[Cultural identification of patients with sexually transmitted diseases].

E M Gilardi, P Vialetto, E Golzio, G Remotti
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Abstract

The authors considered psychological problems concerning the communication to patients about a diagnosis of Sexual Transmitted Disease and particularly of HPV disease. In the past this sort of affection was related to some well identified social groups, but with the recent changes in sexual behavior, cultural and moral principles, the reference models are changed too. Consequently today it is difficult to recognize a rigid identification. However it is still possible that during the communication of the diagnosis the physician unconsciously transfers to the patient "his" classification with a given model among the groups of STD affected. This is particularly true for the gynecologist that is reporting on HPV infection or disease. Therefore the physician has to pay a great attention to the way he communicates, because in addition to the clinical concept there are psychological effects on the patient and on her relationships that could result iatrogenic.

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[性传播疾病患者的文化认同]。
作者考虑了心理问题,与患者沟通的诊断性传播疾病,特别是HPV疾病。在过去,这种情感与一些明确的社会群体有关,但随着最近性行为、文化和道德原则的变化,参考模式也发生了变化。因此,今天很难承认一个严格的身份。然而,在诊断的沟通过程中,医生仍有可能无意识地将“他的”性病分类与给定的模型在受影响的性病组中传递给患者。对于报告HPV感染或疾病的妇科医生来说尤其如此。因此,医生必须非常注意他的沟通方式,因为除了临床概念之外,还有对患者及其关系的心理影响,这可能导致医源性的。
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