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Patients' Personality Disorders Dictate Emotional Reactions in Nurses
April 11, 2008 at 2:14 PM
Nursing Profession News
Birgitte Thylstrup and Morten Hesse of Aarhus University, Centre for Alcohol and Drug Research, in Copenhagen, Denmark, explain that while previous research has shown that antisocial and aggressive behavior in patients can affect how professionals manage them, no previous studies have investigated the distinction between the full range of different personality disorders and their effects on professional health care workers.
The idea that the emotional reactions of a professional to his or her patient may play an important part in psychotherapeutic treatment dates back to the work of Sigmund Freud.
Freud coined the term ’countertransferance’ to describe the observation that a patient’s influence on the analyst’s unconscious feelings may interfere with the patient’s treatment.
In order to test whether this hypothesis holds for the interaction between health professionals and substance abuse patients, the researchers asked staff members to complete an inventory of emotional reactions to their patients.
Alongside, the patients, most commonly men in their thirties, were asked to complete a personality disorder questionnaire.
The researchers then sought to determine if there were any correlations between the emotional reactions reported by staff and the type of personality disorder in the patient.
Not unexpectedly, the analysis revealed that patients with features of antisocial personality disorder induced feelings of distance in their carers. Interestingly, feelings of helpfulness were induced by those with features of avoidant personality disorder.
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