scholarly journals A Glimpse From Behind the Mask: Thoughts from the Old Clinician

2021 ◽  
Vol 8 (6) ◽  
Author(s):  
Strauss DW ◽  
Keyword(s):  
Treatment Outcome ◽  
Patient Relationship ◽  
Clinician Satisfaction ◽  
Relative Utility ◽  
The Relationship

This is an article/essay with focus on the question of the conflict between professional mystique and transparency in the clinician-patient relationship. Implied is the assumption that the professional “mask” influences treatment outcome and can distort or enhance the genuine nature of the relationship between those being served and those who serve them. The simple purpose of the question asked in the article is to stimulate discussion as to the relative utility of the professional mystique and professional transparency as to the degree that each influences treatment outcome and clinician satisfaction.

Investigation of the Relationship Between Changes in Interpersonal Functioning Over the Course of Therapy and Treatment Outcome

2011 ◽  
Author(s):  
Kathryn Palmer ◽  
Katherine L. Thompson ◽  
Debora A. D'Iuso ◽  
Deborah Schwartzman ◽  
Keith S. Dobson ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Interpersonal Functioning ◽  
The Relationship

scholarly journals The Doctor–Patient Relationship: Does Christianity Make a Difference?

2021 ◽  
Vol 27 (1) ◽  
pp. 1-13
Author(s):  
James J Delaney
Keyword(s):  
Assisted Suicide ◽  
Clinical Encounter ◽  
Patient Relationship ◽  
Physician Assisted Suicide ◽  
Doctor Patient Relationship ◽  
Moral Tradition ◽  
Practice Of Medicine ◽  
Christian Understanding ◽  
The Relationship ◽  
Perinatal Hospice

Abstract The nature of the doctor–patient relationship is central to the practice of medicine and thus to bioethics. The American Medical Association (in AMA principles of medical ethics, available at: https://www.ama-assn.org/delivering-care/ethics/patient-physician-relationships, 2016) states, “The practice of medicine, and its embodiment in the clinical encounter between a patient and a physician, is fundamentally a moral activity that arises from the imperative to care for patients and to alleviate suffering.” In this issue of Christian Bioethics, leading scholars consider what relevance (if any) Christianity brings to the relationship between physician and patient: does Christianity make a difference? The contributors consider this question from several different perspectives: the proper model of medicine, the role that the Christian moral tradition can play in medicine in a secular pluralistic society, how a Christian understanding of virtue can inform practices such as perinatal hospice and physician-assisted suicide, and whether or not appeals to Christian values can (or should) ground a physician’s right to conscientious objection.

Association between psychomotor disturbance and treatment outcome in psychotic depression: a STOP-PD II report

2021 ◽  
pp. 1-7
Author(s):  
Alastair J. Flint ◽  
Kathleen S. Bingham ◽  
Nicholas H. Neufeld ◽  
George S. Alexopoulos ◽  
Benoit H. Mulsant ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Acute Phase ◽  
Controlled Trial ◽  
Future Research ◽  
Psychotic Depression ◽  
Regression Analyses ◽  
Open Label ◽  
Randomized Controlled ◽  
Stabilization Phase ◽  
The Relationship

Abstract Background Little is known about the relationship between psychomotor disturbance (PMD) and treatment outcome of psychotic depression. This study examined the association between PMD and subsequent remission and relapse of treated psychotic depression. Methods Two hundred and sixty-nine men and women aged 18–85 years with an episode of psychotic depression were treated with open-label sertraline plus olanzapine for up to 12 weeks. Participants who remained in remission or near-remission following an 8-week stabilization phase were eligible to participate in a 36-week randomized controlled trial (RCT) that compared the efficacy and tolerability of sertraline plus olanzapine (n = 64) with sertraline plus placebo (n = 62). PMD was measured with the psychiatrist-rated sign-based CORE at acute phase baseline and at RCT baseline. Spearman's correlations and logistic regression analyses were used to analyze the association between CORE total score at acute phase baseline and remission/near-remission and CORE total score at RCT baseline and relapse. Results Higher CORE total score at acute phase baseline was associated with lower frequency of remission/near-remission. Higher CORE total score at RCT baseline was associated with higher frequency of relapse, in the RCT sample as a whole, as well as in each of the two randomized groups. Conclusions PMD is associated with poorer outcome of psychotic depression treated with sertraline plus olanzapine. Future research needs to examine the neurobiology of PMD in psychotic depression in relation to treatment outcome.

Gift-Giving in the Podiatric Medical Student–Patient Relationship

2016 ◽  
Vol 106 (5) ◽  
pp. 361-363
Author(s):  
Daniel López López ◽  
Paula Torreiro Pazo ◽  
Marta E. Losa Iglesias ◽  
Ricardo Becerro de Bengoa Vallejo
Keyword(s):  
Medical Student ◽  
Medical Students ◽  
Positive Attitude ◽  
Clinical Case ◽  
Ethical Concern ◽  
Patient Relationship ◽  
Gift Giving ◽  
The Relationship

We sought to explore the relationship between the podiatric medical student and the patient as it relates to the act of gift-giving as a sign of gratefulness for the services provided. This article presents the clinical case of a man who visited a podiatric medical student because of pain in his feet and subsequently presented the student with several gifts. Philanthropy, empathy, a positive attitude, treatment instructions, and the time devoted to the patient are some of the reasons why patients offer gifts to podiatric medical students. The relationship between the podiatric medical student and the patient and the act of gift-giving by patients are of ethical concern.

scholarly journals The Relationship Between the Acute Cerebral Metabolic Response to Citalopram and Chronic Citalopram Treatment Outcome

2011 ◽  
Vol 19 (1) ◽  
pp. 53-63 ◽  
Author(s):  
Gwenn S. Smith ◽  
Clifford I. Workman ◽  
Elisse Kramer ◽  
Carol R. Hermann ◽  
Rachel Ginsberg ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Metabolic Response ◽  
The Relationship

scholarly journals Perceived Proximity and Distance in the Doctors-Patients Relationships : Application to the Breast Cancer Treatment Case

K@iros ◽  
2019 ◽  
Author(s):  
Patrick RALET ◽  
◽  
Pascal BRASSIER ◽  
Keyword(s):  
Breast Cancer ◽  
Cancer Treatment ◽  
Breast Cancer Treatment ◽  
Point Of View ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Treatment Pathway ◽  
The Relationship

An obvious questioning of the doctor-patient relationship leads us to conduct a research on the point of view of patients who have had to follow a breast cancer treatment pathway. We want to know to what extent the notions of distance/proximity make it possible to explain the doctors-patients relationships, and on what realities it is based. It appears that the answer is complex, multifaceted, and rather poses the question of the dimensions of the relationship alongside the medical protocol.

scholarly journals Emotional Intelligence in Nursing: The Heart of the Art – A Review

2021 ◽  
pp. 1-6
Author(s):  
Patsey Sera Castelino ◽  
Theresa Leonilda Mendonca
Keyword(s):  
Emotional Intelligence ◽  
Nursing Practice ◽  
Nursing Intervention ◽  
Patient Relationship ◽  
Practice Nurses ◽  
Emotional Labour ◽  
Rational Mind ◽  
The Relationship ◽  
Emotionally Intelligent

Emotional labour has long been recognized as a necessary part of nursing practice. Nurses often provide care for patients and families who are suffering and where emotions are heightened. Emotions play an important role in the relationship and communication between nurses, patients and families. Nowadays nursing is becoming more and more technical. The rational mind and the emotional mind need to be balanced partners for the nurse-patient relationship to be harmonious. Every nursing intervention is affected by the master aptitude of emotional intelligence. People who are emotionally intelligent see themselves as more optimistic, as they are better able to understand, manipulate, and regulate their emotions. This paper reflects on how emotional intelligence contributes immensely to the art and craft of nursing which is a practice discipline.

Liaison Psychiatry: Factors Influencing the Consultation Process

1973 ◽  
Vol 4 (4) ◽  
pp. 439-446 ◽  
Author(s):  
Adam J. Krakowski
Keyword(s):  
Medical Profession ◽  
Great Influence ◽  
Personality Factors ◽  
Patient Relationship ◽  
Liaison Psychiatry ◽  
Consultation Process ◽  
Educational Methods ◽  
The Relationship ◽  
Special Meaning

In the last two decades psychiatrists in liaison work have asked nonpsychiatrists to accept a greater role in the management of mental illness, sponsoring educational programs and offering consultative services to provide assistance in diagnosis and management of patients. The triadic doctor-doctor-patient relationship and transference-countertransference phenomena often have more influence on the consultation process and the effectiveness of didactic methods than real problems like the degree of availability of consultants. Such factors as 1) the circumstances of the choice of medicine as a profession, 2) the special meaning of the choice of specialty, and 3) personality factors have great influence upon the relationship between the consultant and the consultee, the quality of the consultation, and the effectiveness of educational methods used in liaison psychiatry. The results of an attitudinal survey of fifty physicians, conducted to explore conscious motivations for choosing the medical profession, attitudes toward consultation process, and less conscious elements such as fears of illness or death are discussed as a basis for understanding the consultation process and designing effective continuing education programs on the psychosocial aspects of medical care. An important implication of the study is the need to question the ways in which nonpsychiatrists are encouraged and expected to assume more responsibility for the care of patients with emotional problems.

A Comparison Between Dually Diagnosed Inpatients with and without Axis II Comorbidity and the Relationship to Treatment Outcome

2003 ◽  
Vol 29 (2) ◽  
pp. 263-279 ◽  
Author(s):  
Stephen Ross ◽  
Helen Dermatis ◽  
Petros Levounis ◽  
Marc Galanter
Keyword(s):  
Treatment Outcome ◽  
Dually Diagnosed ◽  
Axis Ii ◽  
The Relationship
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