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Flashcards in The Doctor-Patient Relationship Deck (39):
1

elements of doctor-patient relationship

reality based elements (therapeutic alliance)
fantasy-based elements (transference)

2

aim is for patient well-being or health maintenance

therapeutic alliance

3

derived from the patient's pattern of leaned interpesonal behavior

transference

4

fundamental to DPR

trust

5

characteristics of the doctor

medical knowledge
understanding of patient situation or value system
self-awareness
communication skills
interview techniques

6

characteristics of the patient

gender
age
individual history
unique personality
member of family
belonging to a community

7

mechanisms affecting the formation of the dpr

assessment and evaluation process
development of dp rapport
therapeutic or working alliance
transference
counter transference
defense mechanisms

8

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

assessment and evaluation process

9

evaluating

content
process

10

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

rapport

11

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 alleviation of symptoms

therapeutic alliance

12

process of displacing attitudes and feelings originally experienced in relationships with persons from the past

transference

13

process by which doctors unconsciously ascribe motives or attributes to patients that comes from the doctor's past relationship

countertransference

14

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

defense mechanisms

15

models of dpr

paternalistic model
informative model
interpretive model
deliberative model

16

appropriate for situations where doctors need to take control

paternalistic model

17

doctor dispenses information but the choice is left to the patient

informative model

18

appropriate for one-time consultation

informative model

19

doctor discusses alternatives with patient's participation

interpretive model

20

appropriate for those with chronic disease requiring follow-up

interpretive model

21

doctor acts as a friend or counselor
appropriate in modifying behavior

deliberative model

22

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

multidisciplinary model

23

key elements in multidisciplinary approach to medical care

shared purpose and goal
roles and responsibilities are clear
members make appropriate contributions
team members cooperate and coordinate activities
members trust one another

24

rapid speech, think loud, interrupts, louder volume

extroversion

25

pauses in answering or giving information, thinking things through, shorter sentences

introversion

26

asks for step-by-step information or instructions, present situation, what and how questions, precise descriptions

sensing

27

purpose of the action, why question, current and long term implication, general terms and possibilites

intuition

28

seems to be testing you, weighs up objective evidence, not impressed by the decision of others, logic

thinking

29

strives for harmony, value, how others have acted or resolved a similar situation

feeling

30

impatient with overly long descriptions of procedures,
may make decisions prematurely, enjoys getting things done

judging

31

seems to want space to make decision, may decide at the last moment, enjoys processing

perceiving

32

adaptive techniques
doctor: extroversion
patient: introversion

slower pace and give time for the patient to reflect

33

adaptive techniques
doctor: introversion
patient: extroversion

show more energy and give space for the patient to talk

34

adaptive techniques
doctor: intuition
patient: sensing

give detailed information in a stepwise fashion

35

adaptive techniques
doctor: sensing
patient: intuition

give big picture first

36

adaptive techniques
doctor: feeling
patient: thinking

keep to objective facts and logical information

37

adaptive techniques
doctor: thinking
patient: feeling

take an interest in the patient as an individual, show concern

38

adaptive techniques
doctor: judging
patient: perceiving

provide space for the patient to explore and clarify the options

39

adaptive techniques
doctor: perceiving
patient: judging

agree an agenda for action