系统的结构而非患者本身。为此设计了一项纠正策略来检验这一假设。
