|
|
Womens Center for Mind-Body Health
Gynecology Research (Dr.-Patient Communication) |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
The focus of this research database is on how stress affects women's health, and options for treatment using mind-body therapies. If you are not a health care professional, see new "Medical Glossary" below. To obtain full summaries of the articles, see "How to Get Abstracts" below.
Doctor - Patient Communication
Patients
Perspective
Patient's Perspective
10718498 Ed What physicians don't know about their female patients Guest editorial from the editor-in-chief of the Ladies' Home Journal, who says that no subject in the magazine interests readers more than health. She describes today's woman as well informed, strongly influenced by the media, very afraid of getting breast cancer and less concerned with other diseases, and enormously interested in alternative medicine. A woman wants a physician who will respect her, listen to her, communicate well, and engender trust. 2000 J Womens Health Gend Based Med 9;1:1-3 Blyth, M.
10497754 JA Communication during gynecological out-patient encounters In this study of encounters between Dutch gynecologists and patients, psychosocial issues were hardly ever discussed. The length of the visits increased in the presence of the patient's partner, with the type of problem presented, and with the frequency with which the patient disagreed with the gynecologist. 1999 J Psychosom Obstet Gynaecol 20;3:119-26 van Dulmen, A. M.
10797036 JA Patients' unvoiced agendas in general practice consultations: qualitative study The most common unvoiced concerns by these British patients were: worries about possible diagnosis and what the future holds; patients' ideas about what is wrong; side effects; not wanting a prescription; and information regarding social context. Problems that arose due to not discussing these issues included major misunderstandings, unwanted prescriptions, non-use of prescriptions, and non-adherence to treatment. 2000 BMJ 320;7244:1246-50 Barry, C. A., Bradley, C. P., Britten, N., Stevenson, F. A., and Barber, N.
10718358 JA Patient preferences for medical decision making: who really wants to participate? A longitudinal study of over 2000 Wisconsin patients with chronic disease revealed that 69% preferred leaving medical decisions to their physicians. Those who preferred a more active role were more likely to be younger, women, have increased education, or be depressed. 2000 Med Care 38;3:335-41 Arora, N. K. and McHorney, C. A.
10705909 JA Trait anxiety and reactions to patient-centered and doctor-centered styles of communication: an experimental study Patients with low anxiety levels were significantly more satisfied with a patient-centered style of communication, while patients with high anxiety preferred a doctor-centered style. 2000 Psychosom Med 62;1:33-9 Graugaard, P. K. and Finset, A.
4009140 JA Paternalistic vs egalitarian physician styles: the treatment of patients in crisis Patients under stress whose physician displayed a more paternalistic attitude became more dependent and suggestible. 1985 J Fam Pract 21;1:56-62 LeBaron, S., Reyher, J., and Stack, J. M. 10680400 JA 10624021 JA The healthy patient: empowering women in their encounters with the health care system Article describes hypnotic techniques for helping women become active and informed participants in encounters with medical personnel, instead of experiencing regression, helplessness, passivity and fear. 1999 Am J Clin Hypn 42;2:108-14 Daniel, S.
Doctor Training
3276262 JA What makes the patient-doctor relationship therapeutic? Exploring the connexional dimension of medical care Establishing a therapeutic relationship is one of the principal goals of medical practice. Although seldom explicitly recognized, human need for connection and meaning are basic to medical care. 1988 Ann Intern Med 108;1:125-30 Suchman, A. L. and Matthews, D. A.
10780187 JA Improving communication with patients Emotions such as anger or unspoken assumptions can make communication difficult. Article gives case histories and advice on how to acknowledge and validate a patient's emotions and negotiate a collaborative plan. 2000 Hosp Pract (Off Ed) 35;4:113-4, 117-20; discussion 120, 123 Levinson, W.
9256226 JA Calibrating the physician. Personal awareness and effective patient care. Working Group on Promoting Physician Personal Awareness, American Academy on Physician and Patient Physicians personal characteristics, their past experiences, values, attitudes, and biases can have important effects on communication with patients; being aware of these characteristics can enhance communication. A program for physicians proposed by the Hahnemann School of Medicine consists of four core topics: physicians beliefs and attitudes, physicians feelings and emotional responses in patient care, challenging clinical situations, and physician self-care. 1997 JAMA 278;6:502-9 Novack, D. H., Suchman, A. L., Clark, W., Epstein, R. M., Najberg, E., and Kaplan, C.
9039890 JA A model of empathic communication in the medical interview Detailed analysis of doctor-patient visits at an HMO, university hospital and community hospital were made. Patients seldom verbalize their emotions directly and spontaneously, tending to offer clues instead. If invited to elaborate, patients may then express the emotional concern directly...In most of the interviews, the physicians allowed both clues and direct expressions of affect to pass without acknowledgment, returning instead to the preceding topic, usually the diagnostic exploration of symptoms. With emotional expression so terminated, some patients attempted to raise the topic again, sometimes repeatedly and with escalating intensity. Authors suggest that basic empathic skills consist of recognizing when emotions may be present but not directly expressed, inviting exploration of these unexpressed feelings, and effectively acknowledging these feelings so the patient feels understood. 1997 JAMA 277;8:678-82 Suchman, A. L., Markakis, K., Beckman, H. B., and Frankel, R.
10693844 JA The path to professionalism: cultivating humanistic values and attitudes in residency training University of Rochester Medical School has, for ten years, incorporated a program to further professionalism and humanism. Components of the program include communication-skills training, challenging case conferences, home visits with patients, a resident support group, and a mentoring program. 2000 Acad Med 75;2:141-50 Markakis, K. M., Beckman, H. B., Suchman, A. L., and Frankel, R. M.
8489112 R,T Making "connexions": enhancing the therapeutic potential of patient-clinician relationships Healers must try to understand what the illness means to the patient and create a therapeutic sense of connection in the patient-clinician relationship. Risks associated with closer relationships include dependency and power issues, sexual attraction, and deeper exposure of the clinician to the patient's pain. Techniques are presented to address these risks. 1993 Ann Intern Med 118;12:973-7 Matthews, D. A., Suchman, A. L., and Branch, W. T. Jr
10624022 JA Empowering strategies: the physician's point of view The language of hypnotic suggestion has reflected the paternalistic, militaristic views of medicine in general, namely with the physician as the supreme authority, and the symbolism of diseases attacking the body, requiring aggressive wars to fight off the invaders, etc. Author suggests instead a feminist healing metaphor, with nonviolent problem-solving, cooperation, balance, illness as a messenger, and with the physician becoming a facilitator as women become empowered for their own health. 1999 Am J Clin Hypn 42;2:116-20 Mutter, K. L.
10624025 JA Discussion of symposium. Enhancing healing: the contributions of hypnosis to women's health care The 5 Es of feminist hypnotherapy: empathy, empowerment, equality, ego-strength, and embodiment (women's relationship with their bodies). 1999 Am J Clin Hypn 42;2:140-4 Linden, J. H.
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
