共享脆弱 - - 思考患者自杀对临床医生的影响
Arvind Rajagopalan1, Samuel Cheng Eng Teck2, Andre Tay Teck Sng1
1Department of Psychological Medicine, Changi General Hospital, Singapore.
Psychodynamic psychiatry
|December 4, 2023
概括
患者自杀严重影响临床医生,造成压力和创伤. 反思小组会议为精神病医生提供了重要的治疗空间,以处理与患者自杀有关的悲伤,内和焦虑.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 心理健康 心理健康
背景情况:
- 患者自杀给临床医生带来了重大的情感挑战.
- 医疗保健专业人员处理这些经验的机会有限.
- 新加坡的精神病医生面临着与患者自杀有关的独特压力.
研究的目的:
- 探索患者自杀对精神病医生的情感影响.
- 调查反思小组会议在处理这些经验方面的有效性.
- 确定临床医生面临的关键主题和挑战.
主要方法:
- 为十名精神病学家进行了一次反思小组会议.
- 参与者被分为"内部"组 (经历过自杀) 和"外部"组.
- 会议由经过精神动力学训练的精神病医生领导,记录,转录和分析主题.
主要成果:
- 三个叙事主题出现了:急性自杀反应,临床医生与患者关系动态 (包括反转移和焦虑),以及临床医生对自杀倾向的看法.
- 临床医生经历了强烈的情绪,如悲伤,内,无能和恐惧.
- 这项研究突出了临床医生所面临的复杂情绪格局.
结论:
- 反思小组会议对于处理患者自杀后的复杂情绪至关重要.
- 建立治疗空间对于临床医生的福祉至关重要.
- 这些发现强调了患者自杀对医疗保健提供者的创伤性质.
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