the dentist patient relationship Flashcards
what is patient centred dentistry
Explores the patient’s main reason for the visit
Seeks integrated understanding of the patient’s world
Finds common ground on the problem and mutually agrees management
Enhances prevention and health promotion
Enhances continuing relationship between patient and dentist
what is transference
This is when we are reminded in the present of someone from the past who aroused strong emotions.
the feelings are strong and unconscious
what is counter transference
directed from the therapist towards the patient. strong emotions.
It can be unhelpful in managing patients’ problems
It can provide us with insight if we look at the reasons for that transference.
what is transactional analysis
psychoanalytic theory and method of therapy wherein social transactions are analyzed to determine the ego state of the patient (whether parent-like, childlike, or adult-like) as a basis for understanding behaviour
what is the parent state
responds to the situation in an unconscious mimicking of how their parents or authority figures acted
what is the adult state
the rational state whereby major emotions do not excessively influence beliefs thoughts and behaviours- ideal state
what is the child state
respond to a situation similarly to how they did in childhood
what are crossed transactions
occur when one person attempts to communicate in a role, and the other responds inappropriately,
what are successful transactions
adult-adult
patient centred approach
what models are there of the dentist patient relationship
Paternalistic
Mutualistic
Consumerist
Default
what is a paternalistic relationship
Until recently the most common style of doctor (or dentist)/patient relationship
High control by the professional
Disease centred
Passive patient expected to rely on the dentist
Some patients still prefer this
what is a mutual relationship
Recognises the ‘patient as expert’
Equality of control between professional and patient
Patient autonomy
Patient centred consultation
is the mutual relationship ideal
doesnt take into account power differentials at all
but professionals should minimise this
what is consumerist relationship
Becoming more common
Dental treatment as a commodity or service
Promoted by government – patient choice and patient charters
Private dentistry and preferred care
System most developed in the USA and involves high levels of investigation, treatment and litigation
what is a default relationship
Characterised by mutual lack of satisfaction in the encounter
Neither clinician nor patient has much control
Unsatisfactory outcomes may include a series of referrals and investigations with no responsibility taken for the patient
