Discussion on the Doctor-patient Relationship Model in Psychiatry Based on the Szasz & Hollender’s Model of Doctor-patient Relationship
10.12026/j.issn.1001-8565.2023.09.12
- VernacularTitle:精神医学医患关系模式探讨——基于萨斯-荷伦德模式
- Author:
Die HU
1
;
Ya’nan ZHENG
1
,
2
;
Mei YIN
1
;
Weishuai ZHANG
1
Author Information
1. School of Humanities and Social Sciences, Harbin Medical University, Harbin 150081, China
2. Department of Psychology, Gannan Medical University, Ganzhou 341000, China
- Publication Type:Journal Article
- Keywords:
Psychiatric Medicine;
Doctor-patient Relationship Model;
Szasz & Hollender’s Model;
Protective-Constraint Model
- From:
Chinese Medical Ethics
2023;36(9):1007-1011
- CountryChina
- Language:Chinese
-
Abstract:
Due to the particularity of mental diseases, doctor-patient relationship in psychiatric medicine is a subject that needs to be paid attention to. This paper focused on the discussion of the model of doctor-patient relationship in psychiatric medicine from the perspective of constructing a harmonious doctor-patient relationship. Based on the Szasz & Hollender’s Model of Doctor-patient Relationship and combined with the characteristics of psychiatric medicine, this paper discussed the applicable doctor-patient relationship models, namely, the shared participation model, the guidance-cooperation model, the active-passive model, and the protective-constraint model. The specific application of the shared participation model, the guidance-cooperation model, and the active-passive model in the psychiatric medicine context were introduced in detail, and the reasons and characteristics of the protective-constraint model added on the basis of Szasz & Hollender’s Model of Doctor-patient Relationship were elaborated. Meanwhile, the realization paths of the protective-constraint model in clinical practice were further explored, which included evaluating the behavioral capacity and consciousness state of patients with mental disorders, obtaining informed consent, and standardizing the use of intervention rights and withdrawal mechanisms. The discussion of this model will promote the improvement of doctor-patient relationship and the development of psychiatric medicine.
