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[内源性精神病中的医患关系]

[Physician-patient relations in endogenous psychoses].

作者信息

Pieringer W, Stix P

出版信息

Wien Klin Wochenschr Suppl. 1984;154:12-5.

PMID:6596796
Abstract

The doctor-patient relationship is described as a specific form of interaction also in patients with endogenous psychosis. In this relationship the characteristics of the basic personality structure underlying the disease process are being revealed. The schizophrenic psychotic patient can thus experience a revival of the specific human - the mortal nature transcending - theme of existential philosophy and the aspect of aggression as part of man's social existence. This can lead to a higher level of sophistication and enhance his healing process. Thymoleptic and neuroleptic drugs are viewed as helpful in the establishment of a solid doctor-patient relationship which is a precondition to recognize and possible solve the structural problems underlying the disease process. Insights derived from the rehabilitation of endogenous psychotic patients specially of social psychiatric departments are used as heuristic models also for the every-day praxis.

摘要

医患关系在患有内源性精神病的患者中也被描述为一种特定的互动形式。在这种关系中,疾病过程背后基本人格结构的特征得以显现。因此,精神分裂症精神病患者能够体验到存在主义哲学中特定的人性——超越必死性的主题,以及作为人类社会存在一部分的攻击性方面。这可以带来更高层次的复杂性,并促进其康复进程。心境稳定剂和抗精神病药物被视为有助于建立稳固的医患关系,而这是认识并可能解决疾病过程背后结构问题的前提条件。从内源性精神病患者康复中获得的见解,尤其是社会精神科的见解,也被用作日常实践的启发式模型。

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