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I recently suggested to a group of residents in psychiatry that they spend a few nights sleeping on their acute care wards, to get a patient's perspective on the inpatient experience. They listened, agreed that this might be useful, laughed nervously, and politely declined. They were afraid. Doctors and nurses alike often report unreasonable fear with regard to the possibility of assault by a patient; others intuitively feel inappropriate invulnerability. These views and feelings, often grounded less in reality than in stereotype, defense mechanism, or countertransference, highlight the clinician's need for a practical, data-based, unemotional examination of assaults by patients.
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