Features of communication of a doctor with special groups of patients and in conflict situations.
DOI:
https://doi.org/10.26641/2307-0404.2019.3.181871Keywords:
communication in the medical process, psychological peculiarities of patientsAbstract
The article describes an important component of the medical process which should be paid a special attention: the preparation of a young doctor – the communication between the physician and the patient and his relatives. Distinctive features of a modern patient: the tendency to control the state of his own health with simultaneous irresponsible attitude towards it; when revealing a disease, he/she is looking for the worst in himself/herself; the reduction of the moral character against the background of a decline in the morals of society, which affects the culture of the patient's behavior, makes him/her more aggressive; a modern patient is more lenient to himself/herself with an extremely demanding attitude to the doctor. Several interrelated functions of communication are distinguished: informational, interactive, perceptual, emotive (affective-commutative). The levels of communication are distinguished: social-role (ritual); business; intimate-personal. There are three types of communication: imperative; manipulative; dialogical (based on equal partnership). In the process of communication of the physician with patients, depending on the circumstances, two systems of communication can be used: verbal and nonverbal. In the relationship "patient-physician" R. Witch identifies 4 models: paternalistic, technocratic, collegian, and contractual. Each patient needs an individual approach, individual forms of communication and measures of physician’s psychotherapeutic influence, especially in the communication of the doctor with so-called “difficult” patients, as well as at the risk of conflict situations. Causes of conflict situations are: insufficient attention to the patient; characteriological features of a doctor and a patient; unreliable information about the state of health of the patient from the part of junior and middle medical personnel; lack of patient’s information consent for treatment; lack of coordination of the actions of different medical specialists; defects in the maintenance of medical records; professional incompetence.
References
Alekseev AA, Lepilkina TA, Rupchev GE, Morozova MA. [Difficult patient. Description, diagnosis, recommendations]. Мoskva. 2018;22. Russian.
Andreeva GM. [Social psychology]. Мoskva: «Aspekt Press». 1999;375. Russian. Available from: https://elibrary.ru/item.asp?id=20243212
Vavilov V. [Effective conflict resolution in a medical institution]. Modern orthodontics. 2014;3(25):63-65. Russian.
Kazakov VN. [Reflections on medicine (philosophy of science)]. Book 1. Donetsk: Naulidzh. 2010;419. Russian.
Kochyunas R. [Basics of psychological counseling]. Мoskva: Academicheskii proekt. 1999;240. Russian. Available from: http://osp.kgsu.ru/library/PDF/334.pdf
Kunitsyna VN, Kazarinova NV, Pogolsha VM. [Interpersonal communication]. Sankt-Peterburh. 2002;544. Russian.
Likhterman LB. [Around of patient (notations of neurologist)]. Мoskva: Antidor. 1996;446. Russian.
Solovieva SL. [Psychological counseling. Handbook of practical psychologist]. Мoskva: АSТ. 2010;640. Russian. Available from: http://sdo.mgaps.ru/books/K7/M5/file/8.pdf
Solozhenkin VV. [Selected lectures on psychiatry for cardiologists. Tutorial]. Bishkek: publishing house of KRSU. 2011;134. Russian.
Khorny K. [The neurotic personality of our time]. Мoskva: Academicheskii proekt. 2006;207. Russian. Available from: https://elibrary.ru/item.asp?id=20088220
Chutko LS. [Difficult patient. Psychology of communication in the doctor’s work (teaching aid)]. Sankt-Peterburh. 2018;45. Russian.
Yudin OYu. [Criminal liability of medical workers in figures of the General Prosecutor's Office of Ukraine]. Ukrainskii medychnyi chasopys. 2017;5(121);154. Russian. Available from: https://www.umj.com.ua/article/114773/ugolovnaya-otvetstvennost-meditsinskih-rabotnikov-v-tsifrah-generalnoj-prokuratury-ukrainy
Jena AB, Seabury S, Lakdawallе D, Chandra A. Malpractice Risk According to Physician Specialty. N. Engl. J. Med. 2011;365:629-36. doi: https://doi.org/10.1056/NEJMsa1012370
Vincent J, Joung M, Phillips A. Why do people sue doctors? A study of patients and relatives taking legal action. Lancet. 1997;343(8913):1609-13. Available from: https://www.ncbi.nlm.nih.gov/pubmed/7911925. doi: https://doi.org/10.1016/S0140-6736(94)93062-7
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