Considerations on the doctor-patient drug addict. As long as there are beings who suffer and until their illnesses are not cured, will I be, to help them, their doctor, their resolve and their servant. Start the practice of the bodhisattva. The ability to develop an effective doctor-patient relationship requires a solid understanding of the complexity of human behavior and a rigorous education in the techniques of the person listening and interpersonal communication. The faculties of medicine and schools of specialization do not always provide sufficient training in this area. To diagnose, treat and manage disorders of a sick person the doctor must learn to listen and to talk. Human communication takes place, in fact, at different levels.
Characteristics: The report transmits the contents of the interview. The process of communication includes, however, non-verbal levels: tonal, gestural, mimic, which transmit information that is, one does not know or can not or do not want to verbalize. When art and technology of human communication is not known, learned, respected and applied by the physician in his relationship with his patient, treatment of the subject it is inevitably compromised.
[...] The model of mutual participation implies a relationship of equality between doctor and patient in managing the treatment, in which knowledge and acceptance of therapy by the patient is essential for success. The friendly, family and / or intimate between doctor and patient, previous to the request for aid, is often dysfunctional for therapeutic success. When this report follows the request help the patient may be an expression of a psychological problem of the primary physician, who may need to transform the treatment of the patient in a relationship of mutual exchange or affection. [...]
[...] The exploration of the dynamics often transfers shows, in these cases, a high degree of Resentment toward the parental figures, believes that the patient has not been provided sufficient support and nourishment. The refusal of aid, provided, however, is an unconscious revenge against their parents. The treatment failure is thus experienced as a secret triumph over the therapist and parents. The prescription of drugs may be influenced by the counter-transference, like any other therapeutic intervention. A common manifestation of counter-transference can be over-prescribing. [...]
[...] Psychodynamic Pharmacotherapy The term "psychodynamic Pharmacotherapy "would have been considered a contradiction in terms, until a few years ago. Indeed, the Dualism mind / body for a long time, has polarized the interpretative and therapeutic approaches to clinical disorders and behavioral ones. Fortunately, new trends in integrative medicine led to consider the simultaneous combined use of drugs and appropriate techniques of interpersonal communication and a widely accepted practice. In fact, the axioms of human communication and principles of psychodynamic maintain intact their usefulness in the prescription of drugs. [...]
[...] A proper doctor-patient relationship is the only diagnostic tool capable of highlighting the interaction of biological, psychological and social, in the genesis of the disease in its evolution and its resolution. Commonly for "in sickness behavior" refers to the reactions of the patient experience of disease, whereas, the "sick role" is what the company gives all sick as such. For example, in our present social organization, being sick dispensation from particular activities and work responsibilities, and authorizes the request for medical aid and / or hospitalization. [...]
[...] During the clinical interview, the doctor identifies and tries to report to the patient the signs and symptoms of the disorders complained, and diagnostic therapeutic purposes. Some signs or symptoms may be used as a specific criterion, both from the therapist; both from the patient, to determine if the treatment is have the desired effects. Therapeutic compliance reflects the degree to which a patient adheres to the recommendations of the therapist. The non compliance with respect to a drug therapy to the therapist may provide the first evidence of the presence of a negative transference, in an individual that otherwise seems to be well prepared and cooperative. [...]
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