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Understanding The Consultation, Sc : UK Higher Education OUP Humanities & Social Sciences Health & Social Welfare - Tim Usherwood

Understanding The Consultation, Sc

UK Higher Education OUP Humanities & Social Sciences Health & Social Welfare

Paperback Published: 1st July 1999
ISBN: 9780335199983
Number Of Pages: 160

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The general practice consultation is one of the most challenging encounters in medicine. It demands of the doctor not only a high degree of technical knowledge and skill, but also considerable interpersonal competence and self-knowledge. Many books have been written about the consultation, but most are informed by a limited range of theoretical perspectives. The aim of this book is to help the reader gain a deeper understanding of the encounter between patient and doctor by examining it from a number of different points of view. Topics that are addressed include: information sharing and decision making in the consultation, theories of the patient-doctor relationship, and the social context of illness.

The research evidence is described, and practical implications for patient care are explored. Verbal and non-verbal communication, the care of patients with chronic illness, and management of emotional and psychosocial problems are discussed in detail.

Understanding the Consultation will be of particular interest to trainee general practitioners, but should also be of interest to established general practitioners and senior medical students.

"Sustained and intellectually credible treatment of SD." - Managing HE "...tightly argued and beautifully written." - Teaching in Higher Education "This eminently readable book is one that should be in the collection of all thoughtful staff developers." - Assessment &Evaluation in Higher Education "...represents an unusually sustained and intellectually credible treatment of staff development and is, therefore, to be warmly recommended." - Higher Educational Review

Forewordp. ix
Prefacep. xi
The consultation in contextp. 1
The iceberg phenomenonp. 1
Illness behaviour and consulting behaviourp. 3
Explanatory models and folk illnessesp. 7
Feeling ill and becoming sickp. 10
Implications for carep. 11
Information sharing in the consultationp. 14
The first task - reasons for the patient's attendancep. 15
The second task - other factors that may affect the patient's healthp. 17
The third task - definition of the issues to be addressedp. 18
Clinical diagnosis in the era of evidence-based medicinep. 20
The fourth task - the management planp. 22
Advising the patientp. 25
Empathy and rapportp. 27
Empathic understandingp. 27
Empathic actionp. 31
The uses of empathyp. 33
Empathy and intimacyp. 34
Trustworthiness and respect for the patientp. 37
Transcultural consultingp. 38
Psychodynamic insightsp. 40
Transference and counter-transferencep. 41
Illness and the unconsciousp. 43
Some implications for practicep. 45
Contributions of Michael and Enid Balintp. 46
The transactional perspectivep. 50
Ego states and the analysis of interactionsp. 50
Playing games in the consultationp. 56
The development of transactional analysisp. 59
Discourse in the consultationp. 61
Diagnostic and prescriptive stylesp. 62
Asymmetrical conversationsp. 63
The hermeneutic circlep. 65
Telling and hearing storiesp. 67
The family and chronic illnessp. 73
Effects of illness on the familyp. 74
Implications for carep. 77
Family systems and the biopsychosocial modelp. 81
Emotional and psychosocial problemsp. 84
The biosocial modelp. 85
Approaches to managementp. 89
Somatization and somatic fixationp. 97
Somatizing patientsp. 98
Somatic fixationp. 106
The consultation back in contextp. 110
Preventionp. 110
Continuityp. 115
The purpose of the consultationp. 116
Referencesp. 119
Indexp. 132
Table of Contents provided by Syndetics. All Rights Reserved.

ISBN: 9780335199983
ISBN-10: 0335199984
Series: UK Higher Education OUP Humanities & Social Sciences Health & Social Welfare
Audience: General
Format: Paperback
Language: English
Number Of Pages: 160
Published: 1st July 1999
Publisher: Open University Press
Country of Publication: GB
Dimensions (cm): 21.7 x 13.8  x 1.2
Weight (kg): 0.2
Edition Number: 1