Chapter 9: Doctor-Patient Relationship

Question 1

Activity–passivity model

Answer 1

Patient is seriously ill or being treated on an emergency

basis in a state of relative helplessness

Question 2

Guidance–coopera?on model

Answer 2

Patient has an acute, oUen infectious illness

Patient knows what is going on and can cooperate with
the physician, but the physician makes the decisions

Question 3

Mutual participation model

Answer 3

Management of chronic illness

Patient works with the doctor as a full participant in controlling the affliction

Question 4

Hayes-Bautista

Answer 4

Emphasizes the interac?on as a process of negotiation

Model is limited to situations in which the patient is not satisfied with treatment and wants to persuade the doctor to change it

Question 5

Model of interaction also influenced by

Answer 5

Social class
Age
Education
Severity of symptoms
Satisfaction with treatment

Question 6

Women’s health movement to combat sexual discrimination in medicine
 Sexist a_tudes and behavior toward women pa?ents and health workers
 Lack of sensi?vity to the needs and complaints of women seeking care
 Example: tendency of male physicians to misdiagnose heart aMacks in women as anxiety or stomach problems

Answer 6

Sexist attitudes and behavior toward women patients and health workers

Lack of sensitivity to the needs and complaints of women seeking care

Example: tendency of male physicians to misdiagnose heart aMacks in women as anxiety or stomach problems

Question 7

Will medicine remain a masculine dominated profession?

Structural explanation?
Voluntaristic view?

Answer 7

SE: barriers, such as a lack of mentors, keep women from advancing to top posi?ons in medicine

VV:women are socialized to follow stereotypical gender expectations and consequently tend to make occupational choices that fit those expectations

Question 8

Feminization

Answer 8

Indicates a female majority in an occupation and signals the gradual decline of the status and autonomy of work when women enter a profession

Question 9

Cultural Differences in Communication

Answer 9

Modern-day medical prac?ce is provided within the context of middle-class norms

Patients with different cultural perspectives may find interac?on with doctors difficult and subject to misunderstanding on both sides