雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

The Telephone in Psychiatric Practice: Its risks, benefits and management Yuji SATO 1 1Department of Psychiatry, Tokyo Metropolitan Toshima Hospital Keyword: Telephone , Psychiatry , Psychotherapy , Telemedicine , Internet pp.895-903
Published Date 2001/8/15
DOI https://doi.org/10.11477/mf.1405902479
  • Abstract
  • Look Inside

 The telephone has come to pose complicated issues for today's practicing psychiatrists. Patients make telephone calls more easily than before, often as an alternative to actual psychotherapeutic interview rather than as an ad hoc means to contact medical service in emergency. The advent of the mobile phone, fax, e-mail and internet has undoubtedly facilitated communication between patients and psychiatrists, yet, at the same time, they have sometimes rendered the doctorpatient relationship untenable. Telephone calls are increasingly making heavy demands on on-call psychiatrists. For instance, they enable violent altercation, suicide threats, erotic seduction and so forth. By their very nature, telephone calls, therefore, reflect a certain psychopathology, whereby unstable interpersonal relationships can manifest themselves more readily than in face-to-face interaction.

 The author of this paper attempts to make a classification of telephone calls from patients according to their content and nature (calls of inquiry or consultation, calls as an outlet for emotional discharge, ostensibly meaningless calls, anonymous calls, calls seeking relationships, calls from admitted patients), and discusses the pros and cons of telephone use as a special mode of interpersonal relationship in which verbal communication supersedes non-verbal. Recent literature on socalled telemedicine is then reviewed. Possible repercussions brought about by introducing new information technologies into medicine include, inter alia, diffusion of interpersonal relationship, fantasy of omnipotence evolving over phone calls and lesser capacity to regulate emotional outburst towards others. Telephone calls should be handled with more psychotherapeutic tact so as not to induce undue'telephone addiction' in patients with interpersonal psychopathology.

 First, the therapeutic contract at the outset of treatment should include mutual agreement between psychiatrist and patient that telephone use is to be limited to emergencies and cannot be used as a substitute for actual sessions. Second, greater attention should be paid to non-verbal elements (e.g. tonal variations) to supplement on-line communication, which is by definition verbal. Third, before giving hasty advice or interpretation to anxious patients, it is often more helpful to make clear what circumstances have prompted the phone call.


Copyright © 2001, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-126X 印刷版ISSN 0488-1281 医学書院

関連文献

もっと見る

文献を共有