成为"内在和外在" - - 智力和发育障碍咨询服务实习生的观点
Yoon Kwon Choi1,2,3, Melanie Johnston
1Queensland Centre of Excellence in Intellectual Disability and Autism Health, Mater Research Institute-UQ, Brisbane, Australia.
概括
智力和发育残疾服务的注册人员面临着导航复杂患者系统的挑战. 了解这个问题的理解
科学领域:
- 精神病学是一个精神病学.
- 发育儿科 发育儿科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 来自昆士兰智力障碍和自闭症健康卓越中心 (QCEIDAH) 的实习生观点.
- 思考在多个患者系统内和没有多个患者系统的工作复杂性.
- 灵感来自于F.斯科特·菲茨杰拉德的"伟大的盖茨比"寓言,用于在复杂的环境中导航.
研究的目的:
- 探索和概述注册官在专业咨询服务中的独特视角.
- 检查智力和发育障碍健康学学员面临的挑战.
- 在复杂的咨询环境中讨论精神病学框架的应用.
主要方法:
- 讨论精神病学框架的实用性:生物心理社会,精神动力学和系统模型.
- 对注册员在咨询服务中的经验进行定性反思.
- 在临床环境中分析"内在和外在"概念.
主要成果:
- "内在和外在"状态描述了物理存在和比喻性参与患者系统.
- 登记员与各种系统进行互动:家庭,支持工作者,NDIS协调员和其他医疗服务提供者.
- 导航这些多重,往往分散的系统带来了重大挑战.
结论:
- 登记员的角色涉及患者相互连接的系统的复杂导航.
- 挑战来自于高期望和缺乏现场明确的框架.
- 经验强调了在发育障碍健康中实习生角色的多方面的性质.
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