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Patient-Centric Technologies

A Clinical-Cultural Perspective

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Handbook of Clinical Health Psychology

Abstract

The concept of medical technology generally refers to tools and skills that are doctor-centered. Discussion tends to focus on “hard” technologies and hardware (for example, radiation and life-support systems rather than “softer” modalities more directly related to human skills). Doctor-centric technologies are controlled by physicians in several important ways: access to their use is at the discretion of doctors; knowledge of how and when to use them is also controlled by doctors or their authorized extenders; and they tend to be utilized in what Goffman (1961) terms the “workshops of physicians,” that is, hospitals.

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References

  • Albert, E. Appealing for treatment: A cognitive analysis of hospital emergency patients. Social Science and Medicine, 1980, 14A, 243–251.

    Google Scholar 

  • Albrecht, G. The negotiated diagnosis and treatment of occlusal problems. Social Science and Medicine, 1977, 11, 277–283.

    Article  Google Scholar 

  • Alonzo, A. Everyday illness behavior: A situational approach to health status deviations. Social Science and Medicine, 1979, 13A, 397–909.

    Google Scholar 

  • Bakan, D. Belief in chronic pain. Paper presented at Twelfth Banff International Conference on Behavior Modification, Banff Alberta, Canada, March 1980.

    Google Scholar 

  • Barber, B. The ethics of experimentation with human subjects. Scientific American, 1976, 234, 25– 31.

    Google Scholar 

  • Bergler, J. H., Pennington, A. C., Metcalfe, M., & Freis, E. D.: Informed consent: How much does the patient understand? Clinical Pharmacology and Therapeutics 1980, 27, 435–440.

    Article  PubMed  Google Scholar 

  • Bertman, S., & Krant, G. To know suffering and the teaching of empathy. Social Science and Medicine, 1977, 11, 239–644.

    Article  Google Scholar 

  • Cassel, E. Disease as an “it”: Concepts of disease revealed by patients’ presentation of symptoms. Social Science and Medicine, 1976, 10, 143–146.

    Article  Google Scholar 

  • Cassileth, B. R., Lupkis, R. V., Sutton-Smith, K., & March, V.: Informed consent: Why are its goals imperfectly realized? New England Journal of Medicine 1980, 302, 896–900.

    Article  PubMed  Google Scholar 

  • Currie, B. & Renner, J. Patient education: Developing a health care partnership. Postgraduate Medicine, 1979, 65, 177–182.

    Google Scholar 

  • Davis, M. The organizational, interactional and care-oriented conditions for patient participation in continuity of care: A framework for staff intervention. Social Science and Medicine, 1980, 14A, 39–61.

    Google Scholar 

  • D.H.E.W. Protection of human subjects. OPRR Reports: Code of Federal Regulations: (45 CFR 46). National Institutes of Health, Public Health Service, U.S. Department of Health, Education, and Welfare, Rev. January 11, 1978a.

    Google Scholar 

  • D.H.E.W. Beta-blocker heart attack trial: Guidelines for obtaining informed consent. DHEW Publication No. (NCI) 78–1603. National Institutes of Health, Public Health Service, Department of Health, Education, and Welfare, 1978b.

    Google Scholar 

  • Emerson, J. Behavior in private places. Sustaining definitions of reality in gynecological examinations. D. Brisset & C. Edgly (Eds.), Life as theatre. Chicago: Aldine Press, 1975.

    Google Scholar 

  • Epstein, L. C., & Lasagna, L. Obtaining informed consent: Form or substance. Archives of Internal PATIENT–CENTRIC Medicine 1969, 123, 682–688.

    Article  Google Scholar 

  • Fabrega, H. The ethnography of illness. Social Science and Medicine, 1979, 13A, 565–576.

    Google Scholar 

  • Federal Register, 43 (51559), Nov. 3, 1978.

    Google Scholar 

  • Fletcher, J. C., Branson, R., & Freireich, E.J. Ethical considerations in clinical trials: Invited remarks, Clinical Pharmacology and Therapeutics, 1979, 25, 742–746.

    Google Scholar 

  • Foley, K. Pain syndromes in cancer patients. In J. Bonica & V. Ventafridda (Eds.), Advances in pain research and therapy (Vol. II). New York: Raven Press, 1979.

    Google Scholar 

  • Foster, R. Breast cancer detection by breast self-examination. (Grant NIH–CA 26363 ), 1981

    Google Scholar 

  • Foster, R. S., Jr., Lang, S. P., Costanza, M. C., Worden, J. K., Haines, C. R., & Yates, J. W. Breast self-examination practices and breast-cancer stage. New England Journal of Medicine, 1978, 299, 265–270.

    Article  PubMed  Google Scholar 

  • Fox, R. Is there a “new” medical student? The Key Reporter, 1975, 40, 2–4.

    Google Scholar 

  • Freidson, E. Client control and medical practice. American Journal of Sociology, 1960, 65, 374–382.

    Article  Google Scholar 

  • Gartner, A., & Riessman, R. Self-help in the human services. San Francisco: Jossey-Bass, 1977.

    Google Scholar 

  • Geiger, H. The causes of dehumanization in health care and prospects for humanization. In J. Howard & A. Strauss (Eds.), Humanizing health care, Chicago: Aldine Press 1975.

    Google Scholar 

  • Goffman, E. Asylums. New York: Anchor Books, 1961.

    Google Scholar 

  • Goldstein, S. A critical appraisal of milieu therapy in a geriatric day hospital. Journal of the American Geriatric Society, 1971, 693–699.

    Google Scholar 

  • Gray, B. H.: Human subjects in medical experimentation. New York: Wiley, 1975.

    Google Scholar 

  • Greenwald, P., Nasca, P. C., Lawrence, C. E., Horton, J., McGarrah, R. P., Gabriele, T., & Carlton, K. Estimated effect of breast self-examination and routine physician examinations on breast-cancer mortality. New England Journal of Medicine, 1978, 299, 271–273.

    Article  PubMed  Google Scholar 

  • Hackett, T., & Cassem, N. Factors contributing to delay in responding to the signs and symptoms of acute myocardial infarction. American Journal of Cardiology, 1969, 24, 651–658.

    Article  PubMed  Google Scholar 

  • Hall, D., Adams, C., Stein, G., Stephenson, H., Goldstein, G., & Pennypacker, H. Improved detection of human breast lesions following experimental training. Cancer, 1980, 46, 408–414.

    Article  PubMed  Google Scholar 

  • Hassar, M., & Weintraub, M. “Uninformed” consent and the wealthy volunteer: An analysis of patient volunteers in a clinical trial of a new anti-inflammatory drug. Clinical Pharmacology and Therapeutics, 1976, 20, 379–386.

    PubMed  Google Scholar 

  • Hayes-Bautista, D. Modifying the treatment: Patient compliance, patient control, and medical care. Social Science and Medicine, 1976, 10, 233–238.

    Google Scholar 

  • Haynes, B., Taylor, D., & Sackett, D. (Eds.), Compliance in health care. Baltimore: The Johns Hopkins University Press, 1979.

    Google Scholar 

  • Higgenson, J. A hazardous society? Individual versus community responsibility in cancer research. American Journal of Public Health, 1976, 66, 759–366.

    Google Scholar 

  • Howard, J. Humanization and dehumanization of health care: A conceptual review. In J. Howard and A. Strauss (Eds.), Humanizing health care. New York: Wiley, 1975.

    Google Scholar 

  • Howard, J., DeMets, D., & BHAT Research Group. How informed is informed consent? The BHAT experience. Controlled Clinical Trials, 1981, 2, 287–303.

    Google Scholar 

  • Howard, J., & Tyler, C. Comments on dehumanization: Caveats, dilemmas, and remedies. In J. Howard & A. Strauss (Eds.), Humanizing health care. New York: Wiley, 1975.

    Google Scholar 

  • Igun, V. Stages in breast-seeking: A descriptive model. Social Science and Medicine, 1979, 13A, 445–456.

    Google Scholar 

  • Innes, J. Does the professional know what the client wants? Social Science and Medicine, 1977, 11, 635–638.

    Article  Google Scholar 

  • Johnson, J., & Leventhal, H. Effects of accurate expectations and behavioral instructions on reactions during a routine medical examination. Journal of Personality and Social Psychology, 1974,29, 710– 718.

    Google Scholar 

  • Kennedy, B. J., & Lillehaugen, A. Patient recall of informed consent. Medical Pediatric Oncology, 1979, 7, 173–178.

    Article  Google Scholar 

  • Korsch, B., Gozzi, E., & Francis, V. Gaps in doctor-patient communications: Doctor–patient interaction and patient satisfaction. Pediatrics, 1968, 42, 855–871.

    Google Scholar 

  • Krantz, D., Baum, A., & Wideman, M. Assessment of preferences for self-treatment and information in medical care. Journal of Personality and Social Psychology 1980, 39, 977–990.

    Article  PubMed  Google Scholar 

  • Kronenfeld, J. Self-care as a panacea for the ills of the health care system: An assessment. Social Science and Medicine. 1979, 13A, 263–267.

    Google Scholar 

  • Leeb, D., Bowers, D. G., Jr., & Lynch, J. B. Observations on the myth of “informed consent.” Plastic and Reconstructive Surgery, 1976, 38, 280–282.

    Article  Google Scholar 

  • Leventhal, H. The consequences of depersonalization during illness and treatment: An information-processing model. In J. Howard & A. Strauss (Eds.), Humanizing health care. New York: Wiley, 1975.

    Google Scholar 

  • Levine, R. J. & Lebacqz, K. Some ethical considerations in clinical trials. Clinical Pharmacology and Therapeutics, 1979, 25, 728–741.

    Google Scholar 

  • Levy, L. Self-help groups viewed by mental health professionals: A survey and comments. American Journal of Community Psychology, 1978, 6, 305–313.

    Google Scholar 

  • Levy L. Processes and activities in groups. In M. Lieberman & L. Borman (Eds.), Self–help groups for coping with crisis. San Francisco: Jossey-Bass, 1979.

    Google Scholar 

  • Levy, S. The experience of undergoing a heart attack: The construction of a new reality./owrwa/ of Phenomenological Psychology 1982.

    Google Scholar 

  • Lieberman, M. Borman, L., and Associates, Self-help Groups for coping with crisis. San Francisco: Jossey-Bass, 1979.

    Google Scholar 

  • Lindesmith, A., & Strauss, A. A sociological conception of motives. In D. Brisset & C. Edgley (Eds.), Life as Theatre. Chicago: Aldine, 1975.

    Google Scholar 

  • Mahoney, M. Cognition and Behavior Modification. Cambridge, Mass.: Ballinger, 1974.

    Google Scholar 

  • Marlatt, G. Alcohol, stress, and cognitive control. In I. Sarason & C. Spielberger (Eds.), Stress and anxiety. Washington, D.C.: Hemisphere Publishing Company, 1976.

    Google Scholar 

  • Mechanic, D. The experience and reporting of common physical complaints. Journal of Health and Social Behavior, 1980, 27, 146–155.

    Article  Google Scholar 

  • Merleau-Ponty M. Phenomenology of perception. London: Routledge & Kegan Paul, 1962.

    Google Scholar 

  • Morrow, G. Studies on the utility and readability of informed consent forms. Paper presented at the American Psychological Association Meeting, Montreal, September 1980.

    Google Scholar 

  • Moss, A., Wynar, B., & Goldstein, S. Delay in hospitalization during the acute coronary period. American Journal of Cardiology, 1969, 24, 659–665.

    Article  PubMed  Google Scholar 

  • Parsons, T. The social system. New York: Free Press 1951.

    Google Scholar 

  • Petrie, A. Individuality in pain and suffering. Chicago: University of Chicago Press, 1967.

    Google Scholar 

  • Poole, A., & Sanson-Fisher, R. Understanding the patient: A reflective aspect of medical education. Social Science and Medicine, 1979, 13A, 37–93.

    Google Scholar 

  • Robinson, G., &: Merav, A. Informed consent: Recall by patients tested postoperatively. Annals of Thoracic Surgery, 1976, 22, 209–212.

    Article  PubMed  Google Scholar 

  • Rosenbaum, M. Individual differences in self-control behavior and tolerance of painful stimulation. Journal of Abnormal Psychology, 1980, 581–590.

    Google Scholar 

  • Roter, D. Patient participation in the patient provider interaction: The effects of patient question asking on the quality of interaction, satisfaction, and compliance. Health Education Monographs, 1977, 5, 281–297.

    Google Scholar 

  • Ruzek, S. The Women’s health movement: Feminist alternatives to medical control. New York: Praeger, 1978.

    Google Scholar 

  • Schain, W. Patients’ rights in decision making: The case for personalism versus paternalism in health care. Cancer, 1980, 46, 0177–0183.

    Article  Google Scholar 

  • Scheff, T. Negotiating reality: Notes on power in the assessment of responsibility. In D. Brisset & C. Edgly (Eds.), Life or Theatre. Chicago: Aldine Press, 1975.

    Google Scholar 

  • Schultz, A. L., Pardee, G. P., & Ensinck, J. W. Are research subjects really informed? Western Journal of Medicine, 1975, 123, 76–80.

    PubMed  Google Scholar 

  • Schwartz, G. Behavioral medicine and systems theory. National Forum, 1980, Winter, 25–30.

    Google Scholar 

  • Sidel, v., & Sidel, R. Beyond coping. Social Policy, 1976, 1, 67–69.

    Google Scholar 

  • Smith, H. Myocardial infarction-Case studies of ethics in the consent situation. Social Science and Medicine, 1974, 8, 399–404.

    Article  Google Scholar 

  • Smith, S., Rosen, D., Trueworthy, R., & Lowman, J. A reliable method for evaluating drug compliance in children with cancer. Cancer, 1979, 43, 169–173.

    Article  PubMed  Google Scholar 

  • Spingarn, N. Confidentiality. Report of the Conference on Confidentiality of Health Records, Key Biscayne, November 1974.

    Google Scholar 

  • Stiles, W., Putnam, S., James, S., & Wolf, M. Dimensions of patient and physician roles in medical screening interviews. Social Science and Medicine, 1979, 13A, 335–341.

    Google Scholar 

  • Strauss, A. Negotiations: Varieties, contexts, processes, and social order. San Francisco, Jossey-Bass, 1978.

    Google Scholar 

  • Stuart, R. Behavioral self-management: Strategies, techniques, and outcome. New York: Brunner/Mazel, 1977.

    Google Scholar 

  • Truman v. Thomas: 27 California, 3rd 285, June 1980.

    Google Scholar 

  • Vickery, D., & Fries, J. Take care of yourself: A consumer’s guide to medical care. Reading, Mass.: Addison-Wesley, 1976.

    Google Scholar 

  • Waitzkin, H. Medicine, superstructure and micropolitics. Social Science and Medicine, 1979, 13a, 601–609.

    Google Scholar 

  • Waitzkin, H., & Waterman, B. The exploitation of illness in capitalist society. Indianapolis: Bobbs-Merrill, 1974.

    Google Scholar 

  • Wilkinson, G., Edgerton, F., Wallace H., Reese P., Patterson, J., & Priore, R. Delay, stage of disease, and survival from breast cancer. Chronic Disease, 1979, 32, 365–373.

    Article  Google Scholar 

  • Woodward, W. E. Informed consent of volunteers: A direct measurement of comprehension and retention of information. Clinical Research, 1979, 27, 248–252.

    Google Scholar 

  • Worden, J., & Weisman, A. Psychosocial component of lagtime in cancer diagnosis, Journal of Psychosomatic Research, 1975, 19, 69–79.

    Article  PubMed  Google Scholar 

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Levy, S.M., Howard, J. (1982). Patient-Centric Technologies. In: Millon, T., Green, C.J., Meagher, R.B. (eds) Handbook of Clinical Health Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-3412-5_23

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  • DOI: https://doi.org/10.1007/978-1-4613-3412-5_23

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