Kohut在公共心理健康中的应用:对Fatima的理解

Julia Jamaludin
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引用次数: 0

摘要

在目前的澳大利亚公共精神卫生系统中,稀缺的资源导致了一个“旋转门”系统,药物干预很容易优先于心理干预。虽然在公共精神卫生系统中,心理动力学心理治疗干预的能力有限,但我相信通过心理治疗可以更好地理解和管理许多患者,即使它被改编为生物精神病学的辅助手段。这个病例报告说明了Kohut的自我心理学原理在公共环境中处理精神病理学的适用性。它是根据一个公共急性住院精神卫生单位的精神病学登记员的经验编写的,该单位负责照顾较严重的精神病人。正如Kohut所指出的那样,它旨在证明在治疗关系中移情理解和交流的重要性,特别是在那些被迫接受非自愿治疗命令的患者中,就像在公共环境中遇到的大多数患者一样,法蒂玛的案例就是一个例子。
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Application of Kohut in Public Mental Health: Understanding Fatima
In the current Australian public mental health system, in which scarce resources result in a ‘revolving door’ system, pharmacological intervention conveniently takes precedence over its psychological counterpart. Although there is limited capacity for psychodynamic psychotherapy intervention in the public mental health system, I believe many patients could be understood and better managed through psychotherapy, even if it is adapted as an adjunct to biological psychiatry. This case report illustrates the applicability of Kohut’s self psychology principles in approaching psychopathology in the public setting. It is based on the experience of a psychiatry registrar in a public acute inpatient mental health unit which cares for more severe psychiatric patients. It aims to demonstrate the importance of empathic understanding and exchanges within therapeutic relationships, as argued by Kohut, especially in those forced and compromised by involuntary treatment orders, as with most patients encountered in the public setting, exemplified by the case of Fatima.
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