Family & MD Life Cycle: Doctor-Patient

Question 0

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

Answer 0

Intrinsic interest

Question 1

As the matrix of the healing relationship

Answer 1

Doctor-patient relationship

Question 2

Primary therapeutic focus

Answer 2

Patient

Question 3

Primary therapeutic instrument

Answer 3

Doctor

Question 4

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

Answer 4

Identify

Question 5

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

Answer 5

Humble, Caring & Respectful

Question 6

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

Answer 6

Teach

Question 7

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

Answer 7

Perplexity. Empathy. Confidence.

Question 8

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

Answer 8

Sickness

Question 9

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

Answer 9

Sensitivity

Question 10

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

Answer 10

Reorganize & Confront

Question 11

MD’s Emotional Resources: Intrinsic ______ to help.

Answer 11

Desire

Question 12

MD’s Emotional Resources: Ability to relate _______.

Answer 12

Warmly

Question 13

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

Answer 13

Respect

Question 14

MD’s Emotional Resources: Value for _________.

Answer 14

Human life

Question 15

MD’s Emotional Resources: _______ of life.

Answer 15

Philosophy

Question 16

Standards of conduct: ________ & _________ the patient.

Answer 16

Handshake & Address

Question 17

Standards of conduct: Common ________.

Answer 17

Courtesies

Question 18

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

Answer 18

Relaxed

Question 19

Focus on needs of both parties

Answer 19

Social relationship

Question 20

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

Answer 20

Professional relationship

Question 21

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

Answer 21

Resistance

Question 22

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

Answer 22

Tardiness. Floor. Stiffly.

Question 23

Examples of Resistance: Avoiding _______ at the therapist.

Answer 23

Looking

Question 24

Examples of Resistance: Hiding _______ his hands.

Answer 24

Behind

Question 25

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

Answer 25

Not. Incessantly.

Question 26

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

Answer 26

Announcing

Question 27

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.

Answer 27

Therapeutic alliance

Question 28

Feelings toward the therapist: _______ bases and ______.

Answer 28

Twofold. Reality.

Question 29

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

Answer 29

Transference

Question 30

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.

Answer 30

Effective Listening

Question 31

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 __________.

Answer 31

Disdain. Judgment. Sensibilities.

Question 32

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

Answer 32

Waiting patiently

Question 33

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

Answer 33

Hearing. Unsaid.

Question 34

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

Answer 34

Ears. Eyes.

Question 35

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

Answer 35

Looking away

Question 36

Effective Listening: sitting ______.

Answer 36

Still

Question 37

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

Answer 37

Excursion

Question 38

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

Answer 38

Controlling. Accepting.

Question 39

Impediments of Listening

Answer 39

Daydreaming, Impatience, Fatigue, Anxiety, Inattentiveness & Restlessness "DI FAIR"

Question 40

Patient's appearance, personality and character conflicts

Answer 40

Reality

Question 41

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

Answer 41

Countertransference

Question 42

Counterproductive, dehumanizing and confusing form of resistance.

Answer 42

Jargon and Humor

Question 43

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

Answer 43

Ethical considerations

Question 44

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

Answer 44

Active-passive model

Question 45

Role is Physician

Answer 45

Paternalistic

Question 46

Role of Patient

Answer 46

Dependence & Acceptance

Question 47

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

Answer 47

Teacher-student model

Question 48

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

Answer 48

Mutual participation model

Question 49

Dysfunctional. Reflects psychological problem in MD.

Answer 49

Friendship model

Question 50

Wide range of biological and psychological data

Answer 50

Pyschiatric Interview

Question 51

Emotional reactions of the patient

Answer 51

Psychiatric Interview

Question 52

Systematic survey of subjective and objective aspects of illness

Answer 52

Psychiatric & Medical Interviews

Question 53

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

Answer 53

Psychiatric disorder

Question 54

Issues to be Addressed: how ______ is the disorder?

Answer 54

Severe

Question 55

Issues to be Addressed: what is the ________?

Answer 55

Diagnosis

Question 56

Issues to be Addressed: are there abnormalities of ____________?

Answer 56

Brain function

Question 57

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

Answer 57

Baseline

Question 58

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

Answer 58

Environmental, Biological & Psychological.

Question 59

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

Answer 59

Motivation & Capacity

Question 60

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

Answer 60

Data

Question 61

The Psychiatric Database: 2. Chief ______.

Answer 61

Complaint

Question 62

The Psychiatric Database: 3. _________ for consultation.

Answer 62

Reason

Question 63

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

Answer 63

Present Illness

Question 64

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

Answer 64

Psychiatric

Question 65

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

Answer 65

Medical

Question 66

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

Answer 66

Family

Question 67

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

Answer 67

Personal

Question 68

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

Answer 68

Distress

Question 69

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

Answer 69

Cognitive

Question 70

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

Answer 70

Biases

Question 71

Factors that affect the Interview: ________ factors.

Answer 71

Situational

Question 72

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

Answer 72

Racial. Ethnic. Cultural.