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Psychiatry > Family & MD Life Cycle: Doctor-Patient > Flashcards

Family & MD Life Cycle: Doctor-Patient Flashcards

0
Q

Most important factor in MD-patient relationship: ability to convey _____________ especially in the initial encounter.

A

Intrinsic interest

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1
Q

As the matrix of the healing relationship

A

Doctor-patient relationship

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2
Q

Primary therapeutic focus

A

Patient

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3
Q

Primary therapeutic instrument

A

Doctor

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4
Q

MD’s Attitude towards the Patient: must ______ with the patient.

A

Identify

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5
Q

MD’s Attitude towards the Patient: must be ______, ______ & ______.

A

Humble, Caring & Respectful

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6
Q

MD’s Attitude towards the Patient: believes the patient will ______ him something.

A

Teach

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7
Q

MD’s Emotional Resources and Standards of Conduct: Tolerance of _______, _______ & _______.

A

Perplexity. Empathy. Confidence.

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8
Q

MD’s Emotional Resources and Standards of Conduct: Attitude towards _______.

A

Sickness

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9
Q

MD’s Emotional Resources and Standards of Conduct: ________ to suffering.

A

Sensitivity

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10
Q

MD’s Emotional Resources and Standards of Conduct: Ability to ________ and ________ different feelings.

A

Reorganize & Confront

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11
Q

MD’s Emotional Resources: Intrinsic ______ to help.

A

Desire

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12
Q

MD’s Emotional Resources: Ability to relate _______.

A

Warmly

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13
Q

MD’s Emotional Resources: _______ for self and others.

A

Respect

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14
Q

MD’s Emotional Resources: Value for _________.

A

Human life

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15
Q

MD’s Emotional Resources: _______ of life.

A

Philosophy

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16
Q

Standards of conduct: ________ & _________ the patient.

A

Handshake & Address

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17
Q

Standards of conduct: Common ________.

A

Courtesies

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18
Q

Standards of conduct: ________ and at ease or tense and on edge.

A

Relaxed

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19
Q

Focus on needs of both parties

A

Social relationship

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20
Q

MD directs his clinical skills and experience towards evaluation and treatment of patient’s problem

A

Professional relationship

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21
Q

Forces within the patient. Conscious and unconscious that oppose the purpose of the evaluation and the goals of the therapeutic process.

A

Resistance

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22
Q

Examples of Resistance: ________, staring at the ________ and sitting ______.

A

Tardiness. Floor. Stiffly.

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23
Q

Examples of Resistance: Avoiding _______ at the therapist.

A

Looking

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24
Q

Examples of Resistance: Hiding _______ his hands.

A

Behind

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25
Q

Examples of Resistance: ____ moving at all or moving ________.

A

Not. Incessantly.

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26
Q

Examples of Resistance: ________ that he has nothing to say.

A

Announcing

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27
Q

Aspects of the MD-px relationship. Based on the patient’s conscious and unconscious desires. To cooperate with the therapist’s efforts to help him.

A

Therapeutic alliance

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28
Q

Feelings toward the therapist: _______ bases and ______.

A

Twofold. Reality.

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29
Q

Feelings displaced onto the therapist from unconscious representations of people important to the patient early in his childhood experiences.

A

Transference

30
Q

Having sufficient awareness and resolution of one’s own conflicts to avoid reacting in a way that interferes with the patient’s free expression of thoughts and feelings.

A

Effective Listening

31
Q

Effective Listening: avoiding subtle verbal or non verbal expressions of _______ or _______ toward the content of the patient’s story even when the content affects the therapist’s __________.

A

Disdain. Judgment. Sensibilities.

32
Q

Effective Listening: ___________ through the periods of silence or tears.

A

Waiting patiently

33
Q

Effective Listening: ________ not only what the patient says but what he’s trying to say and what he leaves ______.

A

Hearing. Unsaid.

34
Q

Effective Listening: using both ______ & ______ to detect confirming or conflicting in verbal content and affect.

A

Ears. Eyes.

35
Q

Effective Listening: avoiding __________ from the patient as he speaks.

A

Looking away

36
Q

Effective Listening: sitting ______.

A

Still

37
Q

Effective Listening: limiting the number of mental ______ into one’s own fantasies.

A

Excursion

38
Q

Effective Listening: ________. those feelings toward the patient that interfere with an ________ sympathetic non-judgmental atiitude.

A

Controlling. Accepting.

39
Q

Impediments of Listening

A

Daydreaming, Impatience, Fatigue, Anxiety, Inattentiveness & Restlessness “DI FAIR”

40
Q

Patient’s appearance, personality and character conflicts

A

Reality

41
Q

What the patient represents to the therapist’s unconscious in terms of early significant figures

A

Countertransference

42
Q

Counterproductive, dehumanizing and confusing form of resistance.

A

Jargon and Humor

43
Q

Destroys the MD-patient relationship. Destroys the MD and the patient.

A

Ethical considerations

44
Q

Patient’s complete passivity and a physician’s taking control.

A

Active-passive model

45
Q

Role is Physician

A

Paternalistic

46
Q

Role of Patient

A

Dependence & Acceptance

47
Q

Role of physician is paternalistic and role of patient is that of dependence and acceptance.

A

Teacher-student model

48
Q

Equality between doctor and patient, both participants require and depend on each other’s input.

A

Mutual participation model

49
Q

Dysfunctional. Reflects psychological problem in MD.

A

Friendship model

50
Q

Wide range of biological and psychological data

A

Pyschiatric Interview

51
Q

Emotional reactions of the patient

A

Psychiatric Interview

52
Q

Systematic survey of subjective and objective aspects of illness

A

Psychiatric & Medical Interviews

53
Q

Issues to be Addressed: does the patient have a __________?

A

Psychiatric disorder

54
Q

Issues to be Addressed: how ______ is the disorder?

A

Severe

55
Q

Issues to be Addressed: what is the ________?

A

Diagnosis

56
Q

Issues to be Addressed: are there abnormalities of ____________?

A

Brain function

57
Q

Issues to be Addressed: what is the patient’s _______ level of functioning?

A

Baseline

58
Q

Issues to be Addressed: what _______, _______ & _______factors contribute to the disorder?

A

Environmental, Biological & Psychological.

59
Q

Issues to be Addressed: what is the patient’s ________ & ________ for treament?

A

Motivation & Capacity

60
Q

The Psychiatric Database: 1. identifying ______. Name, age, sex & etc.

A

Data

61
Q

The Psychiatric Database: 2. Chief ______.

A

Complaint

62
Q

The Psychiatric Database: 3. _________ for consultation.

A

Reason

63
Q

The Psychiatric Database: 4. History of _________. Symptoms, onset, precipitating factors, change in fx and current medical problems & treatment.n

A

Present Illness

64
Q

The Psychiatric Database: 5. ________ History. Hx of suicide attempts & function problems.

A

Psychiatric

65
Q

The Psychiatric Database: 6. _______ history. Ever hospitalized, surgery and medications.

A

Medical

66
Q

The Psychiatric Database: 7. ______ history. Psychiatric history.

A

Family

67
Q

The Psychiatric Database: 8. ________ history. Prenatal, childhood diseases and etc.

A

Personal

68
Q

Factors that affect the Interview: Patient’s physical or emotional ______.

A

Distress

69
Q

Factors that affect the Interview: _______ capacities of the patient.

A

Cognitive

70
Q

Factors that affect the Interview: Emotionally based _____ of the interviewer.

A

Biases

71
Q

Factors that affect the Interview: ________ factors.

A

Situational

72
Q

Factors that affect the Interview: _______, _______ & _______ factors.

A

Racial. Ethnic. Cultural.

Psychiatry (8 decks)

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