Sunde E R, Mabe P A, Josephson A
Department of Psychiatry, Medical College of Georgia, Augusta 30912-3800.
Clin Pediatr (Phila). 1993 Apr;32(4):213-9. doi: 10.1177/000992289303200406.
The pediatrician's job becomes frustrating when it is necessary to deal with difficult parents. Some physicians may not have the training or inclination to engage such parents in a therapeutic partnership. This paper discusses tools available to physicians which will help them develop an effective partnership that includes uncovering the hidden meaning behind a child's illness; understanding the reciprocal nature of partnerships; and the importance of determining each party's goals, roles, and expectations. Negotiating these steps enables physicians to develop a productive relationship with difficult parents of sick children. This strategy can facilitate the child's medical care and improve the parents' and physician's satisfaction with the services rendered. This paper also discusses steps to take when these attempts are not sufficient to handle the situation.
当需要应对难缠的家长时，儿科医生的工作就会变得令人沮丧。有些医生可能没有接受过相关培训，也没有意愿与这些家长建立治疗性的合作关系。本文讨论了医生可用的一些方法，这些方法将帮助他们建立有效的合作关系，包括揭示孩子疾病背后隐藏的含义；理解合作关系的相互性质；以及确定各方目标、角色和期望的重要性。通过协商这些步骤，医生能够与患病儿童的难缠家长建立富有成效的关系。这种策略可以促进孩子的医疗护理，并提高家长和医生对所提供服务的满意度。本文还讨论了在这些尝试不足以处理这种情况时应采取的步骤。
