Maier G J, Miller R D
Forensic Center, Mendota Mental Health Institute, Madison, WI 53704.
Bull Am Acad Psychiatry Law. 1993;21(2):227-43.
Obscenity has been the subject of a series of court cases centered around the First Amendment, and its interpersonal effects have been studied by psychotherapists and communications theorists. But little has been written about the impact of the use of obscenity by patients in group settings to discharge their feelings and to dominate and harass staff and other patients. The authors argue that if staff are to be able to work effectively with patient populations who utilize obscenity routinely for these purposes, they must become more comfortable with its use, and to treat it as another symptom of the patients' interpersonal difficulties. Guidelines for the therapeutic use/management of obscenity on the ward are offered.
淫秽内容一直是一系列围绕第一修正案的法庭案件的主题，其对人际关系的影响也受到了心理治疗师和传播理论家的研究。但是，关于患者在集体环境中使用淫秽内容来发泄情绪、支配和骚扰工作人员及其他患者的影响，却鲜有著述。作者认为，如果工作人员要能够有效地与经常出于这些目的使用淫秽内容的患者群体打交道，他们就必须对其使用更加坦然，并将其视为患者人际困难的另一种症状。本文提供了病房中淫秽内容治疗性使用/管理的指导方针。
