关于在封闭的地方开放:住院精神病学机构的脆弱性和暴力
Cat Papastavrou Brooks1,2, Isobel Johnston3, Erinn Gilson4
1Population Health Sciences, Bristol Medical School, The University of Bristol, Bristol, UK.
概括
精神卫生机构的工作人员经常误解脆弱性,导致伤害. 将脆弱性重新考虑为开放性,而不仅仅是易受伤害,可以改善患者与工作人员的关系,减少冲突.
科学领域:
- 精神病学是一个精神病学.
- 科学哲学的科学哲学
- 社会心理学 社会心理学
背景情况:
- 住院精神病医疗机构经历了高水平的暴力和冲突,对患者和工作人员造成伤害.
- 当前员工对脆弱性的理解往往将其定义为易受伤害,影响对冲突的反应.
研究的目的:
- 批评精神病学环境中对脆弱性的普遍理解.
- 提出一种对脆弱性的替代观点,即对变化的开放性和能力.
- 分析主导的脆弱性观点如何导致冲突和强制性做法.
主要方法:
- 对脆弱性概念的哲学分析.
- 检查员工对脆弱性的看法与工作场所动态之间的关系.
- 对脆弱性的主导和替代概念的批评.
主要成果:
- 脆弱性作为易受伤害的占主导地位的观点证明了工作人员的强制权力,并限制了治疗关系.
- 工作人员对不可伤害性的自我认知有助于情绪失调和依赖严格的技术.
- 这种方法损害了治疗联盟,并阻碍了员工的学习.
结论:
- 在精神病学环境中对脆弱性的减少观点使伤害和冲突延续.
- 将脆弱性重新定义为开放性,可以促进更健康的员工与患者的互动.
- 培养关系脆弱性是改善敌对精神病学环境的建议.
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