ten Have H
Gerontologie. 1981 Nov;12(4):218-23.
In this article the author makes a number of theoretical comments on role conception and role behaviour in the therapeutic milieu of the nursing home for the somatically ill. To begin with he draws a comparison between this milieu and that in a psychiatric hospital, where the notion of the therapeutic living environment has already been put into practice. A conspicuous feature is the difference in the nature of the inhabitants of the two milieus and the reason for their admission. The patient at a psychiatric hospital is there in order to learn to manage a role in society in a new way, the nursing home patient has to try, in an appropriate manner, to learn again to give meaning to the role which he has been deprived of by his physical disability. In this article the author hopes that he has demonstrated that the inmate of the nursing home is doomed to fail without the real and active help of his family or other people who are important to him. Through adequate reflection on their own role behaviour, the staff must try to provide a response to the subjective experience of reality encountered by the patient and his relatives and friends.
在本文中，作者对疗养院中为躯体疾病患者提供的治疗环境中的角色概念和角色行为提出了一些理论性评论。首先，他将这种环境与精神病医院的环境进行了比较，在精神病医院中，治疗性生活环境的概念已经付诸实践。一个显著的特征是两种环境中居住者的性质以及他们入院的原因存在差异。精神病医院的患者在那里是为了学习以一种新的方式在社会中扮演角色，而疗养院的患者则必须以适当的方式再次尝试去理解因身体残疾而被剥夺的角色的意义。在本文中，作者希望他已经表明，如果没有家人或对他重要的其他人的实际且积极的帮助，疗养院的住客注定会失败。通过对自身角色行为进行充分反思，工作人员必须努力对患者及其亲友所遭遇的现实主观体验做出回应。
