The Doctor-Patient Relationship

Question 1

An encounter between two persons: doctor and patient

Answer 1

Doctor-Patient relationship

Question 2

Specific roles and motivations of the doctor

Answer 2

Expert in medicine motivated by the desire to help

Question 3

Specific roles and motivations of the patient

Answer 3

health seeker motivated by the desire and hope for assistance and relief of pain

Question 4

Elements of the Doctor Patient relationship

Answer 4

Reality Based Elements

Fantasy Based Elements

Question 5

Aim is for patient’s wellbeing or health maintenance

Answer 5

Working/Therapeutic Alliance

Question 6

Derived from the patient’s pattern of learned interpersonal behavior

Answer 6

Transference

Question 7

Characteristics of the doctor

Answer 7

Medical knowledge
Understanding of patient situation or value systems
Self awareness
Communication skills
interview techniques

Question 8

Characteristics of the patient

Answer 8

Gender
Age
Individual history
Unique Personality
Genetic make up
life experiences
Roles in social group
belonging to a community

Question 9

Gathering patient data, evaluating the content and process

Answer 9

Clinical Interview

Question 10

Sets the stage for identifying relevant problems in the context of an empathic working alliance with a patient

Answer 10

Clinical interview

Question 11

Spontaneous, conscious feeling of harmonious responsiveness that promotes the development of a therapeutic relationship

Answer 11

Rapport

Question 12

Implies an understanding and trust between the doctor and the patient

Answer 12

Rapport

Question 13

Commitment between the doctor and the patient to explore the patient’s problems, to establish mutual trust and to cooperate with each other to achieve realistic goal of a cure or the alleviation of symptoms

Answer 13

Therapeutic or Working Alliance

Question 14

Process of displaying attitudes and feelings originally experienced in relationships with persons from the past

Answer 14

Transference

Question 15

Part of the clinical interview that contains the patient’s stories

Answer 15

content

Question 16

Part of the clinical interview that contains the patient’s non-verbal

Answer 16

process

Question 17

Specific cognitive processes, ways of thinking, that the mind employs to avoid painful experience

Answer 17

Defense mechanism

Question 18

Models of Doctor Patient Relationship

Answer 18

Paternalistic
Informative
Interpretive
Deliberative

Question 19

Model of PDR wherein the patient is expected to comply with the doctor’s instructions without question

Answer 19

Paternalistic

Question 20

Model of PDR that is appropriate for when doctors need to take control, such as during an emergency situation

Answer 20

Paternalistic model

Question 21

Model of PDR wherein all available data are given but the choice of treatment is left to the patient

Answer 21

Informative model

Question 22

Model of PDR that is appropriate for a one time consultation

Answer 22

Informative model

Question 23

Model of PDR wherein the doctor presents and discusses alternatives with the patient’s participation

Answer 23

Interpretive model

Question 24

Model of PDR that is appropriate for treating people with chronic diseases

Answer 24

Interpretive model

Question 25

Model of PDR wherein the doctor presents information and actively advocates a particular cause of action

Answer 25

Deliberative model

Question 26

Model of PDR that is appropriate in modifying behavior

Answer 26

Deliberative model

Question 27

Philosophy and process of care that integrates the specialized knowledge of multiple disciplines

Answer 27

Multidisciplinary approach

Question 28

Major premises for the multidisciplinary approach

Answer 28

Complexity of care needs the expertise of multiple disciplines Process of care can be facilitated through the involvement of multiple disciplines

Question 29

Members of the health care team

Answer 29

``` physicians nurses rehabilitation experts/therapists social workers counselors ```

Question 30

Key elements of the multidisciplinary approach

Answer 30

Shared purpose and goal Roles and responsibilities are clear Members make appropriate contributions Team members cooperate and coordinate activities Members trust one another through an on-going relationship

Question 31

Questions to keep in mind to determine patient personality types

Answer 31

What did you notice about the way in which this patient was talking? What kind of questions was he or she asking? What criteria was he or she using for deciding on treatment? How quickly did they want to make their decision?

Question 32

Behavioral clues for Extroverts

Answer 32

Rapid speech Thinks out loud Interrupts Loud volume of voice

Question 33

Behavioral clues for Introverts

Answer 33

Pauses when giving information Appears to think things through More quiet volume of voice Shorter sentences

Question 34

Behavioral clues for Sensing

Answer 34

Asks for step by step Asks about the present What and How Precise descriptions

Question 35

Behavioral clues for Intuition

Answer 35

Asks for purpose Asks for current and long term Why General terms and possibilities

Question 36

Behavioral clues for Thinking

Answer 36

Testing Weighs evidence Not easily impressed Check logic

Question 37

Behavioral clues for Feeling

Answer 37

Harmony Value Asks about others

Question 38

Behavioral clues for Judging

Answer 38

Impatient | Enjoy getting things done

Question 39

Behavioral clues for Perceiving

Answer 39

Space Exploratory Last minute Process

Question 40

Extravert doctor Introvert patient

Answer 40

slow down pace and give time for the patient to reflect

Question 41

Introvert doctor Extravert patient

Answer 41

show more energy and give space for the person to talk

Question 42

Intuition doctor sensing patient

Answer 42

Give detailed information in a stepwise fashion and practical examples

Question 43

Sensing doctor intuition patient

Answer 43

big picture first

Question 44

Thinking doctor feeling patient

Answer 44

Take interest in the patient as an individual

Question 45

Feeling doctor thinking patient

Answer 45

Keep to objective facts and logical information

Question 46

Judging doctor perceiving patient

Answer 46

provide space for the patient to explore and clarify the options

Question 47

Perceiving doctor Judging patient

Answer 47

agree an agenda for action including dates for appointments