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The Difficult Clinical Conversation

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Recommended Readings

  • Balint M: The Doctor, His Patient, and the Illness. New York, International Universities Press Inc, 1964. Balint’s classic work describes the therapeutic role of the physician’s understanding of the patient as a “drug.” This chapter is an excellent summary of the ways “difficult patients” ask for help from physicians, and how physicians can work with patient requests.

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  • Brody H: The Healer’s Power. New Haven, CT, Yale University Press, 1992. Discusses the power of healing in the patient-physician relationship and the struggles of working ethically with difficult patients.

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  • Buckman R: How to Break Bad News. Baltimore, Johns Hopkins Press, 1992. Dr. Buckman, a Canadian family physician, details a systematic, research-based model for giving patients and families bad news.

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  • Candib L: Medicine and the Family. New York, Guilford Press, 1995. This is a wonderful discussion of the feminist relational view of the patient-physician relationship. The reader will learn how to view relationships in the context of society.

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  • Epstein R: Mindful practice. JAMA 282:833–839, 1999. The author identifies the qualities of the mindful physician, who is able to maintain simultaneous self-awareness and awareness of the patient.

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  • Frey JJ: The clinical philosophy of family medicine. AJM 104(4):327–329, 1998. Dr. Frey is a family physician who identifies the ways that difficult situations with patients may actually strengthen the patient physician relationship.

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  • Newell R: Interview Skills for Nurses and Other Health Care Professionals. London, Routledge & Kegan Paul, 1994. This book uses a cognitive behavioral model for structuring work with patients, including specific skills for working with emotions, assessing the patient, and helping patients change behaviors.

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  • Peterson M: At Personal Risk: Boundary Violations in Professional-Client Relationships. New York, WW Norton & Co Inc, 1992. The author compares physicians, psychotherapists, and ministers in an analysis of “traps” in patient encounters that result in boundary violations, including sexual relations with patients/clients.

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  • Rollnick S, Mason P, Butler C: Health Behavior Change. Edinburgh, Churchill Livingstone, 1999. The authors apply principles of motivational interviewing for behavioral change to health care relationships.

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  • Stein H: The Psychodynamics of Medical Practice. Berkeley, University of California Press, 1985. A useful introduction to the ideas in this chapter about relationships between patients and physicians.

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  • Taylor TR: Understanding the choices that patients make. JABFP March–April 13(2):124–133, 2000. The author identifies the many reasons why patients may choose different courses of action than those recommended by their physicians.

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© 2002 Kluwer Academic Publishers

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Zoppi, K.A., McKegney, C.P. (2002). The Difficult Clinical Conversation. In: Mengel, M.B., Holleman, W.L., Fields, S.A. (eds) Fundamentals of Clinical Practice. Springer, Boston, MA. https://doi.org/10.1007/0-306-47565-0_13

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  • DOI: https://doi.org/10.1007/0-306-47565-0_13

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-306-46692-2

  • Online ISBN: 978-0-306-47565-8

  • eBook Packages: Springer Book Archive

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