By Mitchell D. Feldman, John F. Christensen
This quantity seeks to supply a transparent description of the behavioural medication viewpoint on quite a few concerns, in addition to offering instruments and large scientific case examples to enforce in day-by-day perform. The authors of the publication outline "behavioural medication" as an interdisciplinary box that unites biologic and pyschosocial techniques to the perform of medication. It makes a speciality of the function of behaviour from either clinicians and sufferers - in picking the luck of the scientific come upon.
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Physicians who feel challenged by patients’ questioning their motives are likely to act defensively. The empathy skills offer an alternative that makes the physician a partner again. THE ROLE OF EMPATHY IN DIAGNOSIS Feelings that arise in the provider during an encounter may be useful in forming a diagnostic hypothesis about the patient. For example, a doctor who feels burdened, heavy, or “down” during an interview might consider the possibility that the patient is depressed. ” The physician’s own feelings of frustration and powerlessness in trying to motivate the patient are often mirrored by the patient’s sense of frustration and powerlessness in attempting to accomplish the change in behavior.
5. 6. Cultural taboo about discussing emotions Preference for interpreting distress in a biomedical model Somatization disorder Desire to meet doctor’s expectations Worry about being emotionally overwhelmed Lack of language for emotions Emotions can be difficult for both doctors and patients (Table 2-1), and doctors particularly may prefer the certainty of science. From the patient’s point of view, if difficult emotional issues are manifested as a somatic complaint, denial might be the first reaction to a psychological interpretation of the symptoms.
A clinical scenario helps to illustrate the usefulness of the emotion-handling skills described here. CASE ILLUSTRATION 1 While you are on call for admissions from the emergency room for patients without a primary care physician, a 45-year-old man is admitted because of concern that his 2-week history of chest pain may represent unstable angina. Although the emergency room physician acknowledges that it’s a “soft admission,” the patient has a history of elevated lipids, a family history of cardiac disease, and his blood pressure in the emergency room is 180/95.