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 concerns, in addition to delivering instruments and huge 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 drugs. It specializes in the function of behaviour from either clinicians and sufferers - in settling on the luck of the clinical come upon.

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

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The doctor, who is emotionally drained after spending the last 50 minutes talking with a patient about breast cancer, wonders why she’s chosen medicine as a career. Diagnosis Even without the explicit expression of anger, an angry patient is not difficult to recognize. Harsh nonverbal communication such as rigid posturing, piercing stare, a refusal to shake hands, gritting the teeth, and confrontational or occasionally abusive language provide unmistakable evidence. More subtle patient behaviors include refusing to answer questions; failing to make eye contact; or constructing nonverbal barriers to communication such as crossed arms, turning away from the provider, or increasing the physical distance between them.

Patient: Yeah. I thought maybe being upset stressed my heart. Do you think maybe this is all in my head? Doctor: I’m sure you really feel the pain, and I suspect your heart still aches for your father—even if only figuratively. 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?

2. 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.

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