ABSTRACT

What is going on when a psychiatric patient claims a psychiatric diagnosis for themselves which is different from the one a practitioner is investigating? We analyze cases from 10 interviews between psychiatric patients and a nurse using a formal interview schedule to assess whether the patient has a personality disorder. When the patient invokes (temporary) depression to explain some of their experiences or life circumstances, the nurse then has to handle that, while dispassionately pursuing an interview schedule that is, on the contrary, predicated on the diagnosis being a long-term personality disorder. We show how the nurse balances respect for the patient’s account while also performing her institutional duties. The data are in Finnish.

摘要

当一名精神病患者声称自己的精神病诊断与执业医师正在调查的诊断不同时，会发生什么情况？我们使用正式的访谈时间表对精神病患者和护士之间的 10 次访谈进行分析，以评估患者是否患有人格障碍。当患者援引（暂时的）抑郁来解释他们的一些经历或生活情况时，护士必须处理这个问题，同时冷静地遵循访谈时间表，相反，该访谈时间表的基础是诊断为长期人格障碍。我们展示了护士如何在尊重患者账户的同时履行她的机构职责。数据为芬兰语。