医療面接の否定についてです. 承認と管理について
JAMA
|December 14, 1994
まとめ
否定は,個人が病気に対処するのに役立つ心理的な防御メカニズムです. しばしば問題となるが,適応的であり,医療面接で対処するには,患者のサポートと準備を慎重に考慮する必要があります.
科学分野:
- 心理学 心理学とは
- 医学 医学 医学 医学 医学
- ヘルスケアに関するコミュニケーション
背景:
- 否定は,病気に対処するために使用される心理的な防御メカニズムです.
- それは,恐怖や悲しみのような痛ましい感情を避けるために,病気の意味を否定することを意味します.
- 否定は,医療面接中に患者や医師に現れます.
研究 の 目的:
- 病気における問題と適応的反応の両方としての否定の二重性を探求する.
- 医療面接の文脈における否定の役割と管理を検証する.
- 患者と医師のやり取りにおける否定をいつ,どのように対処すべきかに関するガイドラインを提供すること.
主な方法:
- 病気における心理的防御に関する文献レビュー.
- 医療面接のダイナミクスにおける否定的表現の分析.
- 患者の拒否に対処するための意思決定要因の探求.
主要な成果:
- 否定は健康的な対処メカニズムであり,必ずしも介入を必要としない.
- 否定に対処する決定は,その適応能力と患者の心理的社会的な文脈に依存します.
- 医者はまた,否定を示し,面接に影響を与える可能性があります.
結論:
- 病気における否定の役割は,微妙な理解を必要とし,それは適応的であることができます.
- 医療環境における否定への介入は,患者の準備とサポートを考慮して,賢明でなければならない.
- 否定に対処する際には,明確化,対決,解釈などのテクニックを使用することができます.
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