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Clinical Perception: A Study of Intimate Partner Violence versus Methamphetamine Use as Presenting Problems

机译：临床知觉：亲密伴侣暴力与甲基苯丙胺使用存在问题的研究

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摘要

This study draws on theory by Solomon Asch (1946, 1952) to examine how presenting with intimate partner violence versus methamphetamine use shapes characteristics of substance abuse assessment interviews. When responding to an initial open-ended question from a substance abuse counselor, the methamphetamine user and intimate partner violence survivor may elicit very different reactions from the counselor. We predicted that these differing presenting problems would initiate different trajectories for overall impression formation. To test this hypothesis, 18 substance abuse practitioners interviewed one standardized patient (an actor portraying a substance abuse client) who alternated her presenting problem between a) violence in a domestic setting and b) methamphetamine use. The remainder of her story was identical for counselors in either presenting problem group. Results included differences between the two groups in median length of the interviews and failure of both groups to explore domestic violence as a cooccurring problem. Clinical practices related to substance abuse counseling and intimate partner violence are discussed in light of these findings. [PUBLICATION ABSTRACT]
机译：这项研究借鉴了所罗门·阿施（Solomon Asch，1946，1952）的理论，研究了亲密伴侣的暴力行为与甲基苯丙胺的使用如何影响药物滥用评估访谈的特征。当回答吸毒咨询员提出的最初的不限成员名额问题时，甲基苯丙胺使用者和亲密伴侣暴力幸存者可能会引起咨询员的不同反应。我们预测，这些不同的呈现问题将引发整体印象形成的不同轨迹。为了验证这一假设，18名药物滥用从业者采访了一名标准患者（一名扮演药物滥用客户的演员），在a）家庭暴力和b）甲基苯丙胺使用之间交替出现了她的问题。她的故事的其余部分对于两个提出问题的小组的辅导员都是相同的。结果包括两组之间访谈时间长度的中位数差异，以及两组未能将家庭暴力作为一个共同的问题进行探讨。根据这些发现，讨论了与药物滥用咨询和亲密伴侣暴力有关的临床实践。 [出版物摘要]

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  • 来源
    《Psychiatry》 |2009年第4期|p.382-392|共11页
  • 作者

    Holly Fussell Janice Haaken Colleen S Lewy Bentson H McFarland;

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    Holly Fussell, Janice Haaken, Colleen S. Lewy, and Bentson H. McFarland, MDHolly Pusell, PhD, is affiliated with the Department of Public Health Sc Preventive Medicine, at Oregon Health & Science University in Portland, Oregon. Janice Haaken, PhD, is with the Department of Psychology at Portland State University. Colleen S. Lewy, PhD, is with the Department of Psychiatry at Oregon Health & Science University and Bentson H. McFarland, MD, PhD, is affiliated with both the Department of Public Health & Preventive Medicine, at Oregon Health & Science University.This research was supported by National Institute on Drug Abuse grant R03 DA 016958 entitled "Standardized Patients as Drug Abuse Treatment Clients." The authors also thank the standardized patient, Julie Starbird, and the participating counselors.Address correspondence to Holly E. Fussell, PhD, Department of Public Health Sc Preventive Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd., Mail Code CB-669, Portland, OR 97239-3098, E-mail: fussellh@ohsu.edu,;

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