Field guide to the difficult patient interview [electronic resource] /
Frederic W. Platt, Geoffrey H. Gordon.
2nd ed.
Philadelphia : Lippincott Williams & Wilkins, c2004.
xx, 297 p. : ill.
0781747740, 9780781747745
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Philadelphia : Lippincott Williams & Wilkins, c2004.
Licensed for access by U. of T. users.
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Electronic reproduction. New York, N.Y. : Ovid Technologies, Inc. Available via World Wide Web.
Includes bibliographical references and index.
A Look Inside
Review Quotes
Once you stop squirming as you recognize your patients' and your own behaviour, you will find this book to be an invaluable guide through the maze that is the doctor- patient interaction. Strongly recommended to all GPs and GP Registrars. - Dr JM Sager,, May 2004 .It's short, attractively laid out, and easy to read. Better still it avoids banalities, and best of all, it concentrates on specifics. If a book about communication can be judged by how well it communicates, this one is dazzlingly successful (praise for previous edition, British Medical Journal)
This item was reviewed in:
Doody's Reviews, October 2004
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Main Description
Written by physicians skilled at coaching colleagues in physician-patient communication, this pocket guide presents practical strategies for handling a wide variety of difficult patient interviews. Each chapter presents a hypothetical scenario, describes effective communication techniques for each phase of the interaction, and identifies pitfalls to avoid. The presentation includes examples of physician-patient dialogue, illustrations showing body language, and key references. This edition includes new chapters on caring for physician-patients, communicating with colleagues, disclosing unexpected outcomes and medical errors, shared decision making and informed consent, and teaching communication skills. Other new chapters describe clinical attitudes such as patience, curiosity, and hope.
Table of Contents
Preface to the First Editionp. ix
Prefacep. xiii
Forewordp. xv
Acknowledgmentsp. xix
The Efficient Interview
Basic Interviewing Techniquep. 3
Listeningp. 14
Building Rapport: EMPATHY, the Universal Toolp. 21
Understanding Nonverbal Communicationp. 30
The Primacy of Symptomsp. 37
The Data Basep. 43
Culture and Languagep. 48
The Efficient Interview: Dealing with Patient Emotions
Sadness and Fearp. 57
Angerp. 64
Ambivalencep. 74
Patient Educationp. 85
Giving Bad Newsp. 91
Comforting the Grieving Family: Survivors of a Patient Deathp. 100
Shared Decision-Making and Informed Consentp. 106
The Clinical Attitude
Patiencep. 115
Curiosityp. 118
"OK" and "Wow": The Short Wordsp. 122
Self-awareness: What Are You Thinking Now?p. 127
Hopep. 131
Dealing with a Difficult Relationship
Those Dreaded Phrasesp. 137
Acknowledging Difficult Relationships and Interactionsp. 141
Understanding the Meaning of Illnessp. 146
Addressing Disagreements About Diagnosis or Therapyp. 150
Trust and Distrustp. 157
Establishing Boundariesp. 161
Avoiding Seductionp. 166
Asking for Helpp. 170
Clinician-to-Clinician Communication: Talking to Colleaguesp. 173
Doctors Firing Patients--Patients Firing Doctorsp. 178
Illness and Loss
Chronic Pain and Sufferingp. 185
Somatizationp. 190
The Transition from Disease-Based Care to Palliative Carep. 198
End-of-Life Discussions: Advance Care Plans and DNR Ordersp. 203
Being with a Dying Patientp. 210
Talking with Families of Seriously Ill Patientsp. 215
Who's in Charge Here? Behavioral Health Risks
Assessing Risk Behaviorsp. 221
Nonadherencep. 226
Violencep. 233
Alcohol Usep. 237
Sexp. 241
Puzzling Problems
The List-Makerp. 247
The Patient's Companionp. 249
Confusion: Communicating with the Cognitively Impaired Patientp. 255
The Patient Bearing Literaturep. 259
Distant Medicinep. 263
When Your Patient Is a Doctorp. 267
Disclosing Unexpected Outcomes and Errorsp. 271
Coaching Communication Skillsp. 277
Selected Readings for the Entire Textp. 283
Subject Indexp. 285
Table of Contents provided by Ingram. All Rights Reserved.

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