在饮食障碍的背景下,评估患者的观点
Harshita H Jaiprakash1, Amy MacKinnon2, Sarah Arnaud3
1Department of Philosophy and the Rotman Institute of Philosophy, Western University, London, ON, Canada. hjaiprak@uwo.ca.
Eating and weight disorders : EWD
|February 4, 2024
概括
将患者的经验融入进食障碍 (ED) 诊断和治疗中至关重要. 这种方法通过将第一人称帐户与临床见解相结合来增强护理,超越传统方法以获得更好的结果.
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
- 医学伦理 医学伦理
背景情况:
- 主导精神疾病诊断和统计手册 (DSM) 导向的饮食障碍 (ED) 方法可能无法完全捕捉患者的经验.
- 之前的研究已经强调了患者主观经验在理解ED方面的重要性.
- 需要进一步发展,以便在实践中整合EDs的第一人称和第三人称账户.
研究的目的:
- 倡导将患者的观点纳入EDs的诊断和治疗.
- 通过强调主观患者体验的整合来解决当前方法的局限性.
- 为将第一人称账户纳入ED护理提供可操作的见解.
主要方法:
- 使用上下文分析来支持患者观点的整合.
- 这篇论文建立在现有的文献和最近关于以患者为中心的护理的社论上.
- 临床经验和意见是提出论据的基础 (V级证据).
主要成果:
- 在神经性厌食症 (AN) 中整合患者的表现和声音为改善诊断和治疗提供了一个有希望的方法.
- 接受和承诺治疗 (ACT) 可以通过将个人价值观与临床护理目标相协调来帮助AN患者.
- 展示了将第一人称账户纳入ED治疗的实用方法.
结论:
- 在精神病学理解和治疗ED时,没有有效的科学理由排除第一人称视角.
- 整合患者的声音可以增强ED护理的伦理,认识论和务实方面.
- 以患者为中心的方法对于推进饮食障碍治疗领域至关重要.
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