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Introduction: analyzing interaction between doctors and patients in primary care / John Heritage and Douglas W. Maynard -- Soliciting patients' presenting concerns / Jeffrey Robinson -- Accounting for the visit : giving reasons for seeking medical care -- John Heritage and Jeffrey Robinson -- Realizing the illness : patients' narratives of symptom discovery -- Tim Halkowski -- Explaining illness: patients' proposals and physicians' responses -- Virginia Gill and Douglas W. Maynard -- Taking the history : questioning during comprehensive history -- Taking / Elizabeth Boyd and John Heritage -- Body work : the collaborative production of the clinical object -- Christian Heath -- Communicating and responding to diagnosis / Anssi Perakyla -- On diagnostic rationality: bad news, good news, and the -- Symptom residue / Douglas W. Maynard and Richard M. Frankel -- Treatment decisions : negotiations between doctors and patients in acute care encounters / Tanya Stivers -- Prescriptions and prescribing : co-ordinating talk and text based -- Activities -- Lifestyle discussions in medical interviews / Marja-Leena Sorjonen -- Coordinating closings in medical interviews: producing continuity of care / Candace West -- Mis-alignments in 'after-hours' calls to a family doctor's practice: A study in telephone medicine / Paul Drew -- References -- Subject index -- Name index.

В данной работе рассматриваются различные аспекты неразглашения врачебной тайны.Physician–patient privilege is a medical and legal concept. It prohibits a physician from divulging to anybody some information about his patients (diagnosis, results of examination and so on). Each physician must obey this ban if he or she treats a patient.In fact, the concept of physician–patient privilege appeared in Ancient India. It voiced that you could fear your brother, mother or friend but never – a doctor. Since those days, doctors have been vowing to keep all patient's secrets and always do it. Physician–patient privilege is one of the basic postulates of the Hippocratic Oath. In fact, each state guarantees to its citizens keeping of the privilege. Although there are situations when it is allowed to provide patient's data without his or her consent, for instance: in order to examine and treat a person who cannot express his or her will due to a bad state; if there is a danger of spreading any infection or provoking an epidemic; if the information is requested by judiciary or law enforcement agency; if a patient is not an adult and physicians must inform parents or legal representatives about his or her state of health; in case of injuries received due to any incorrect procedures; the necessity to do military medical examination.According to legal systems of some countries all people having any information about a sick person are hold disciplinary, administrative or criminal responsibility in case of divulging.When somebody is admitted to a hospital, his relatives and friends want to know about his state of health. Physicians have to resolve conflict situations. On the one hand, it is clear they worry about his or her life. However, on the other hand all these data are included into the concept «physician–patient privilege». In fact, a good physician never says his patient's diagnosis to anybody. In our opinion, physicians can break physician–patient privilege only in case when it is said whether the person will live or not. In other cases, only a patient can decide whom to say this or that information about his or her health. Physicians should look after the sick people; care about their physical, mental and moral health. In return, patients should talk about their problems and trust their physicians. Any offense against the «physician–patient privilege» makes a person feel humiliated. In this case, the patient has a right to apply to a judiciary because of the non-pecuniary damage that was harmed by physicians. To sum up, the most important commandment for every physician is to remember about these ethical postulates!

Cover -- Half Title -- Title Page -- Copyright Page -- Dedication -- Table of Contents -- Forewords -- Preface: forewarned -- Acknowledgements -- 1 The recovery of metaphor in medicine -- 2 Metaphors, once down and out, make a comeback -- 3 What do we know about metaphors in medicine and what are the consequences of resisting metaphor? -- 4 'Medicine as war' and other didactic metaphors -- 5 Medical metaphors as resemblances: putting aesthetics to work -- 6 Functions of resemblances in medicine: 'food for thought' -- 7 Metaphors in psychiatry: the embodied mind at its limits -- 8 Metaphors in medical education: the pedagogic imagination -- 9 Poetry, metaphor and the medical imagination -- 10 'Thinking with metaphors in medicine: the state of the art': Part I: the odyssey -- 11 'Thinking with metaphors in medicine: the state of the art': Part II: the tournament joust -- Summary -- Conclusion -- Appendix 1 -- Appendix 2 -- Appendix 3 -- Bibliography -- Index

In dem Beitrag wird die Arzt-Patient-Beziehung angesichts des gesundheitspolitischen Wandels und der zunehmenden Verstaatlichung ärztlicher Tätigkeit diskutiert. Zudem wird die ärztliche Tätigkeit im Gesundheitssystem verortet. Es wird deutlich, daß sie verfassungsrechtlich, arzt- und organisationsgesetzlich, leistungsberuflich und sozialorganisatorisch im bundesdeutschen Sozialstaat verankert ist. (ICA)

Political, legal, ethical, social, economic, and technological changes in the twentieth century have produced a profound effect on the health care and health status of Americans and the way in which physicians and patients communicate. In the latter half of this century, the responsibility for individual health care has shifted from a physician-oriented, paternalistic approach to a patient-centered one. Patients now assume two identities: health consumers and active participants in the medical decision-making process. This phenomenon has created an environment where consumer demand for information has shifted from a single focus on symptoms, diagnosis, and treatment of diseases to an increasing preoccupation with cost, quality, and access to health care. This shift emphasizes the critical role played by medical librarians in the dissemination of needed information, and it challenges librarians to take a leadership role in opening newer channels of communication between physicians and patients. The 1992 Janet Doe Lecture analyzes the evolutionary change in the physician-patient relationship and its modes of communication, projects future roles for medical librarians, and provides an extensive list of references for further reading.

Die Übertragung des bewährten Gordonschen "Konferenz"-Konzepts (vgl. "Familienkonferenz": zuletzt E-ID 21/91; "Lehrer-Schüler-Konferenz": zuletzt BA 7/89; "Managerkonferenz": zuletzt BA 7/92), das sich an dem arbeitsteilig-partnerschaftlichen Beziehungs- und Kommunikationsmodell der Klientenzentrierten Psychotherapie von Carl Rogers orientiert, diesmal auf die immer noch prekäre Beziehung von Arzt/Pflegepersonal und Patienten. Im 1. Teil referiert und illustriert Gordon erneut die Essentials seines Effektivitätstrainings anhand von Alltagsbeispielen; im 2. Teil, hier übernahm ein erfahrenener Chirurg die Feder, die Anwendung auf das Arzt-Patient-Verhältnis selbst, unter besonderer Berücksichtigung der Probleme und Bedürfnisse von chronisch oder lebensgefährlich Erkrankten. - Vorrangige Empfehlung für alle professionell mit Kranken Tätigen, durchaus auch anregend für betreuende und pflegende Familienangehörige. (2) (Uwe-F. Obsen)

Empathy in physician–patient relationship is widely discussed and debated as a critical input that helps to enhance the effectiveness of a therapeutic process and to improve the well-being of the patient and the physician. This article, based on relevant literature, which includes theoretical insights and conducted studies of empathy, presents a brief thematic review of empathy, with a specific focus on the role played by it in physician–patient relation and the usefulness of a patient-centred approach and empathetic understanding in enhancing positive health outcomes. Further, while examining the challenge to empathy in India's current health care scenario, this study maintains that, amidst difficult circumstances, instances of empathetic behaviour still prevail and empathy hopefully has a definite role to play in India's medical care.