[1]汪新建.“医怒”如何产生?——消极医疗事件的责任归因对患方攻击性的影响[J].南京师大学报(社会科学版),2020,05(02):020-31.
 WANG Xinjian.Why “Medical Rage”? The Influence of Responsibility Attribution of NegativeMedical Events on Patients’ Violent Behaviors[J].Journal of Nanjing Normal University (Social Science Edition),2020,05(02):020-31.
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“医怒”如何产生?——消极医疗事件的责任归因对患方攻击性的影响
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《南京师大学报》(社会科学版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
05
期数:
2020年02期
页码:
020-31
栏目:
本刊特稿
出版日期:
2020-03-15

文章信息/Info

Title:
Why “Medical Rage”? The Influence of Responsibility Attribution of NegativeMedical Events on Patients’ Violent Behaviors
作者:
汪新建
南开大学周恩来政府管理学院社会心理学系,中国社会心理学会(南开300071)
Author(s):
WANG Xinjian
关键词:
医怒 归因 责任推断 医患信任 医患关系
Keywords:
medical rage attribution responsibility inference doctor-patient trust doctor-patient relationship
摘要:
基于韦纳的人际归因与责任推断模型,设置消极就医情景进行三因素被试间的实验设计,讨论就医事件严重性、结果可控性和个体卷入水平三个变量对患方归因与责任推断的影响。结果发现,事件严重性大小和事件结果可控性水平变量对责任变量、生气变量、批评变量、语言攻击和身体攻击变量均有显著作用,但对专家的信任度变量没有作用; 卷入水平变量对批评变量、语言和身体攻击变量有显著影响,对责任变量、生气变量和对专家信任度变量没有作用。研究结果证明韦纳人际归因与责任推断模型适用于医患纠纷事件,也从责任归因视角为缓解医怒现象的产生提供了新的思路。
Abstract:
Based on Weiner’s interpersonal attribution and responsibility inference model, this study set up situational stories to control three independent variables:event size, event outcome controllability and involvement level. The results of this three-factor experiment between subjects showed that the variables of event size and event outcome controllability had effects on responsibility, anger, criticism, verbal attack and physical attack variables, but had no effect on the expert trust variable. The variable of involvement level had significant effects on the variables of criticism, verbal and physical aggressions, but had no effect on responsibility, anger, and expert trust. This study supports the application of Weiner’s interpersonal attribution and responsibility inference model in the investigation into doctor-patient disputes. It also provides a new way to interpret the medical rage in China and thus to relieve the tension between doctors and patients from the perspective of responsibility attribution.

备注/Memo

备注/Memo:
汪新建,法学博士,南开大学周恩来政府管理学院社会心理学系教授、博士生导师,中国社会心理学会会长(南开300071)。本文是教育部哲学社会科学研究重大课题攻关项目“医患信任关系建设的社会心理机制研究”(15JZD030)和天津市社会科学规划项目“天津市心理健康服务体系的实务模式探索”(TJJX18-001)的阶段性研究成果。研究生申悦和刘颖对本文的数据分析和文字撰写也有贡献,在此一并致谢。WANG Xinjian, PhD in Law, is Professor and PhD Supervisor at Department of Social Psychology in Zhou Enlai School of Government, Nankai University(Tianjin 300071).
更新日期/Last Update: 2020-03-15