The Dentist Patient relationship

Question 1

dentistry is P_______ centres

Answer 1

Patient

Question 2

What does it mean to be patient centred?

Answer 2

It means we explore the patients main reason for coming to the dentist

Question 3

What is the benefit of patient centred dentistry?

Answer 3

1. Helps find common ground on patients problems and the dentist and patient can mutually agree on a management plan
2. Enhances prevention and health promotion
3. Enhances containing relationship between patient and dentist

Question 4

What is transference?

Answer 4

It is when we are reminded in the present of someone from the past you aroused certain strong emotions
The feels are felt in the present and they are strong and unconscious

Question 5

What is counter transference?

Answer 5

This is when transference is directed from the dentist towards the patient
so strong patients are aroused after seeing the patient (can be good or bad feelings)

Question 6

Which of the 2: transference or counter transference can be unhelpful in managing a patients problems

Answer 6

Counter transference as ten dentists emotions can get in the way

Question 7

Name the 3 ego states

Answer 7

1. Parent
2. Adult
3. Child

Question 8

Describe the parent ego stage

Answer 8

It is when a person responds to a situation in an unconscious mimicking of how their parents or other authority figure acted

Question 9

Describe the adult ego stage

Answer 9

This is a rational state whereby emotions do not excessively influence beliefs, though and behaviours

Question 10

Describe the child ego stage

Answer 10

This is the state in which people reopens to a situation similarly to how they did in childhood

Question 11

What are crossed transactions?

Answer 11

These are transactions that occur when one person attempts to communicate in a role and the other person responds inappropriately

Question 12

Name our ideal successful interaction

Answer 12

Ideally we would wish for Adult to Adult communication in all dentist/patient interactions

Question 13

Name the 4 models of the dentist/ patient relationship

Answer 13

1. Paternalistic
2. Mutualistic
3. Consumerist
4. Default

Question 14

In the past which model of the dentist/ patient relationship was the most common?

Answer 14

Paternalistic relationship

Question 15

Describe a paternalistic relationship

Answer 15

It is disease centres and highly controlled by the professional
A passive patient relies on the dentist so whatever treatment the dentist recommends that’s what the dentist does

Question 16

Describe a mutualistic relationship

Answer 16

This relationship recognises the patient as an expert of their health
Gives an equal control to both the professional and patient
It is patient centred and relies on autonomy

Question 17

Describe a consumerist relationship

Answer 17

This relationship treats dental treatment as a commodity or service (patient = client)

Question 18

Who is promoting a more consumerist relationship

Answer 18

The government as it focuses on patient choice and patient charters

Question 19

Where in the world is a consumerist relationship most common?

Answer 19

USA

Question 20

Describe a default relationship

Answer 20

This is characterised by mutual lack of satisfaction in the encounter
Neither the clinician nor patient has much control
This produces an unsatisfactory outcome which may include a series of referrals and investigations with no responsibility taken for the patient

Question 21

Which of the 4 models of the dentist/ patient relationship is the most preferred?

Answer 21

A mutualistic relationship