Kris K
Am J Psychiatry. 1981 Feb;138(2):194-7. doi: 10.1176/ajp.138.2.194.
The author describes states of patient ambivalence as a regressive response to illness that may interfere with the patient-staff alliance. She provides three illustrations of such ambivalence and tells how they were handled by psychiatric consultation in an obstetrical hospital. She describes the characteristics of the difficulties caused by patient ambivalence in the doctor-patient relationship and makes a number of suggestions for the management of ambivalence by the psychiatric consultant.
作者将患者的矛盾心理状态描述为对疾病的一种退行性反应,这种反应可能会干扰患者与医护人员之间的联盟。她提供了这种矛盾心理的三个例证,并讲述了在一家产科医院里精神科会诊是如何处理这些例证的。她描述了患者矛盾心理在医患关系中所造成困难的特点,并就精神科会诊医生应对矛盾心理的管理提出了一些建议。