Define and discuss the following components of the doctor-patient relationship
- This is when a patient brings in emotions from a previous relationship, and transfers them onto the provider.
- This is where the provider, provoked by the transference of a patient, then transfers their own emotions or experiences back
paternalism versus autonomy
- Paternalism is trying to do something that one believes to be in the best interest of the recipient without the explicit approval or consent of the recipient.
- Autonomy is essentially independence.
Describe appropriate boundaries within the doctor-patient relationship
- If involved in a therapeutic relationship with a patient, a provider cannot also have a personal relationship
- If the provider has provided mental care, this is a lifetime ban.
- If the provider has only provided physical care, there is some sort of time limitation (like a year or such)
Define the basic defence mechanisms, and categorize them from primitive to mature
- projective identification
- acting out
- passive-aggressive behaviour
- schizoid fantasy
- isolation of affect
List the factors that contribute to compliance/adherence
Discuss Prochaska's stages of change
Define the basic components of motivational interviewing and discuss how this approach may be used in preventative health care
- Essentially, this seems like a politically correct term for doing the used-car-salesman thing with patients.. Basically, one convinces them that what they want is what you have
- Used to increase medical compliance
- Currently, compliance is split into thirds:
- 1/3 of patients comply with medications
- 1/3 comply "more or less"
- 1/3 not at all
Describe the sick role, illness behaviour, and how people respond differently or similarly to chronic illness
- Behavioural medicine lecture notes (1 | 2)