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回归服务于住院医师教育。

Regression in the service of residency education.

作者信息

Shershow J C, Savodnik I

出版信息

Arch Gen Psychiatry. 1976 Oct;33(10):1266-70. doi: 10.1001/archpsyc.1976.01770100128014.

DOI:10.1001/archpsyc.1976.01770100128014
PMID:971037
Abstract

Regression as a potentially adaptive psychological response is used as a conceptual model to understand a variety of behaviors seen in beginning psychiatric residents on an inpatient service. The behaviors, discussed and illustrated with brief examples, are (1) competition and identification, (2) sexuality, (3) aggression, (4) depression and despair, (5) dependency, and (6) fusion with patients. Factors on an inpatient service that foster regressive behavior in new residents are discussed, and some of the potential resolutions of the behavoirs are proposed. Regression is seen as an adaptive experience for most residents; with appropriate supervisory intervention, it can foster cognitive development.

摘要

退行作为一种潜在的适应性心理反应,被用作一种概念模型,以理解住院部见习精神科住院医师身上出现的各种行为。文中讨论了这些行为,并辅以简短的例子进行说明,包括:(1)竞争与认同,(2)性,(3)攻击,(4)抑郁与绝望,(5)依赖,以及(6)与患者的融合。文中探讨了住院部中促使新住院医师出现退行行为的因素,并提出了一些应对这些行为的潜在解决办法。退行对大多数住院医师而言是一种适应性体验;通过适当的督导干预,它可以促进认知发展。

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