Emotion in the Clinical Encounter

Emotion in the Clinical Encounter PDF

Author: Rachel Schwartz

Publisher: McGraw Hill Professional

Published: 2021-08-22

Total Pages: 496

ISBN-13: 1260464334

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The foundational knowledge and practical actions you need to effectively address your patients’ emotions—and manage your own Emotions are ever-present in the context of illness and medical care and can have an enormous impact on the well-being of patients and healthcare providers alike. Despite this impact, emotions are often devalued in a medical culture that praises stoicism and analytical reasoning. Featuring the latest theories and research on emotion in healthcare, this much-needed resource will help you build the necessary skillset to navigate the extraordinary emotional demands of practicing medicine. Emotion in the Clinical Encounter will help you: Learn the science of emotion, as it relates to clinical care Understand the role of emotion in illness Recognize the connection between clinical response to patient emotions and care outcomes Develop effective strategies for emotion recognition Build strong emotional dialogue skills for medical encounters Identify biases that may shape clinical interactions and subsequent outcomes Understand emotion regulation in patients, providers, and in the clinical relationship Address challenges and opportunities for clinical emotional wellness Identify a new path forward for delivering emotion-based medical school curricula “How did we manage for this long in healthcare without this textbook? This is an essential guide to help both trainees and established clinicians sharpen their skills. Our patients will only benefit when we bring our full set of skills to the bedside." —Danielle Ofri MD, PhD, Clinical Professor of Medicine, New York University, Editor-in-Chief of Bellevue Literary Review, and author of What Doctors Feel: How Emotions Affect the Practice of Medicine “This is a unique contribution that deeply explores the role of emotions in clinical medicine, drawing on a wide range of disciplines and presenting both scholarly paradigms and practical applications. It should be essential reading for medical educators, clinicians and patient advocates who all aim to better navigate today’s frustrating healthcare system.” —Jerome Groopman MD, Recanati Professor Harvard Medical School, and author of How Doctors Think “Emotion in the Clinical Encounter is a must-read book for clinicians. It would be especially helpful if medical students start their careers by reading this invaluable volume to gain a deeper understanding of human emotion. The book is evidence-based and detailed enough to be perhaps the definitive guide to emotions for the clinician.” —William Branch, MD, MACP, FACH, The Carter Smith, Sr Professor of Medicine, Emory University

Culture and the Clinical Encounter

Culture and the Clinical Encounter PDF

Author: Rena C. Gropper

Publisher: Nicholas Brealey Publishing

Published: 1996

Total Pages: 192

ISBN-13:

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How can health professionals best serve their multicultural patients? What are the best ways to communicate and avoid misunderstanding? In her book Culture and the Clinical Encounter: An Intercultural Sensitizer for the Health Professions, Dr. Rena Gropper addresses these questions through a series of forty-four case studies, in which communication between a health professional and a patient breaks down because of a lack of knowledge about cultural differences. Dr. Gropper asks the reader to assess each situation, providing four possible explanations from which to choose.Along with the correct interpretation of each interaction, Dr. Gropper also provides accompanying discussions in order to further explore the significance of each encounter and how it would best be resolved. Culture and the Clinical Encounter is valuable practice for health professionals looking to improve their relationships with clients and patients from culturally diverse backgrounds. Contents Acknowledgments 1 Introduction 2 The Critical Incidents 3 Explanations 4 Discussion Epilogue References Index of Cultures

Rethinking Causality, Complexity and Evidence for the Unique Patient

Rethinking Causality, Complexity and Evidence for the Unique Patient PDF

Author: Rani Lill Anjum

Publisher: Springer Nature

Published: 2020-06-02

Total Pages: 252

ISBN-13: 3030412393

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This open access book is a unique resource for health professionals who are interested in understanding the philosophical foundations of their daily practice. It provides tools for untangling the motivations and rationality behind the way medicine and healthcare is studied, evaluated and practiced. In particular, it illustrates the impact that thinking about causation, complexity and evidence has on the clinical encounter. The book shows how medicine is grounded in philosophical assumptions that could at least be challenged. By engaging with ideas that have shaped the medical profession, clinicians are empowered to actively take part in setting the premises for their own practice and knowledge development. Written in an engaging and accessible style, with contributions from experienced clinicians, this book presents a new philosophical framework that takes causal complexity, individual variation and medical uniqueness as default expectations for health and illness.

Suffering and Sacrifice in the Clinical Encounter

Suffering and Sacrifice in the Clinical Encounter PDF

Author: Charles Ashbach

Publisher: Phoenix Publishing House

Published: 2020-06-01

Total Pages: 250

ISBN-13: 1912691582

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In Suffering and Sacrifice in the Clinical Encounter, the authors identify the ways in which some patients seek to create what Freud termed a "private religion" and unconsciously substitute sacrificial enactments of scapegoat surrogates to protect them against the pain of separation, mourning, and loss of primary figures of attachment. They investigate the function of sacrifice and its relationship to the breakdown of psychic structure and the development of manic defenses and pathological narcissism. Such treatments are complex, the "reversed roles" of victim and perpetrator central to the sacrificial process when enacted in therapy can trigger feelings of shame, guilt and inadequacy in the therapist. Perverse, vengeful, and sadistic transference distortions are explored to enable the therapist to appreciate the true nature of the patient's hidden traumatic experience, with the necessity for the working-through of genuine separation and grieving highlighted. Useful methods are detailed to counter the tendency to become overly active and inappropriately involved when working with patients who have deadened their desire to improve. This book is unique in utilising the dynamic concepts of the effects of trauma and sacrifice, the role of the scapegoat, and the distinctions between the experience of pain and the accomplishment of suffering in order to develop a foundational understanding of such patients. It is a must-read for all practising and trainee therapists.

The Medical Interview

The Medical Interview PDF

Author: Mack Jr. Lipkin

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 559

ISBN-13: 1461224888

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Primary care medicine is the new frontier in medicine. Every nation in the world has recognized the necessity to deliver personal and primary care to its people. This includes first-contact care, care based in a posi tive and caring personal relationship, care by a single healthcare pro vider for the majority of the patient's problems, coordination of all care by the patient's personal provider, advocacy for the patient by the pro vider, the provision of preventive care and psychosocial care, as well as care for episodes of acute and chronic illness. These facets of care work most effectively when they are embedded in a coherent integrated approach. The support for primary care derives from several significant trends. First, technologically based care costs have rocketed beyond reason or availability, occurring in the face of exploding populations and diminish ing real resources in many parts of the world, even in the wealthier nations. Simultaneously, the primary care disciplines-general internal medicine and pediatrics and family medicine-have matured significantly.

Clinical Practice Guidelines We Can Trust

Clinical Practice Guidelines We Can Trust PDF

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2011-06-16

Total Pages: 217

ISBN-13: 030921646X

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Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.

Patient-physician Relationship

Patient-physician Relationship PDF

Author: Ratna Dutta Sharma

Publisher:

Published: 2007

Total Pages: 280

ISBN-13:

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The Book Contains Papers Presented At A Workshop On Patient-Physician Relationship, Organised By Jadavpur University, By Thinkers From Various Disciplines Like Religion, Philosophy And Law Discussing Medical Ethics, Consent And Confidentiality, Gender-Related Differences, Etc.

Cultural Psychotherapy

Cultural Psychotherapy PDF

Author: Karen M. Seeley

Publisher: Jason Aronson

Published: 2006

Total Pages: 288

ISBN-13: 9780765700353

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This innovative book provides therapists with a practical guide for treating patients from other cultures. Basing her material on extensive clinical work with patients from many ethnic backgrounds, Dr. Seeley shares insights on the problems of using a second language, recognizing cultural material presented in sessions, and making specific changes in clinical practice to accommodate cultural differences. This is a timely and well-conceived model of psychotherapy that enhances cross-cultural clinical work.

Knowing Practice

Knowing Practice PDF

Author: Judith Farquhar

Publisher: Routledge

Published: 2018-10-08

Total Pages: 403

ISBN-13: 042997907X

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This book examines the theory and practice of traditional medicine in modern China. It describes the logic of diagnosis and treatment from the inside perspective of doctors and scholars, and demonstrates how theoretical and textual materials interweave with the practical requirements of the clinic.