Please analyze the one-way relationship between doctors and patients in psychotherapy.

In recent years, the frequent disputes between doctors and patients and the tense relationship between doctors and patients have not only affected the social order, hindered the development of medicine, but also hindered the improvement of people's health. Aiming at the problem of doctor-patient relationship, this social phenomenon is explained from the psychological point of view, and constructive suggestions are put forward from the psychological point of view. Doctor-patient relationship; Comparison of current situation; Psychoanalysis; Countermeasures 1 Concept and research background of doctor-patient relationship 1. 1 The concept of doctor-patient relationship has narrow sense and broad sense. In a narrow sense, it refers to the doctor-patient relationship. In a broad sense, it refers to the multi-faceted relationship between medical personnel as the center, including all parties related to medical services, and patients as the center, including all parties directly related to patients' health interests. Here, the doctor-patient relationship in a broad sense is our key research object. 1.2 Background of doctor-patient relationship at home and abroad The research on doctor-patient relationship in the West has a long history, which can be traced back to Hippocrates at the earliest. Then the relationship between doctors and patients is studied from the perspective of biomedical model and sociology. Among them, the three basic models of doctor-patient relationship proposed by Sass and Hall are more representative. The research on the doctor-patient relationship in Chinese academic circles began in the early 1980s, when China was beginning to implement the basic national policy of reform and opening up, and gradually began to explore the reform of the medical and health system, and the research on the doctor-patient relationship also began. Judging from the papers on the doctor-patient relationship in core journals in recent five years, the research topics on the doctor-patient relationship in domestic academic circles mainly focus on three aspects: the concept and characteristics of the doctor-patient relationship, the reasons for the tension between doctors and patients and the countermeasures and suggestions. 2. Status quo of doctor-patient relationship 2. 1 Comparison of doctor-patient relationship abroad The doctor-patient relationship abroad is much more harmonious than that in China, mainly in the establishment of a harmonious relationship of mutual benefit and mutual trust between doctors and patients. And from the following phenomena, we can get the relevant differences and reasons. First of all, the phenomenon of "red envelopes are difficult" abroad. This can be explained by three words: "dare not take it", "don't take it" and "can't take it". It's not difficult, which reflects the strict supervision system within the hospital. Needless to say, it also shows that doctors have high income and high consciousness. I can't take it, which proves the standardization and standardization of the operation of the medical mechanism. In fact, the above is not the most critical point. Consult the comparative research papers on doctor-patient relationship between China and foreign countries. It is found that the biggest difference between China and foreign countries lies in the handling of doctor-patient relationship. However, a study on doctor-patient communication modes in western European countries shows that western European countries mainly use three modes of doctor-patient communication: biomedicine, bio-social psychology and social psychology. Therefore, it is necessary for China to compare and analyze the doctor-patient relationship between China and foreign countries, learn from advanced experience, and build a doctor-patient relationship in line with China's national conditions. 2.2 Comparison between the current situation of doctor-patient relationship and the past In recent years, China's social and economic development has advanced by leaps and bounds. With the continuous progress of national medical and health undertakings, medical technology and people's health level have been significantly improved, but it is followed by disharmony between doctors and patients. The deteriorating relationship between doctors and patients is mainly reflected in the following aspects: 1 The incidence of medical disputes is increasing year by year; The contradiction between doctors and patients has deteriorated, and violent wounding incidents have occurred frequently; 3. The social impact of the contradiction between doctors and patients is expanding; The complexity of handling medical disputes is much higher than other cases. Medical disputes continue, and related events come from time to time on the online media. Just some time ago, in a hospital in Nanjing, Jiangsu Province, a female nurse was beaten to paralysis of both lower limbs by her family members. This not only shows the deterioration of the doctor-patient relationship, but also shows the great change of the doctor-patient relationship from the annoying image of the original hospital to the annoying image of the patients today. This phenomenon also requires patients to analyze the reasons from their own perspective and take a step to change the harmonious doctor-patient relationship. Psychological analysis and countermeasures of doctor-patient contradiction 3. 1 communication psychology 3. 1. 1 any contradiction in the doctor-patient relationship under prejudice and stereotype is the result of interaction between the two sides, so we can't favor one side and blame the other. "angels in white", a once beautiful professional name, was once dubbed "White Cobra". This shows that patients and even the public have prejudice against doctors, and this prejudice has also been brought into treatment. When the patient is receiving treatment, if the doctor does not treat according to his expectation, or if the doctor is in a state of not being recognized and trusted by the patient, the patient will quickly activate the negative stereotype, subjectively thinking that the disease is not cured or recurred because the doctor is irresponsible, and rarely taking into account some inevitable objective factors of the disease itself. This will only make the doctor-patient relationship more and more tense. 3. 1.2 corresponding countermeasures in doctor-patient communication, doctors are the disseminators of information, and patients and their families are the recipients. The communication between the two sides is based on an interaction in the public sphere of "the same language" and "the same experience". Harmonious doctor-patient communication requires doctors to actively and truthfully inform patients and their families about their illness. Patients and their families accept the information and give appropriate information feedback according to their own situation. Doctors will respond and adjust according to the feedback information of patients, thus promoting the completion of communication behavior and making both sides understand and support. According to Rogers's "visitor-centered therapy", it is suggested that a "patient-centered" communication model should also be established in doctor-patient communication. If possible, patients have the right to know doctors and choose doctors before receiving treatment. And patients have a corresponding understanding of their own condition during the treatment. (Except for special diseases) 3.2 Social Psychology 3.2. 1 Role expectation of doctor-patient relationship, that is, the public's requirements and expectations for individual behavior when assuming a certain role. Especially when patients spend money on treatment, they feel that their illness can be solved. When the problem can't be solved, but they spend the corresponding value to treat it, this kind of investment can't get feedback, and doctors can't save lives as expected, people will feel that doctors deviate from their role expectations, which will lead to opposition and opposition from others. 3.2.2 Intensification and unreasonable attribution lead to the deterioration and intensification of the contradiction between doctors and patients. Strengthening here refers to external strengthening, especially the strengthening of mass media. In the past, when patients died suddenly or their families clashed with doctors, we found that most of the media would blame the hospital for its mistakes. Everyone has the same heart. But who can really weigh right and wrong? The mass media often make critical reports on hospitals from the perspective of favoring patients. They can't listen to the hospital patiently during the interview, regardless of the substantive reasons behind the dispute. This extreme and narrow news concept is dominated by the feeling of "sympathy for the weak" and supports the patients on the ground. The prejudice of the media also constantly strengthens the accusation and anger of patients, which in turn makes the contradiction between doctors and patients worse. 3.2.3 The corresponding countermeasures should guide the psychological needs of patients, especially pay attention to the psychological counseling of patients' families. Let them realize that doctors are not omnipotent, and treatment is the cooperation of both parties, not just unilateral responsibility. Secondly, for the media, we should follow the principle of seeking truth from facts and face our own remarks with a responsible attitude towards the people, the government and the country. And actively guide the public to establish a positive attitude, rather than losing principles in order to gain high attention. 3.3. 1 The health psychology of other doctors has affected the doctor-patient relationship in recent two years. In the evaluation of doctors' mental health, the stress index of doctors and nurses is relatively large, and the happiness index is generally not high. In the unsatisfactory working environment, on the one hand, medical practitioners have to complete their own tasks to treat patients, on the other hand, they have to worry about medical disputes caused by possible mistakes in the treatment process. The great pressure on medical staff can be seen, which indirectly leads to the difficulty for medical staff to engage in medical work. Nowadays, faced with all kinds of complicated diseases, high-risk operations and escalating contradictions between doctors and patients, doctors often take conservative and defensive medical measures to avoid medical risks. Although the risk is reduced, patients lose the opportunity to receive treatment. The mental health of doctors is directly related to patients, so it was originally an interdependent and mutually existing relationship, but it was in an embarrassing situation because of the distrust of both sides. 3.3.2 Using psychology to guide the mental health development of doctors, patients and their families In psychology, in fact, most mental diseases come from unreasonable cognitive concepts. Therefore, as doctors and patients, we should establish positive psychology and avoid wrong thinking and unreasonable cognitive patterns. Health education for patients and their families in the form of promotional videos and knowledge lectures. As doctors and other medical personnel, they should receive professional health education, improve their own quality, standardize medical ethics, and set an example for patients through correct health behavior. References 1 Wang Bingbing, Peng Jie, Key. Take off colored glasses--the doctor-patient relationship from the perspective of stereotype theory. Jiang Mo. Analysis of the current situation and countermeasures of doctor-patient relationship from the perspective of health communication. Anhui: Master's Dissertation of Anhui University, 20 13 3 Sun Yan, Li Jianlan. Research on the relationship between doctors and patients under the concept of human feelings. Gansu science and technology. 2065438+June 4, 2003 Fu Xinghua, Xiao, Tang Youyun. Research status of doctor-patient relationship in China. China Journal of Social Medicine. 20 10 August, Volume 27, Issue 4.