Cambridge University Press Problems with Patients: Managing Complicated Transactions

When patient meets doctor, as well as engaging in a transaction with a clinical purpose, they react to one another as people. Their personalities and ability to make relationships in general also affect the professional interaction. As with other relationships, things can go wrong. The outcome of the consultation may not then be what was hoped for or intended on either side. This 1994 book considers the factors which may cause problems in the doctor-patient relationship, emphasising and explaining the often unconscious personal aspects of doctor and patient within a model studied from various perspectives. Through this insight doctors can be helped to manage their interactions with patients within their own consultational style, thereby avoiding many unnecessary professional relationship problems. This analysis, which is well-illustrated by clinical case vignettes, is sure to be welcomed by clinicians, trainees and course organisers in all areas where communication between individuals plays an important role. Review 'This book is very readable and provides a stimulating journey through complicating interpersonal factors during consultation, ideas about identifying and dealing with these, negotiating contracts and setting limits.' British Journal of General Practice (Abbas Virii-GP)' … an important and timely contribution to the literature of general practice.' British Medical Journal. Book Description This 1994 book helps doctors to manage their interaction with patients, thereby avoiding many unnecessary professional relationship problems. From the Back Cover When patient meets doctor, as well as engaging in a transaction with a clinical purpose, they react to one another as people. Their personalities and ability to make relationships in general also affect the professional interaction. As with other relationships, things can go wrong. The outcome of a consultation may not then be what was hoped for or intended on either side. What may be lost, or not even achieved, is a sense of working with one another - hence the 'problem patient' or 'quack doctor'. This book describes the factors that may complicate the clinical transaction between patient and doctor, emphasising and explaining the influence of often unconscious personal aspects. This is encompassed within a readily applied and concise model, which yields a fresh analysis and understanding. The insight gained can help doctors, within their own consultational styles, to better manage their interaction with patients. Plentiful clinical case vignettes illustrate this approach to understanding and managing clinical transactions and will be welcomed by clinical students and doctors in training, as well as by their trainers.