Chapter 1 - Pt-Provider Relationship

Question 1

communication/vibe you get going

6 strategies:

1. putting pts and interviewers at ease
2. finding patients pain & expressing compassion
3. evaluating pts insight & becoming an ally
4. showing expertise
5. establishing authorithy as providers & therapists
6. balancing the roles of empathic listener, expert & authority

Answer 1

rapport

Question 2

a way of increasing rapport, essential characteristics of psychiatrists, but it is not a universal human capacity

relating to the way the pt feels, you can put yourself in their shoes and understand where they are coming from

Answer 2

empathy

Question 3

having compassion for someone, feeling sorry for them

Answer 3

sympathy

Question 4

set of expectations, beliefs & emotional responses that a patient brings to the patient-provider relationship

baggage pt brings with them that they transfer on to you as a provider

Answer 4

transference

Question 5

can take the form of negative feelings that are disruptive to the patient provider relationship but it can also encompass disproportionately positive, idealizing, or even eroticized reactions to patients

Answer 5

countertransference

Question 6

it is assumed that the provider knows best. He/she will prescribe treatment, and the pt is expected to comply without questioning

Answer 6

paternalistic model

Question 7

the provider dispenses information to allow the patient to decide on their treatment. All available data are freely given, but the choice is left wholly up to the patient

Answer 7

informative model

Question 8

providers who have come to know their patients better & understand something of the circumstances of their lives, their families, their values and their hopes and aspirations, are better able to make recommendations that take into account the unique characteristics of an individual patient

Answer 8

interpretive model

Question 9

the provider acts as a friend or counselor to the pt, not just by presenting information, but in actively advocating a particular course of action

Answer 9

deliberative model

Question 10

pts reactions to the experience of being sick.

Answer 10

illness behavior

Question 11

the role that society ascribes to people when they are ill

Answer 11

sick role

Question 12

emphasizes the anatomical, structural and molecular substrate of disease and its effects on the patients biological functioning

Answer 12

biological system

Question 13

emphasizes the effects of psychodynamic factors, motivation, and personality on the experience of illness and the reaction to it

Answer 13

psychological system

Question 14

emphasizes cultural, environmental and familial influences on the expression and the experience of illness

Answer 14

social system

Question 15

the ability to maintain extreme calm & steadiness

Answer 15

imperturbability

Question 16

self-control in an emergency or embarrassing situation so that once can say or do the right thing

Answer 16

presence of mind

Question 17

the ability to make an informed opinion that is intelligible and free ambiguity

Answer 17

clear judgement

Question 18

the capacity to remain firm and deal with insecurity and dissatisfaction

Answer 18

ability to endure frustration

Question 19

the unlimited ability to head pair or trial calmlt

Answer 19

infinite patience

Question 20

to be generous & helpful, especially toward the needy and suffering

Answer 20

charity toward others

Question 21

to investigate facts & pursue reality

Answer 21

the search for absolute truth

Question 22

calmness of mind, bearing and appearance

Answer 22

composure

Question 23

the capacity to face or endure events with courage

Answer 23

bravery

Question 24

to be persistence in attaining a goal or adhering to something valued

Answer 24

tenacity

Question 25

forming standards and ideals & living under their influence

Answer 25

idealism

Question 26

the ability to handle stressful situations with an undisturbed, even temper

Answer 26

equanimity