Jurack J R
Allgemeines Krankenhaus Barmbek, Zentrum für Gynäkologie und Geburtsmedizin, Hamburg.
Z Geburtshilfe Neonatol. 1996 Jul-Aug;200(4):144-50.
Potential and limits of psychotherapeutic practice in a general hospital. It is a known fact that psychological care of women in general hospitals is limited. The limits are defined by the way hospitals are run and the way people interact. In fact, psychological and medical treatment should be considered equally effective tools for achieving optimum results. However, the old boundaries are falling and the system is changing. Whenever people come together, with their different views of reality and different ideas of how best to cope with it, there is a potential for discussion. In the hospital context, these different viewpoints often clash. In spite of these limitations, psychological practice in a hospital is often not only feasible, but necessary. It is often effective in crisis intervention as well. Even in relatively brief psychotherapeutic encounters, proper methods used in a sensitive manner can bring about changes at deeper emotional levels. Women need this additional therapy. In the context under study here, psychotherapy should not be limited to either behaviour therapy or longer-term procedures. Another cooperative model involving both physician and psychotherapist is discussed, a model our laws, and society at large, have not yet given due support.
综合医院心理治疗实践的潜力与局限。众所周知,综合医院对女性的心理护理是有限的。这些局限是由医院的运营方式以及人们的互动方式所界定的。事实上,心理治疗和医学治疗应被视为实现最佳效果的同等有效的工具。然而,旧有的界限正在消失,体系正在发生变化。每当人们带着对现实的不同看法以及关于如何最好地应对现实的不同想法相聚时,就存在讨论的潜力。在医院环境中,这些不同的观点常常发生冲突。尽管存在这些局限,但医院中的心理治疗实践往往不仅可行,而且必要。它在危机干预中也常常有效。即使在相对简短的心理治疗过程中,以敏感的方式运用恰当的方法也能在更深的情感层面带来改变。女性需要这种额外的治疗。在本文所研究的背景下,心理治疗不应局限于行为疗法或长期治疗程序。文中还讨论了一种涉及医生和心理治疗师的合作模式,而我们的法律以及整个社会尚未给予这种模式应有的支持。