Clinicians' self-reported reactions to psychiatric emergency patients: Effect on treatment decisions

Abstract

Masters-level social work clinicians at two urban psychiatric emergency services self-rated their cognitive reactions and conscious feelings toward a total of 783 patients. Negative self-reported affect toward patients was related to their displaying overt psychotic symptoms, having a final diagnosis of substance abuse, being impulsive, unemployed, or having a history of criminal behavior. However, clinicians' reactions did not enter into the model predicting hospitalization, which included opinion of family and friends, degree of psychopathology, suicidal ideation and lack of social supports as the major predictors of whether or not a patient would be hospitalized.

Psychotic Patients’ Awareness of Their Illness and Its Correlates

“…The results of the present study found a significant weak relation between insight score and both number of previous admissions and longer previous hospital stay. This is in agreement with other studies which have found that deficits in illness awareness are associated with greater number and longer duration of hospitalization (24)(25)(26) . Awareness seems to grow only partially with clinical improvement and appears to diminish progressively with the repletion of episodes and numbers of previous admissions (27)(28)(29)(30) .…”

Countertransference towards suicidal patients: a systematic review

“…1). Data were extracted from ten studies (3/5/2 of low/intermediate/ high quality, respectively) and details of each study (Barzilay et al, 2018;Colson et al, 1986;Dressler, Prusoff, Mark, & Shapiro, 1975;Gillig, Hillard, Deddens, Bell, & Combs, 1990;Hawes et al, 2017;Perry, Bond, & Presniak, 2013;Rossberg & Friis, 2003;Soulié, Bell, Jenkin, Sim, & Collings, 2018;Yaseen et al, 2013;Yaseen et al, 2017) are available in Table 2.…”

“…Around 700 health professionals participated in the ten studies and their countertransference was measured from clinical encounters with 2247 patients. Patients came from outpatient/psychotherapeutic clinics (Barzilay et al, 2018;Perry et al, 2013;Soulié et al, 2018;Yaseen et al, 2013), psychiatric hospitals (Colson et al, 1986;Rossberg & Friis, 2003;Yaseen et al, 2013;Yaseen et al, 2017) and emergency wards (Dressler et al, 1975;Gillig et al, 1990). Countertransference was measured based on a mid-or long-term therapeutic relationship (Colson et al, 1986;Perry et al, 2013;Rossberg & Friis, 2003;Soulié et al, 2018;Yaseen et al, 2013;Yaseen et al, 2017) or on a single consultation (Barzilay et al, 2018;Dressler et al, 1975;Gillig et al, 1990;Hawes et al, 2017).…”

Psychologists’ Willingness to Provide Services to Individuals at Risk of Suicide

“…People who struggle with suicidality have been labeled by the general public as attention‐seeking, weak, and cowardly (Sheehan, Corrigan, Al‐Khouja, & the Stigma of Suicide Research Team, ; Sudak, Maxim, & Carpenter, ). Despite the intuitive view that health care workers are more compassionate and understanding toward individuals experiencing suicidality, such professionals are not immune to endorsing stigmatizing attitudes (Gillig, Hillard, Deddens, Bell, & Combs, ; Norheim, Grimholt, & Ekeberg, ). Individuals with a history of suicidal behavior report encountering stigma in their interactions with mental health professionals, including counselors, therapists, and psychiatrists (Frey, Hans, & Cerel, ).…”