Counseling overweight in primary care: An analysis of patient–physician encounters

Heintze, Christoph; Metz, Ulrike; Hahn, Daphne; Niewöhner, Jörg; Schwantes, Ulrich; Wiesner, Julia; Braun, Vittoria

doi:10.1016/j.pec.2009.10.016

Cited by 32 publications

(41 citation statements)

References 16 publications

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“…In a further example of this type of research, Pilnick (2002) analysed conversations between genetic counsellors and their clients, and was able to identify a set of conversational strategies used by counsellors to deal with challenging moments in sessions: setting the agenda, knowing what is relevant for an individual client, managing different activities and managing the different perspectives of family members. Other studies have reported similar findings in different samples of practitioners and service users (Frankel, 1984;Gallagher, Hartung, & Gregory, 2001;Heintze et al, 2010;Karhila, Kettunen, Poskiparta, & Liimatainen, 2003;Wynn & Wynn, 2006). Research by Evans et al (2011) andPaterson et al (2012) analysed the counselling dimension within acupuncture consultations by coding transcripts of treatment sessions, and found that, in this setting, counselling conversations took the form of intermittent episodes during which the practitioner encouraged the patient to engage in "self-care talk."…”

Section: Issues Associated With the Challenge Of Responding To Expresmentioning

confidence: 80%

Research on embedded counselling: An emerging topic of potential importance for the future of counselling psychology

McLeod

2014

Counselling Psychology Quarterly

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A significant proportion of the counselling that people receive takes place within informal, situated encounters between service users and practitioners in fields such as nursing, medicine, teaching and social work. However, almost all of the research that has been carried out into the process and outcomes of counselling consists of studies of formal, contracted counselling and psychotherapy based in therapy clinics and offices. The competent and effective delivery of counselling that is embedded in a primary professional role, such as that of nurse, teacher or social worker, presents considerable challenges for practitioners. Research evidence around the process and outcomes of embedded counselling represents a valuable resource that has the potential to enhance the quality of counselling conversations enacted by practitioners in health, education, social work and other professions. An overview is provided of different types of research that has been carried out into informal and embedded counselling, and of the main themes that have emerged from these studies. Suggestions are made for the further development of this field.In 1945, Virgina Axline and Carl Rogers published an account of the counselling role undertaken by a teacher, over a period of several months, in response to the emotional and social needs of a disabled six-year-old boy who was a member of a class of 36 children for whom she was responsible (Axline & Rogers, 1945). This descriptive case study illustrated the ways in which this teacher was able to make use of counselling skills, behavioural interventions and consultation with other professionals, to play a key role in the recovery of a seriously troubled young person, mainly through a series of brief, 15 min listening conversations. It is hard to find other, more recent, case examples of this kind of work.In general, the field of counselling and counselling psychology has moved in the direction of becoming a discrete area of specialised professional activity, in which psychological assistance is provided by therapists in offices, rather than teachers in classrooms. Nevertheless, alongside the development and expansion of counselling and other psychotherapeutic interventions as standalone professional activities, individuals with problems in living continued to turn to trusted members of their community, such as

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Section: Issues Associated With the Challenge Of Responding To Expresmentioning

confidence: 80%

Research on embedded counselling: An emerging topic of potential importance for the future of counselling psychology

McLeod

2014

Counselling Psychology Quarterly

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“…This becomes manifest in the physicians' expressed status, habitus and their traditionally strong role, which in many cases allows them to defeat tools that they regard as a direct intervention in their therapeutic freedom. In fact, the problems involved in the introduction of IHTs are but one example for this; the way evidencebased medicine has (not) become normalized in health deliverers' practices [22,23,59,60,68] is another one.…”

Section: Discussionmentioning

confidence: 99%

Managing Health(-Care Systems) Using Information Health Technologies

Mathar

2010

Health Care Anal

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This study aims to compare and contrast how specific information health technologies (IHTs) have been debated, how they have proliferated, and what they have enabled in Germany’s and England’s healthcare systems. For this a discourse analysis was undertaken that specifically focussed on future-scenarios articulated in policy documents and strategy papers released by relevant actors from both healthcare systems. The study reveals that the way IHTs have been debated and how they have proliferated depends on country-specific regulatory structures, their respective values, actors’ and institutions’ organized interests, and the status of health professionals. These conditions have enabled IHTs to promote a new and similar concept of patienthood in both countries, although they tend to affect practitioners’ practices more dramatically in England. The conclusion is drawn that with the usage of IHTs, healthcare systems reproduced existing patterns of health provision while also enabling a sort of convergence. Future research should investigate whether the new concept of patienthood emerging in both welfare states actually suits patients and professionals needs and requirements.

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“…15,18,31 Finally, physician recommendations related to diet and physical activity were more effective (ie, associated with greater likelihood of patient behavior change) if patients were given the chance to reflect on causes of their overweight during counseling visits and their own perceptions about weight management were incorporated into the recommendations. 29 …”

Section: Raising and Discussing Weight: Studies Of Patient Preferencesmentioning

confidence: 99%

New and Emerging Weight Management Strategies for Busy Ambulatory Settings

Rao¹,

Burke²,

Spring

et al. 2011

Circulation

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Counseling overweight in primary care: An analysis of patient–physician encounters

Cited by 32 publications

References 16 publications

Research on embedded counselling: An emerging topic of potential importance for the future of counselling psychology

Research on embedded counselling: An emerging topic of potential importance for the future of counselling psychology

Managing Health(-Care Systems) Using Information Health Technologies

New and Emerging Weight Management Strategies for Busy Ambulatory Settings

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