Kimball C P
Gen Hosp Psychiatry. 1979 Jul;1(2):150-5. doi: 10.1016/0163-8343(79)90061-6.
Psychotherapy in the extreme medical situation is an extension of the interviewing process. The interviewer must expeditiously and sometimes briefly assist the patient in elaborating his complaint, obtain information about the development of the complaint, and assess the patient's reactions to it. Past history, developmental patterns, reactions to previous illness and crises, the patient's present life situation, and past and present relationships may all be relevant and require evaluation. The interactive process requires that the therapist call upon specific knowledge as he engages with the patient, facilitates the expression of concern, appropriately reassures, instructs, and prepares, clarifies, and leads the patient to some insight about his altered state. Attention to the affective correlates of acute illness can enhance convalescence and the rehabilitative process.
极端医疗情境下的心理治疗是问诊过程的延伸。问诊者必须迅速且有时简短地协助患者详细阐述其主诉，获取有关主诉发展的信息，并评估患者对此的反应。既往史、发育模式、对既往疾病和危机的反应、患者目前的生活状况以及过去和现在的人际关系可能都与之相关且需要评估。互动过程要求治疗师在与患者接触时运用特定知识，促进关切之情的表达，给予适当的安慰、指导和准备，进行澄清，并引导患者对其改变的状态有所洞察。关注急性疾病的情感关联能够促进康复和康复进程。
