The influence of patient diagnosis and self-image on clinicians'feelings.
This paper presents an analysis of the relations between the patients'psychiatric diagnoses, their self-image, and the staffs feelings toward the patients.
At 17 treatment units for severely disturbed psychiatric patients, the staff rated their feelings toward the patients on a feeling checklist twice a year for 5 years.
The patients were diagnosed on DSM-III-R (axis I and II) and rated their self-image on a self-rating instrument, the Structural Analysis of Social Behavior.
First, comparisons between reactions toward patients with different axis I diagnoses, toward patients with different axis II diagnoses, and toward patients with either axis I or axis II diagnoses were made with one-way ANOVAs.
No significant differences were found in any of these comparisons.
The amount of variance in feelings explained by these groupings was between 2% and 4% (mean=3%) for axis I, between 3% and 14% (mean=8%) for axis II, and between 4% and 17% (mean=9%) for the combined comparison.
Differences between axis II diagnoses had the largest influence on the staffs feeling reactions.
Second, comparisons between the influence of the patients'diagnoses and of their self-image on the therapists'feelings were made by way of blockwise multiple regression analyses.
The results showed that the patient's self-image was more important in influencing the staffs feelings than the diagnosis but that diagnosis and self-image were virtually independent in this respect.
Mots-clés Pascal : Relation thérapeutique, Attitude, Personnel sanitaire, Trouble psychiatrique, Image soi, Personnalité, Transfert contretransfert, Santé mentale, Homme
Mots-clés Pascal anglais : Therapeutic relation, Attitude, Health staff, Mental disorder, Self image, Personality, Transference countertransference, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0469701
Code Inist : 002B18I12. Création : 19/02/1999.