The Effect of an Educating versus Normalizing Approach on Treatment Motivation in Patients Presenting with Delusions: An Experimental Investigation with Analogue Patients.
The Effect of an Educating versus Normalizing Approach on Treatment Motivation in Patients Presenting with Delusions: An Experimental Investigation with Analogue Patients.
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DOI：
10.1155/2013/261587
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发表时间：
2013
影响因子：
2.4
通讯作者：
Lincoln TM
中科院分区：
文献类型：
--
作者：
Lüllmann E;Lincoln TM
直到最近，对临床医生的一个普遍建议是不要对患者妄想的内容做出反应，而是在早期强调患者患有精神疾病（教育方法）。相反的建议是验证患者的症状并使其正常化（正常化方法）。本研究采用实验设计，比较这两种方法对治疗动机（TM）的影响。一个关于一个发展迫害妄想的人的封面故事被用来指导81名健康参与者的样本，他们作为模拟患者想象自己经历妄想。随后随机分配一名虚构的临床医生进行教育或正常化咨询。磋商只是在内容上有所不同。最后，我们评估了参与者接受药物治疗（药物治疗TM）、心理治疗（心理治疗TM）和由该特定临床医生提供的独立于治疗类型的治疗（临床医生相关TM）的动机。正常化条件下被试的临床相关TM和心理TM高于教育条件下被试。药物TM不受条件的影响。根据我们的结果，使用正常化的方法似乎是可取的，在第一次接触的情况下，与妄想患者和有利于一个简单的教育方法。
Until recently a widespread recommendation for clinicians was not to respond to the content of patients' delusions but to stress at an early time point that the patient has a mental illness (educating approach). An opposed recommendation is to validate the patients' symptoms and normalize them (normalizing approach). This study used an experimental design to compare the impact of these two approaches on treatment motivation (TM). A cover story about a person who develops persecutory delusions was used to guide a sample of 81 healthy participants who served as analogue patients into imagining experiencing delusions. This was followed by a random assignment to either an educating or a normalizing consultation with a fictive clinician. Consultations only differed in content. Finally, we assessed the participants' motivation to accept medication (Medication TM), psychological treatment (Psychological TM), and treatment offered by this particular clinician independent of the kind of treatment (Clinician-related TM). Participants in the normalizing condition showed higher Clinician-related and Psychological TM than those in the educating condition. Medication TM was unaffected by condition. Following our results using a normalizing approach seems to be advisable in a first-contact situation with patients with delusions and favourable to a simple educating approach.
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影响因子：
6.6
作者：
Holmes, EP;Corrigan, PW;Kubiak, MA
通讯作者：
Kubiak, MA
DOI：
10.1016/j.jbtep.2011.03.003
发表时间：
2011-12-01
影响因子：
1.8
作者：
Luellmann, Eva;Berendes, Sven;Lincoln, Tania M.
通讯作者：
Lincoln, Tania M.
影响因子：
4.5
作者：
Lincoln, T. M.;Wilhelm, K.;Nestoriuc, Y.
通讯作者：
Nestoriuc, Y.
影响因子：
4.4
作者：
Angermeyer, MC;Breier, P;Matschinger, H
通讯作者：
Matschinger, H
影响因子：
3.2
作者：
Schneider, B;Scissons, H;Sunderland, M
通讯作者：
Sunderland, M