Psichiatro-paciento santykiai pirminėje psichikos sveikatos priežiūroje

LTStraipsnyje analizuojami psichiatro–paciento santykiai bendruomeniniame psichinės sveikatos priežiūros kontekste. Analizė remiasi kokybiniais interviu, 2002 m. atliktais su Kauno psichikos sveikatos centrų pacientais. Straipsnyje parodoma, kad priminėje psichikos sveikatos priežiūroje reprodukuojasi paternalistinis psichiatro-paciento santykis, būdingas institucionalizuotai (stacionarinei) psichiatrinei priežiūrai, grindžiamas paciento priklausomybe bei pasyvumu. Problematizuojama tokio santykio įtaka psichiatrinių pacientų gebėjimui adaptuotis bendruomenėje. [Iš leidinio]Reikšminiai žodžiai: Pacientas; Pirminė psichikos sveikatos priežiūra; Pirminės sveikatos priežiūra; Psichiatras; Psichiatro-paciento santykiai; Sveikatos sociologija; Lithuania; Pacient; Primary Health Care; Primary mental health care; Psychiatrist; Psychiatrist–pacient relationship; Sociology of health.

ENThis article discusses psychiatrist–pacient relationship within the deinstitutionalised context of primary mental health care. Discussion is based on 19 semi-structured interviews with psychiatric outpatients attending mental health care services at Kaunas mental health care centres (MHCC). The interviews showed that, despite the goals and values of deinstitutionalisation, which emphasises patients’ autonomy, empowerment and socio-economic integration within society, the paternalistic model of psychiatrist– patient relationships is further reproduced within MHCC. This relationship is based on rigid hierarchical roles of a dominating psychiatrist taking traditional stance of "doctor knows better" and a passive, dependent and submissive patient. As a consequence, patients are left in a disempowering position that prevents them from taking charge of their own lives and health as well as makes their adaptation in society more difficult. Therefore, there is a need for a more empowering re–conceptualisation of a psychiatric patient. [From the publication]

• Sociologija / Sociology
• Psichologija / Psychology