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For thousands of years, Western culture has dichotomized science and art, empiricism and subjective experience, and biology and psychology. In contrast with the prevailing view in philosophy, neuroscience, and literary criticism, George Engel, an internist and practicing physician, published a paper in the journal Science in 1977 entitled "The Need for a New Medical Model: A Challenge for Biomedicine." In the context of clinical medicine, Engel made the deceptively simple observation that actions at the biological, psychological, and social level are dynamically interrelated and that these relationships affect both the process and outcomes of care. The biopsychosocial perspective involves an...
Primary care medicine is the new frontier in medicine. Every nation in the world has recognized the necessity to deliver personal and primary care to its people. This includes first-contact care, care based in a posi tive and caring personal relationship, care by a single healthcare pro vider for the majority of the patient's problems, coordination of all care by the patient's personal provider, advocacy for the patient by the pro vider, the provision of preventive care and psychosocial care, as well as care for episodes of acute and chronic illness. These facets of care work most effectively when they are embedded in a coherent integrated approach. The support for primary care derives from several significant trends. First, technologically based care costs have rocketed beyond reason or availability, occurring in the face of exploding populations and diminish ing real resources in many parts of the world, even in the wealthier nations. Simultaneously, the primary care disciplines-general internal medicine and pediatrics and family medicine-have matured significantly.
In the classic edition of this outstanding book, originally published in 1998, Richard Frankel explores adolescence as a crucial, unique, and turbulent period of human development. He provides guidance for clinicians working with young people as they undergo significant transformations in the way they think, act, feel, and perceive the world. The book addresses how the disruptions manifest in adolescent behavior are upsetting and often incomprehensible to the adults surrounding them. It seeks to revision the traumas, extreme fantasies, testing of limits, etc., so endemic to this period of life through the lens of the urge toward self-realization. This allows for new and creative ways of work...
A comprehensive, evidence-based introduction to the principles and practices of patient communication in a clinical setting Endorsed by the American Academy on Communication for Healthcare Updated and expanded by a multidisciplinary team of medical experts, Smith’s Patient-Centered Interviewing, Third Edition presents a step-by-step methodology for mastering every aspect of the medical interview. You will learn how to confidently obtain from patients accurate biomedical facts, as well as critical personal, social, and emotional information, allowing you to make precise diagnoses, develop effective treatment plans, and forge strong clinician-patient relationships. The most evidence-based gu...
This book is a study of earnings management, aimed at scholars and professionals in accounting, finance, economics, and law. The authors address research questions including: Why are earnings so important that firms feel compelled to manipulate them? What set of circumstances will induce earnings management? How will the interaction among management, boards of directors, investors, employees, suppliers, customers and regulators affect earnings management? How to design empirical research addressing earnings management? What are the limitations and strengths of current empirical models?
Examines communication in the classroom within the larger context of the development of standard English and its social implications.
The Healer's Calling addresses the longings of many people in the health care professions for a renewed sense of the transcendent meaning of their work, and for a return to the spiritual elements of healing.
This 2006 volume provides a comprehensive discussion of communication between doctors and patients in primary care consultations. It brings together a team of leading contributors from the fields of linguistics, sociology and medicine to describe each phase of the primary care consultation, identifying the distinctive tasks, goals and activities that make up each phase of primary care as social interaction. Using conversation analysis techniques, the authors analyze the sequential unfolding of a visit, and describe the dilemmas and conflicts faced by physicians and patients as they work through each of these activities. The result is a view of the medical encounter that takes the perspective of both physicians and patients in a way that is both rigorous and humane. Clear and comprehensive, this book will be essential reading for students and researchers in sociolinguistics, communication studies, sociology, and medicine.
Written by an eminent authority on interviewing techniques and resident training, Patient-Centered Interviewing: An Evidence-Based Method provides practical, how-to guidance on every aspect of physician-patient communication. Readers will hone their skills in patient-centered interviewing techniques whose effectiveness is documented by published evidence.Chapters present techniques for defining the patient's symptoms, making the doctor-centered part of the interviewing process patient-friendly, and handling specific scenarios. Also included are effective strategies for summarizing data from the interview, presenting these findings to colleagues, and using patient education materials. The book's user-friendly design features icons, boxed case vignettes, and use of color to highlight key points.