Psychology of doctor-patient relationship in general medicine

Turabián, José Luis

doi:10.17352/2455-5479.000056

Cited by 15 publications

(17 citation statements)

References 33 publications

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“…This research positions itself within academic literature linking the impact of the doctor-patient relationship to health outcomes for patients. 39–44 Turabian 44 describes the mediating ‘crossroads’ effect of the doctor-patient relationship in how a person experiences their illness. Turabian emphasises the importance of a patient ‘feeling felt’ and the positive therapeutic benefits of being listened to and seen as a whole person, not just a series of symptoms or body to treat.…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, the battle to gain a referral or find one doctor that genuinely listened is consistent across endometriosis research. 7,8,14,16,24,44…”

Section: Discussionmentioning

confidence: 99%

“…43 Doctors have this power to generate within their patients a sense of empowerment, control and agency over their health and motivate positive health behaviours. 16,24,44 Berterö et al 45 encourage the use of empathic and active listening which increases patient satisfaction and assures woman their concerns are valid and heard. They advocate treating endometriosis patients from a biopsychosocial model of support based upon continuity of care, thoughtfulness, reflection and responsiveness.…”

Section: Discussionmentioning

confidence: 99%

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That one doctor. . . Qualitative thematic analysis of 49 women’s written accounts of their endometriosis diagnosis

Fernley¹

2021

Journal of Endometriosis and Pelvic Pain Disorders

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Introduction: One in nine women experience endometriosis, a common gynaecological disease, yet time to diagnosis averages 7 years. People are sharing their endometriosis experiences online. This research’s aim was to expose and synthesise the collective themes of diagnostic experience. Method: A qualitative thematic analysis of publicly accessible online autobiographical accounts of women and their endometriosis diagnosis. Themes were coded within NVIVO and thematic maps and tables created. Eighty-nine original accounts were identified, 26 were excluded. Saturation point was 49. Results: Women communicated long, painful and emotional journeys to diagnosis. Forty women experienced endometriosis symptoms before the age of 20, 33 before 15 years. Despite repeated GP presentation, 36 women had never heard of endometriosis before diagnosis. Women highlighted the positive impact of ‘that one doctor’ who said the word ‘endometriosis’ who listened, believed, investigated and provided prompt referral to specialists. Diagnosis gave relief and answers to the long journey, provided women a sense of community, hope and personal visibility after feeling alone. While this common disease is undiagnosed women suffer. Conclusion: ‘That one doctor’ can transform a patient’s experience and create a positive diagnosis pathway towards endometriosis. The doctor patient alliance is vital for prompt diagnosis. Symptom dismissal with long diagnosis delays are having negative, physical and psychological consequences for women. Early detection, GP education and community awareness campaigns are imperative to reduce further delayed diagnosis and long-term negative impacts of undiagnosed endometriosis.

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Section: Discussionmentioning

confidence: 99%

“…Unfortunately, the battle to gain a referral or find one doctor that genuinely listened is consistent across endometriosis research. 7,8,14,16,24,44…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

That one doctor. . . Qualitative thematic analysis of 49 women’s written accounts of their endometriosis diagnosis

Fernley¹

2021

Journal of Endometriosis and Pelvic Pain Disorders

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“…The transcendence of psychological factors of the doctorpatient relationship is given by the fact of its in luence on results and quality of medical care, improvement in compliance, satisfaction and recall of physician information, and so they play a fundamental role in the medical care process [1].…”

Section: Introductionmentioning

confidence: 99%

Psychological phenomena in the doctor- Elderly patient relationship

Turabián¹

2020

Arch Psychiatr Ment Health

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The doctor-patient communication and the aging of the patients attended by the general practitioner are two important concepts that constantly impact medical consultations. This article raises some refl ections and conceptualizations about the main psychological phenomena that have a special importance in the doctor-elderly patient communication and relationship: 1) Stereotypes and prejudices; 2) Regression; 3) Transference, countertransference and resistance; 4) Rapport; 5) Empathy; and 6) Paternalism. The GP must be alert about what affecting the communication with the old man and he should put the means to get a warm relationship. Consequently, to achieve effective communication with an older adult: The GP have to take it easy; to be patient; avoiding stereotypes and prejudices; allowing the patient to establish a benign regressive relationship, until if it is possible due to the biopsychosocial context of the elderly patient, he can begin the non-regressive relationship again; recognizing fact of transference, which put the doctor in another place, is inevitable, but taking into account that it greatly affects his relationship with the patients; avoiding countertransference; considering that the therapeutic alliance or rapport is particularly fragile in elderly patients with chronic diseases; giving greater importance to empathy; knowing that the elderly patient frequently accepts the authority of the doctor, but avoiding falling into an iatrogenic paternalism; and smile. been labelled sociophysiology. This process can in luence the health of both parties in the doctor-patient relationship, and may be relevant to third parties [2]. Communication between the patient and doctor is extremely important, especially for the treatment of patients with chronic diseases [3]. In the elderly there is often multimorbidity: osteoarthritis, arterial hypertension, cardiovascular disease, depression, COPD, loss of visual and auditory capacity, falls and immobility, osteoporosis, dementia, delirium, urinary incontinence, etc., and 20% of them are patients with disabilities. Further, multimorbidity implies polypharmacy, with an average of 4.5 drugs prescribed by the doctor to the older patient. To all this must be added that with aging increases the risk of developing CNS disorders and there may be a cerebral de icit associated with psychological symptoms that re lects psychiatric disturbances. In addition, the elderly may present with Alzheimer's disease, vascular dementia, alcoholic dementia, brain neoplasia, or cranioencephalic trauma, all of which have serious implications for doctor-patient communication [4,5]. The characteristics of the doctor-patient relationship and communication are different in the presence of an elderly Psychological phenomena in the doctor-Elderly patient relationship

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“…The doctor-patient relationship is a complex phenomenon conformed by several aspects, among which we can point out the doctor-patient communication, the patient participation in decision-making and the patient satisfaction [1]. The transcendence of psychological factors of the doctor-patient relationship is given by the fact of its in luence on results and quality of medical care, improvement in compliance, satisfaction and recall of physician information, and plays a fundamental role in the medical care process [2].…”

Section: Introductionmentioning

confidence: 99%