Bernstein H A
Am J Psychother. 1981 Oct;35(4):542-9. doi: 10.1176/appi.psychotherapy.1981.35.4.542.
Of the psychotherapists sampled, 14.22 percent indicated that they had been assaulted and 35.55 percent indicated that they had been threatened by patients. Female therapists were assaulted proportionately less than males. Prediction of such incidents is extremely poor. Of patients who have attacked or threatened therapists, 75 percent have a history of violent behavior; 35 percent of those who have threatened therapists have a history of suicide threats or attempts. The majority of therapists (93%) allow expression of anger by their patients, while only 50 percent of therapists allow themselves to express anger. Inexperienced therapists were assaulted more often than those with experience of more than 11 years. After assaults, 23 percent of therapists transferred their patients to another therapist. External objects were seldom used in assaults. Therapists felt that their best defense was to handle the situation intuitively.
在抽样的心理治疗师中,14.22%表示曾遭受患者攻击,35.55%表示曾受到患者威胁。女性治疗师遭受攻击的比例低于男性。对此类事件的预测非常不准确。在攻击或威胁治疗师的患者中,75%有暴力行为史;在威胁治疗师的患者中,35%有自杀威胁或自杀未遂史。大多数治疗师(93%)允许患者表达愤怒,而只有50%的治疗师允许自己表达愤怒。经验不足的治疗师比有11年以上经验的治疗师更容易受到攻击。遭受攻击后,23%的治疗师将他们的患者转给了另一位治疗师。攻击中很少使用外物。治疗师们认为他们最好的防御方式是凭直觉处理这种情况。