Kirstein L
J Clin Psychiatry. 1978 Apr;39(4):316-8.
Three cases of sexual activity between patients and staff members were presented and determinants and consequences of this type of acting out behavior were discussed. Patients sexual behavior was in part motivated by a need to avoid feelings of loneliness and anxiety and a consequence of the sexual behavior was the recurrence of symptoms and behaviors noted upon admission. The staff members were noted to become more self preoccupied and less involved with both staff and patients following the sexual behavior. The role of the ward psychiatrist in preventing such patient staff interactions includes his taking responsibility for educational and supervisory needs of the staff, his being involved in the creation and maintenance of the ward's moral code and his awareness of group and organizational factors that may impede open staff communications.
本文介绍了3例患者与工作人员之间的性行为案例，并讨论了这种冲动行为的决定因素和后果。患者的性行为部分是出于避免孤独感和焦虑感的需要，而性行为的一个后果是入院时出现的症状和行为再次出现。据观察，工作人员在性行为发生后变得更加关注自身，与工作人员和患者的互动减少。病房精神科医生在预防此类医患互动中的作用包括，他要对工作人员的教育和监督需求负责，参与病房道德规范的制定和维护，以及意识到可能阻碍工作人员公开交流的群体和组织因素。
