Behavioral Medicine in Primary Care: A Practical Guide by Mitchell D. Feldman, John F. Christensen

By Mitchell D. Feldman, John F. Christensen

This quantity seeks to supply a transparent description of the behavioural drugs standpoint 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 publication outline "behavioural drugs" as an interdisciplinary box that unites biologic and pyschosocial ways to the perform of medication. It specializes in the function of behaviour from either clinicians and sufferers - in deciding upon the luck of the clinical stumble upon.

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Extra resources for Behavioral Medicine in Primary Care: A Practical Guide

Sample text

It’s pretty hard to lose a father. (respect) Patient: I never thought of it that way. What you say makes a lot of sense, and I think you’re probably right. But I still have this nagging worry in the back of my mind. Doctor: That’s understandable. (validation) How about this? Let’s work together to reduce whatever risk factors you do have for heart disease to make sure you don’t have a problem down the line. (partnership) Although you are at low risk for having coronary artery disease, I think it would be prudent to do an exercise stress test as an outpatient just to be sure.

Empathy and self boundaries. In: A Developmental Perspective. Wellesley, MA: Wellesley College Press, No. 16, 1984. Levinson W, Gorawara-Bhat R, Lamb J, et al. A study of patient clues and physician responses in primary care and surgical settings. JAMA 2000;284:1021–1027. EMPATHY / 17 Levinson W, Kao A, Kuby AM, et al. The effect of physician disclosure of financial incentives on trust. Arch Intern Med 2005;165:625–630. Novack DH, Suchman AL, Clark W, et al. Calibrating the physician: personal awareness and effective patient care.

After reflecting an emotion, the doctor should stop talking and see how the patient responds. Although the patient will usually elaborate, if the physician keeps talking, the exploration may be prematurely ended. Sometimes it is clear that a patient is feeling a strong emotion, but it is not clear what that emotion is. It is perfectly acceptable (and perhaps preferable) to treat the emotion as having a differential diagnosis and test a hypothesis as one would for any other medical entity: “I’m wondering if you’re upset,” or, more tentatively, “It seems that you’re feeling something strongly, but I’m not sure what it is.

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