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Relationship power in health care : science of behavior change, decision making, and clinician self-care

Author: John B Livingstone; Joanne Gaffney
Publisher: Boca Raton : CRC Press, Taylor & Francis Group, [2016]
Edition/Format:   Print book : EnglishView all editions and formats
Summary:
The personal interaction between clinician and patient can have a significant impact on all areas of health care. Without adequate training clinicians may inadvertently contribute to empathic failure, poor medical decision processes, difficulty changing health-related behavior, costly variation and derailment of care, extra litigation, and clinician burnout. This text presents a knowledge and skill set for health  Read more...
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Document Type: Book
All Authors / Contributors: John B Livingstone; Joanne Gaffney
ISBN: 9781482264265 1482264269
OCLC Number: 941731955
Notes: "With Vitalsource® ebook"--Cover.
Description: xxxiv, 272 pages : illustrations, portraits ; 24 cm
Contents: Machine generated contents note: pt. 1 Overview --
1. Introductory discussion and overview --
Why this project? --
Looking for pathways to improve: Interpersonal relationships --
Theory, strategy, tactics --
Maintaining relationships while also diagnosing and treating --
Fitting into the larger context of health care --
Current situation --
2. Getting started: Patients' opening statements --
Viewing of patients' opening statements --
Behavior change: Introductory information about Mary Lou (smoking) --
Information Interweave: Introductory data about Joe (type II diabetes) --
Medical decision making: Introductory information about Karin (breast cancer) --
pt. 2 KNOWLEDGE --
3. Past health psychology and neuroscience (prior to the early 1990s) --
Introduction --
Health-related models in use --
Seven selected behavior change models --
Four decision making models --
Information transfer and communication --
Holistic and integral nursing models --
Traditional psychotherapy models --
Mindfulness practice models --
Attachment theory in human development --
Narrative medicine --
Traditional anatomical and functional neurobiology --
4. Present advances in relationship psychology (after early 1990s): A relational context for diagnosis and treatment --
Seven advances in relationship psychology --
Going deeper into each advance --
Advances in nursing --
Conclusions about advances in relationship psychology --
5. Present advances in neuroscience (starting with the early 1990s): Possible neural substrates of mind functions --
Nine advances in neuroscience --
Going deeper into each advance --
Discussion --
Basics of updated functional neuroscience --
Enabling advances in technology --
Closing comments --
pt. 3 BUILDING NEW THEORETICAL HYPOTHESES, STRATEGIES, AND TACTICS FOR CLINICIANS --
6. Integration of past with present advances (selections of elements to include in a new model) --
Introduction --
Selection of elements for inclusion in a new model --
7. Formulations of theoretical hypotheses and strategies of relational patient care --
Formulation of updated theoretical hypotheses --
Formulation of updated strategies --
A summary of updated strategies in shared medical decision making --
Discussion --
8. Tactical competencies and frameworks --
Introduction --
Two frameworks to visualize --
Core tactics in interviewing: Common tactical components that implement all the strategies --
pt. 4 ACQUIRING INTERVIEWING SKILLS --
9. Three interviewing demonstrations, links, and annotations --
Behavior change (smoking): My friend --
Information Interweave["! (diabetes) (TC9): The bullet I was always afraid of --
Medical decision making (breast cancer treatment decision): Want to put this decision behind me --
10.A learning tool to sequence strategies and tactics: Self-aware Informational Nonjudgmental interviewing in Health Care (SINHC®) ("synch") --
Introduction --
Self-aware informational nonjudgmental health care for patient-centered care SINHC® ("synch") --
11. Referring to behavioral health professionals --
Why refer? --
To whom to refer? --
pt. 5 FOR FACULTY AND OTHERS --
12. Pathways in education and training --
Introduction --
Medical school and residency training --
Nursing education --
A generic framework for curriculum design --
13. Health coaching --
Health coaching: What is it, who does it, where is it going? --
14. Future research.
Responsibility: John B. Livingstone with Joanne Gaffney.

Abstract:

The personal interaction between clinician and patient can have a significant impact on all areas of health care. Without adequate training clinicians may inadvertently contribute to empathic failure, poor medical decision processes, difficulty changing health-related behavior, costly variation and derailment of care, extra litigation, and clinician burnout. This text presents a knowledge and skill set for health care and wellness professionals designed to enable then to become competent facilitators of behavior and lifestyle change, information transfer, and medical decision making in collaboration with their patients. This text integrates past health psychology models with recent advances in relationship psychology and interpersonal neurobiology made since the 1990s. Access to online content includes videos of brief medical interviews along with analysis of the strategies and tactics used.

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"When people are sick they are also highly vulnerable and impressionable. Interactions with health care professionals take on tremendous import and can strongly affect: the course of their illnesses; Read more...

 
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