The Doctor-Patient Relationship

Question 1

elements of doctor-patient relationship

Answer 1

reality based elements (therapeutic alliance)

fantasy-based elements (transference)

Question 2

aim is for patient well-being or health maintenance

Answer 2

therapeutic alliance

Question 3

derived from the patient’s pattern of leaned interpesonal behavior

Answer 3

transference

Question 4

fundamental to DPR

Answer 4

trust

Question 5

characteristics of the doctor

Answer 5

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

Question 6

characteristics of the patient

Answer 6

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

Question 7

mechanisms affecting the formation of the dpr

Answer 7

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

Question 8

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

Answer 8

assessment and evaluation process

Question 9

evaluating

Answer 9

content

process

Question 10

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

Answer 10

rapport

Question 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

Answer 11

therapeutic alliance

Question 12

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

Answer 12

transference

Question 13

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

Answer 13

countertransference

Question 14

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

Answer 14

defense mechanisms

Question 15

models of dpr

Answer 15

paternalistic model
informative model
interpretive model
deliberative model

Question 16

appropriate for situations where doctors need to take control

Answer 16

paternalistic model

Question 17

doctor dispenses information but the choice is left to the patient

Answer 17

informative model

Question 18

appropriate for one-time consultation

Answer 18

informative model

Question 19

doctor discusses alternatives with patient’s participation

Answer 19

interpretive model

Question 20

appropriate for those with chronic disease requiring follow-up

Answer 20

interpretive model

Question 21

doctor acts as a friend or counselor

appropriate in modifying behavior

Answer 21

deliberative model

Question 22

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

Answer 22

multidisciplinary model

Question 23

key elements in multidisciplinary approach to medical care

Answer 23

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

Question 24

rapid speech, think loud, interrupts, louder volume

Answer 24

extroversion

Question 25

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

Answer 25

introversion

Question 26

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

Answer 26

sensing

Question 27

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

Answer 27

intuition

Question 28

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

Answer 28

thinking

Question 29

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

Answer 29

feeling

Question 30

impatient with overly long descriptions of procedures,

may make decisions prematurely, enjoys getting things done

Answer 30

judging

Question 31

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

Answer 31

perceiving

Question 32

adaptive techniques

doctor: extroversion
patient: introversion

Answer 32

slower pace and give time for the patient to reflect

Question 33

adaptive techniques

doctor: introversion
patient: extroversion

Answer 33

show more energy and give space for the patient to talk

Question 34

adaptive techniques

doctor: intuition
patient: sensing

Answer 34

give detailed information in a stepwise fashion

Question 35

adaptive techniques

doctor: sensing
patient: intuition

Answer 35

give big picture first

Question 36

adaptive techniques

doctor: feeling
patient: thinking

Answer 36

keep to objective facts and logical information

Question 37

adaptive techniques

doctor: thinking
patient: feeling

Answer 37

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

Question 38

adaptive techniques

doctor: judging
patient: perceiving

Answer 38

provide space for the patient to explore and clarify the options

Question 39

adaptive techniques

doctor: perceiving
patient: judging

Answer 39

agree an agenda for action