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首页> 外文期刊>Advances in health sciences education: theory and practice >Discrediting the notion 'working with 'crazies' will make you 'crazy'': addressing stigma and enhancing empathy in medical student education
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Discrediting the notion 'working with 'crazies' will make you 'crazy'': addressing stigma and enhancing empathy in medical student education

机译：抹黑“与'疯狂'一起工作会使您'疯狂'的概念：解决耻辱感并增强医学生教育中的同理心

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People with mental illness around the world continue to suffer from stigmati-zation and limited care. Previous studies utilizing self-report questionnaires indicate that many medical students regard clinical work with psychiatric patients as unappealing, while the professionalism literature has documented a general decline in students' capacity for empathy over the course of medical school. Through in-depth interviews, this study attempts to better understand the formation of medical students' perceptions of psychiatry and the implications of that process for a more general understanding of the impact of emotionally-laden experiences on medical students' capacity for empathy. Forty-seven fourth-year medical students who had expressed interest or performed well in psychiatry were asked a series of questions to elicit their perceptions of the field of psychiatry. Interview transcripts were systematically coded using content analysis and principles of grounded theory. Stigma, stereotypes, and stressfully intense emotional reactions seemed to adversely affect the students' expected satisfaction from and willingness to care for the mentally ill, despite enjoying psychiatry's intellectual content and the opportunity to develop in-depth relationships with patients. Teaching faculty need to directly address the stigma and stereotypes that surround mental illness and actively help medical students cope with the stress that they report experiencing during their psychiatry clerkship in order to improve the recognition and treatment of psychiatric illness by newly graduating physicians. More generally, the relationships that we identify among stress, stigmatization, and stereotyping along an empathic spectrum suggest that increased attention should be paid to the stress that empathy can entail. This perspective may allow for the creation of similarly targeted interventions throughout the medical school curriculum to counteract the decline in empathy, the so-called "hardening of the heart," associated with physician-training worldwide.
机译：世界各地的精神疾病患者继续遭受耻辱感和有限的护理。先前使用自我报告调查表的研究表明，许多医学生认为对精神病患者的临床工作没有吸引力，而专业文献已经证明，在医学院学习过程中，学生的同情能力普遍下降。通过深入的访谈，本研究试图更好地理解医学生对精神病学的理解，以及该过程对于更全面地了解充满情感的经历对医学生同情能力的影响的意义。 47名对精神病学表现出兴趣或表现良好的四年级医学生被问了一系列问题，以激发他们对精神病学领域的认识。访谈笔录使用内容分析和扎根理论的原理进行系统编码。尽管享有精神病学知识和与患者建立深厚关系的机会，但柱头，刻板印象和压力强烈的情感反应似乎会对学生的预期满意度和照顾精神病患者产生不利影响。教学人员需要直接解决围绕精神疾病的污名和陈规定型观念，并积极帮助医学生应对他们在精神科工作期间所承受的压力，以提高新近毕业的医师对精神病的认识和治疗。更普遍地，我们在共情谱中的压力，污名化和刻板印象之间确定的关系表明，应更多地注意共情可能带来的压力。这种观点可能允许在整个医学院课程中创建类似针对性的干预措施，以抵消同情心的下降，即与世界各地的医师培训相关的所谓的“心脏硬化”。

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