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Biomedical subjects

E Gaus

Publications and source records attributed to E Gaus.

6 recordsLinked to original sources
PubMed1984

The feeling of professional identity in an integrated psychosomatic approach.

Apart from the efficacy of an integrated psychosomatic approach there emerge problems with the psychosomaticist's feeling of professional identity which are delineated and discussed in the light of the authors' experience. For many years they took part in institutionalizing an approach combining internal and psychological medicine on the basis of a psychoanalytic orientation in a ward setting and an outpatient clinic for hypertensives which were both attached to a university hospital. The core conflict of professional identity in an approach like this is concerned with educational incompatibilities in the different fields, frictions of daily routines, and institutional tensions arising from controversial theoretical backgrounds and faculty policies. Different cognitive and action styles, varying attitudes concerning matters of timing and different necessities of empathy versus distance must be integrated like other polarities. Discussions about the favors of an integrated psychosomatic approach tend to underestimate the outlined problems of professional identity.

Adaptation, Psychological↗
PubMed1982

Integration of the psychosomatic approach with internal medicine: development of concepts and preliminary results of evaluation of doctor-patient interaction.

An account is presented of an attempt (made in the period between 1972 and 1979) to integrate a psychosomatic approach in routine patient care in a medical hospital. Following disappointment with a service run on a consultation-liaison basis, patient care on a small general medical ward was reorganized systematically according to psychosomatic principles. Within this relatively independent subsystem of the hospital, it was possible to integrate the medical and the psychosomatic aspects into a single approach. The organizational concept for the ward is described; first results are reported of an attempt to evaluate the factual changes in doctor-patient communication during the daily ward round. This communication was studied in the form of verbal contacts between doctor and patient. Finally a summary is presented of the advantages of the integrated approach over the traditional consultation-liaison service.

Communication↗
PubMed1981

[The clinical significance of compliance].

The authors deal with a particular type of working alliance, called "compliance", which may be defined as mutual agreement between patient and physician with respect to prevention and therapy. This type of compliance may be influenced by the kind of disease (e.g. low compliance in psychiatric illness), by the mode of referral (verbal or written), by the kind of hospital care (an individual appointment with one particular physician in an outpatient department makes for better compliance) and by medication (intravenous or oral administration and color and size of pills). The number of medicines prescribed is of particular importance for compliance, i.e. the greater the number of drugs prescribed per day, the more the patient tends to be unreliable in taking them. Furthermore, the time spent in the waiting room, the amount of information given to the patient and the clarity of the instructions given by the physician play an important role. Situational factors and interaction in the physician-patient relationship seem to be more relevant than specific personality traits.

Consumer Behavior↗