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Principles And Perspectives > 1.7 - Cultural Aspects Of The Doctor-Patient Relationship > Flashcards

1.7 - Cultural Aspects Of The Doctor-Patient Relationship Flashcards

0
Q

What is transmitted to the next generation by use of symbols, language, art and ritual?

A

Culture

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1
Q

TRUE OR FALSE
Culture is a Set of explicit guidelines only which are inherited from a society. Culture also tells us how to view, experience and behave in the world in relation to supernatural forces, other people and natural environment

A

False

Explicit AND implicit

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2
Q

What are inherited “lenses” thru which individual perceives and understands the world he inhabits and learns to live within it?

A

Culture

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3
Q

What is the blueprint of our behavior but not absolute straight jacket that constrains our behavior because it allows for agency?

A

Culture

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4
Q

What is agency?

A

Capacity of people to make individual decisions

- choose among what is available and can go beyond ( reason for culture change)

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5
Q

What is the macro level of culture?

A

Systems of production, exchange etc

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6
Q

What is the micro level of culture?

A

Modes of interaction, control of time, and space, attitudes, values, perception of the world etc.

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7
Q

What is the social organization in the Philippines?

A

Immediate family
Extended kin group
Peer group

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8
Q

What frameworks are shaped by the the social structures in the Philippines?

A

Personalism
Familism
Paternalism

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9
Q

What is personalism?

A

Placing a high value on interpersonal relationships

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10
Q

What is the disadvantage of personalism?

A

Bad for goal setting

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11
Q

What is the advantage of personalism?

A

Good for long term relationships

Get things done quicker

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12
Q

What is familism?

A

Way of relating to others not necessarily related to us using models derived from family patterns

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13
Q

What are the advantages of familism?

A

Used to related to other people by using family terminology
Relationsl aspects are emphasized
Appease person and make them more likely to listen to you

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14
Q

What is paternalism?

A

Kind of concern displayed by older relatives for younger ones

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15
Q

What are the themes of Filipino interpersonal relationships?

A
  1. A personal touch
  2. Being family
  3. Paternalism as a concern
16
Q

What does a personal touch mean?

A

Focus on personalist theme prevalent in FIlipino culture and how this can be tapped for enhancing doctor-patient relationships

17
Q

Application of the personalistic approach involves recognizing possible differences in__________(3 things)_______.

A

Basic orientations
Impact on managerial style
Impact on interpersonal relations

18
Q

The sense of kapwa is found in what theme of Filipino interpersonal relationships?

A

A personal touch

19
Q

A compassionate concern for the patient’s well-being takes on another dimension when taking into account the familistic orientation in Filipino culture.
Which Filipino interpersonal relationship theme is this?

A

Being Family

20
Q

In which Filipino interpersonal relationship theme do Patients often draw the doctor into ritual kinshio relationships?
Give examples.

A

Being family

Doctors become quasi-relatives, ninong of patient’s children etc.

21
Q

TRUE OR FALSE

A doctor treating the patient with concern of an older relative for a younger one is familism.

A

False

Paternalism

22
Q

Based on orientation, our academic training often emphasizes the following: ______.

A

Objectivity
Impersonal
Organizational

23
Q

Based on basic orientation, patients would rather have doctors who are ________.

A

Subjective
Personal approach
Tendency to be familial

24
Q

______ is the priority of the institution over an individual.
A. Organizational
B. Impersonal
C. Legal

A

A

25
Q

Dating or Diskarte: a filipino term referring to impressions made of another person, an event or an idea.

A

Dating

26
Q

What is the effect of a doctor’s dating?

A

Can affect communication process: can easily facilitate or hinder patient-doctor relationship

27
Q

What is the effect of a doctor’s diskarte?

A

Discern illness and quickly address it (manage cultural encounter and interweave with medical knowledge)

28
Q

Based on the managerial style, the institutional setting can end up being ______.

A

Bureaucratic
Legal
Adversarial

29
Q

Which pertains to standards that conform to rules?
A. Bureaucratic
B. Legal
C. Rely on persuasion

A

B.

30
Q

Based on managerial style, people tend to be_____.

A

Consultative
Rely on persuasion
Seek to build consensus

31
Q

Based on interpersonal relations, a corporate setting has a tendency towards______.

A

Individual incentives
Segmented decisions
Specialization as a manager

32
Q

Based on interpersonal relations, a less structure setting has emphases on____.

A

Group incentives
Generalized decisions
Generalist leadership

33
Q

______ is one of the issues that shapes the doctor-patient relationship.

A

Language

34
Q

______ clinical categories, symptoms from medical practitioner’s perspective.

A

Disease

35
Q

________state of discomfort or ill-being brought about by symptoms

A

Illness

36
Q

Explain the process of illness narratives and clinical categories.

A

People come to clinice with illness and experiences of ill-being then doctors listen and extract details necessary to construct applicable disease category.

37
Q

Doctors are_________ between world of clinic and laboratory and the patient’s world.

A

Culture Brokers

38
Q

A culturally-based model of relationship includes modifying one’s communicatin style accordingly which includes:_______.

A

Interviews in a sensitive, personalized manner
Pay attention to use of honorifics
Seek to adapt a polite and respectful tone
Act as a guide not a boss

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