当患者自己提出诊断时如何应对:来自护士在人格障碍访谈中的应对实践的证据

IF 3 1区 文学 Q1 COMMUNICATION
Maarit Lehtinen, M. Pino
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引用次数: 0

摘要

当精神病患者声称自己的精神病诊断与医生正在调查的诊断不同时,会发生什么?我们分析了精神病患者和护士之间的10个访谈案例,使用正式的访谈时间表来评估患者是否患有人格障碍。当病人用(暂时的)抑郁来解释他们的一些经历或生活环境时,护士就必须处理它,同时冷静地按照面谈时间表进行,相反,这是以诊断为长期人格障碍为前提的。我们展示了护士如何平衡尊重病人的账户,同时也履行她的机构职责。数据是用芬兰语写的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
How to respond when patients invoke a diagnosis for themselves: Evidence from a nurse’s response practices in personality disorder interviews
ABSTRACT What is going on when a psychiatric patient claims a psychiatric diagnosis for themselves which is different from the one a practitioner is investigating? We analyze cases from 10 interviews between psychiatric patients and a nurse using a formal interview schedule to assess whether the patient has a personality disorder. When the patient invokes (temporary) depression to explain some of their experiences or life circumstances, the nurse then has to handle that, while dispassionately pursuing an interview schedule that is, on the contrary, predicated on the diagnosis being a long-term personality disorder. We show how the nurse balances respect for the patient’s account while also performing her institutional duties. The data are in Finnish.
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来源期刊
CiteScore
7.30
自引率
7.40%
发文量
20
期刊介绍: The journal publishes the highest quality empirical and theoretical research bearing on language as it is used in interaction. Researchers in communication, discourse analysis, conversation analysis, linguistic anthropology and ethnography are likely to be the most active contributors, but we welcome submission of articles from the broad range of interaction researchers. Published papers will normally involve the close analysis of naturally-occurring interaction. The journal is also open to theoretical essays, and to quantitative studies where these are tied closely to the results of naturalistic observation.
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