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为更好地理解精神科环境中的暴力行为:破除迷思

Toward a better understanding of violence in psychiatric settings: debunking the myths.

作者信息

Morrison E F

机构信息

Department of Nursing, University of New Hampshire, Durham 03824.

出版信息

Arch Psychiatr Nurs. 1993 Dec;7(6):328-35. doi: 10.1016/0883-9417(93)90050-7.

DOI:10.1016/0883-9417(93)90050-7
PMID:8179356
Abstract

Because of the risk of dealing with violent patients on a daily basis, psychiatric clinicians must keep abreast of new developments in the field and after their practice accordingly. However, belief in outdated theories results in the continuation of some traditional practices that are minimally effective for decreasing violence. Five myths about violence are identified and alternatives offered to clinicians interested in changing their approach. The five myths are: (1) the violent person is out of control, (2) the use of a punching bag decreases violence, (3) staff doing a good job means controlling patients, (4) unconscious staff conflicts result in aggression and violence by patients, and (5) the fearful clinician is most often assaulted.

摘要

由于每天都要应对暴力患者,精神科临床医生必须紧跟该领域的新发展并相应地调整他们的实践。然而,对过时理论的信奉导致一些传统做法的延续,而这些做法在减少暴力方面效果甚微。本文识别了关于暴力的五个误区,并为有意改变其方法的临床医生提供了替代方案。这五个误区是:(1)暴力者失去控制;(2)使用 punching bag 可减少暴力;(3)工作人员工作出色意味着控制患者;(4)工作人员无意识的冲突导致患者攻击和暴力行为;(5)恐惧的临床医生最常受到攻击。 (注:文中“punching bag”不太明确其准确意思,可能是专业领域特定物品,暂按字面翻译)

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