Novak M
Cutis. 1980 Jan;25(1):66, 73.
The dermatologist must distinguish between the hostile patient and the contemptuous patient for each must be handled very differently. The hostile patient needs empathy and the contemptuous patient needs direct , stern confrontation in order to sustain the doctor/patient relationship. If the dermatologist allows the contemptuous patient to use his disdain to discredit him, the patient loses, for he can no longer respect his doctor. The paper presented herein offers guidelines for the dermatologist in recognizing and handling both the hostile and contemptuous patient. The dermatologist must be able to recognize these differences in order to handle both types of patients knowledgeably.
皮肤科医生必须区分敌意型患者和轻蔑型患者，因为对待这两种患者的方式截然不同。敌意型患者需要同理心，而轻蔑型患者则需要直接、严厉的对抗，以维系医患关系。如果皮肤科医生任由轻蔑型患者利用其轻蔑态度诋毁自己，那么患者就输了，因为他将不再尊重自己的医生。本文提供了一些指导方针，帮助皮肤科医生识别和处理敌意型和轻蔑型患者。皮肤科医生必须能够认识到这些差异，以便明智地应对这两种类型的患者。
