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PubMed · 6486131

Physician-patient communication.

R B Posner
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Abstract

Physicians can better manage pain patients by improving their own awareness of the psychodynamics of pain behavior. Pain may be influenced by socioeconomic and cultural factors as well as prior personality characteristics. Patients may indulge in "pain games" that can result in what may be described as the "quack-crock" syndrome. The stress response to continuing pain, a vicious cycle of denial, anger, and depression, can be approached by the physician through the use of proper listening and educational techniques that help the patient to understand and better deal with his or her situation. Patients may then begin to take an active part in the recovery process.

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CommunicationHumansPainPain ManagementPatient ParticipationPhysician-Patient RelationsStress, PhysiologicalJournal Article

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R B Posner. 1984-09-10. Physician-patient communication.. https://doi.org/10.1016/s0002-9343(84)80103-5

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Information-sharing among couples considering multifetal pregnancy reduction.

OBJECTIVE: To determine the information-sharing strategies of couples considering fetal reduction, and the impact of these strategies on the chances of encountering hostility in their social networks. DESIGN: Cross-sectional design of semistructured qualitative interviews, coded with respect to sharing strategies and level of personally directed hostility encountered. SETTING: Multiple Pregnancy Management Program, Comprehensive Genetics, New York, New York. PATIENT(S) AND INTERVENTION(S): Fifty women and their partners who were making a first visit to our maternal-fetal management facility, in order to consider the possibility of multifetal reduction as a pregnancy-management strategy. MAIN OUTCOME MEASURE(S): Development of information-sharing strategies, and the chances of encountering personally directed hostility regarding multifetal reduction associated with more and less selective strategies. RESULT(S): Four information-sharing strategies emerged from the analysis. Two of these strategies were relatively open (extended network, and both parents). Two other strategies were relatively selective (qualified family and friends, and defended relationship). The selective strategies were significantly less likely to encounter to encounter personally directed hostility (odds ratio, 3.88; 95% confidence intervals, 0.87-17.30). CONCLUSION(S): Selective sharing of information for couples considering multifetal prgnancy reduction is a potentially useful strategy for moderating potentially stressful relationships in their social networks. Clinics should find a way of integrating the discussion of selective sharing into their clinic's cultural repertoire of patient-support services.

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