从患者视角看预设性信任/不信任及其根源

摘要

Pre - constructional trust is the prerequisite for patients to actively build the harmonious doctor - patient relationship, since the realistic relationship wouldn't be established unless patients give pre -constructional trust to their doctors. The pre - constructional trust is a simplified mechanism for patients to respond to complexities and uncertainties in medical services, a tactic that decreases their panic and anxiety, the trust of moralism and psychological contracts, and the belief in medical sciences and direct response to medical expert system. On the contrary. the pre- constructional distrust of patients may cause the break- up of a trustful doctor- patient relationship.%预设性信任是患者主动建立医患关系的先决条件:患者如果没有对医生的预设性信任,现实的医患关系则难以建立.预设性信任是患者应对复杂性和不确定性的简化机制,是减轻心理恐慌感和焦虑感的"求放心"策略,是道德主义的信任和心理契约,更是对医学科学的信仰和对专家系统信任的直接反应.而患者的预设性不信任则可能导致医患信任关系的崩溃.