Psychology for the Physician Flashcards
Do all physical symptoms indicate a physical disorder?
No
What type of symptoms are preferentially reported: physical or psychological?
Physical
What sort of terms do many patients prefer psychological terms to be conceptualised in?
Biological terms
What sort of patient outcomes does psychological treatment improve?
Improved disease prognosis
Improved patient quality of life
Improved patient social and work functioning
Improved patient and doctor satisfaction with treatment outcome
Improves treatment adherence and adherence to behavioural risk change
Reduced use of healthcare services
What are the two main authorities for classifying psychological issues?
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)
International Classification for Diseases-10 (ICD-10)
What will treatment of psychological disorders depend on?
Patient
Severity
Medical comorbidities
How are psychological disorders generally treated?
Using best practice guidelines for disorder
What is transference?
Unconscious transfer of feeling and attitudes from person/situation in past onto person/situation in present
At least partly inappropriate to present
What sorts of things may be projected by the patient onto the doctor?
Omnipotent parent-like quality - expect them to solve problem
Affection
Aggression
How do you manage transference?
Remain professional and avoid responding with countertransference
Maintain professional and structured boundaries of doctor-patient relationship
Monitor and set limits on patient and physician behaviour
Refer patient on if issue impeding treatment and can’t be resolved
How do you manage a difficult patient?
Greater understanding of patient
Self- reflect on response difficult encounters causing in you
Formulate plan of management for interactions with difficult patient
