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助人互动——职业治疗师对治疗关系的认知

The helping encounter--occupational therapists' perception of therapeutic relationships.

作者信息

Norrby E, Bellner A L

出版信息

Scand J Caring Sci. 1995;9(1):41-6. doi: 10.1111/j.1471-6712.1995.tb00264.x.

Abstract

The present paper deals with the art of occupational therapy in terms of therapeutic, helping relationships. The aim was to get a picture of how occupational therapists perceive the therapeutic encounter with their patients. Sixteen qualified occupational therapists, from various occupational areas, were interviewed and a qualitative approach was employed to analyze their description of therapeutic encounters in clinical settings. The qualitative analyses were performed with sensitization as the principle objective and a tentative theoretical model was formed, developed by three content categories; 1) Basic Professional-Oriented Helping; 2) Understanding-Oriented Helping; and 3) Action-Oriented Helping. The relationships between these categories constitute a dynamic complex pattern. One conclusion drawn from this model was that the therapists might have problems finding a balance between their aspiration for becoming professionalized and their belief in egalitarian patient-therapist relationships in the rehabilitation treatment sessions.

摘要

本文从治疗性帮助关系的角度探讨职业治疗艺术。目的是了解职业治疗师如何看待与患者的治疗性接触。采访了来自不同职业领域的16名合格职业治疗师,并采用定性方法分析他们对临床环境中治疗性接触的描述。定性分析以敏化为主要目标进行,形成了一个初步的理论模型,该模型由三个内容类别发展而来:1)以专业为导向的基本帮助;2)以理解为导向的帮助;3)以行动为导向的帮助。这些类别之间的关系构成了一个动态的复杂模式。从这个模型得出的一个结论是,治疗师在康复治疗过程中,可能难以在追求专业化的愿望和平等的医患关系信念之间找到平衡。

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