Barker P J
Department of Psychiatry, University of Newcastle Upon Tyne, United Kingdom.
Aust N Z J Ment Health Nurs. 1996 Mar;5(1):3-12.
The unique role of the psychiatric nurse has always been to facilitate the psychosocial if not the spiritual healing of the person with mental illness. The manner in which psychiatric nurses exercise this 'psychic healing' function distinguishes them from other nurses. What is controversial about this view is the belief that psychiatric nursing is a spiritual activity. In this paper it is argued that psychiatric nursing is practised in a semi-public context in which patients and nurses re-affirm their need for self-examination as a core element of the life process. It is also argued that psychiatric nursing is a maturing force that educates people in the life process. The concept of 'trephotaxis', or the provision of the necessary conditions for the promotion of growth and development, is introduced as the defining characteristic of a new era. In this era the essential value of life and of nursing is comprehended as part of the flow of life as nurses loss themselves in their relationships with patients. Through this process nurses come to understand the stories they are told by their patients and to appreciate the point of patients' illnesses, and possibly the patients' lives.
精神科护士的独特作用一直是促进精神病患者的心理社会康复，即便不是精神康复。精神科护士履行这种“精神康复”功能的方式使他们有别于其他护士。这一观点存在争议之处在于认为精神科护理是一种精神活动。本文认为，精神科护理是在半公共环境中开展的，在这种环境中，患者和护士再次确认他们将自我审视作为生命过程核心要素的需求。本文还认为，精神科护理是一种促使人们在生命过程中不断成熟的力量。“生长修复趋向性”这一概念，即提供促进生长和发展的必要条件，被引入作为新时代的决定性特征。在这个时代，生命和护理的本质价值被理解为生命之流的一部分，因为护士在与患者的关系中忘我投入。通过这个过程，护士开始理解患者告诉他们的故事，并领会患者患病的原因，甚至可能理解患者的生活。
