By Mitchell D. Feldman, John F. Christensen
This quantity seeks to supply a transparent description of the behavioural medication viewpoint on quite a few matters, in addition to delivering instruments and vast medical case examples to enforce in day-by-day perform. The authors of the ebook outline "behavioural medication" as an interdisciplinary box that unites biologic and pyschosocial techniques to the perform of medication. It specializes in the position of behaviour from either clinicians and sufferers - in deciding on the good fortune of the clinical stumble upon.
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Additional info for Behavioral Medicine in Primary Care: A Practical Guide
3. 4. 5. 6. 2. Takes too much time Too draining Will lose control of interview Can’t fix patient’s distress Not my job Perceived conflicts of interest Patient 1. 2. 3. 4. 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.
Emotions, whether related to physiological dysfunction or psychosocial issues, color the discussion in the examining room and may be so distracting that the patient cannot fully concentrate on other issues until the emotions are addressed. 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.
Empathy in Medical Training Viewing empathy in this way may have special applications to medical training. There is evidence that empathy correlates with the fluctuation of mood state during residency. It is remarkable how the fresh enthusiasm and caring of medical students can quickly devolve into the wry cynicism of residents. What accounts for this withdrawal? The usual explanation is that insulating oneself in this way is an act of self-preservation in the face of overwhelming demands. It can be torturous to feel another’s pain, and if the self is already stressed because of long hours and the other exigencies of training, it may be more difficult to sustain an open posture.
Behavioral Medicine in Primary Care: A Practical Guide by Mitchell D. Feldman, John F. Christensen