Magical thinking and moral injury: exclusion culture in psychiatry

被引：32

作者：

Beale, Chloe ^{[1
,2
]}

机构：

[1] East London NHS Fdn Trust, London, England

[2] Homerton Univ Hosp NHS Fdn Trust, London, England

来源：

BJPSYCH BULLETIN | 2022年 / 46卷 / 01期

关键词：

Education and training; ethics; risk assessment; stigma and discrimination; suicide;

D O I：

10.1192/bjb.2021.86

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

YY This is an article about exclusion. We might not like to admit it - even fail to realise it - but National Health Service (NHS) mental health service structures have become increasingly focused on how to deny people care instead of help them to access it. Clinicians learn the art of self-delusion, convincing ourselves we are not letting patients down but, instead, doing the clinically appropriate thing. Well-meant initiatives become misappropriated to justify neglect. Are we trying to protect ourselves against the knowledge that we're failing our patients, or is collusion simply the easiest option? Problematic language endemic in psychiatry reveals a deeper issue: a culture of fear and falsehood, leading to iatrogenic harm. An excessively risk-averse and under-resourced system may drain its clinicians of compassion, losing sight of the human being behind each 'protected' bed and rejected referral.

引用

页码：16 / 19

页数：4