Complexity in Healthcare and the Language of Consultation: Exploring the Other Side of Medicine
This book provides an important contribution to the new and growing field of 'narrative-based medicine'. It specifically addresses the largest area of medical activity primary care. It provides both a theoretical framework and practical skills for dealing with individual consultations family work clinical supervision and teamwork and offers a comprehensive approach to the whole range of work in primary care. Using a wide range of clinical examples it shows how professionals in primary care can help clarify patients' existing stories and elucidate new stories. It can be used as a training resource and includes exercises and summaries of key points to consider. It is based on and describes an established evaluated training method and is of immediate and significant practical use to readers. It is essential reading for general practitioners practice nurses and others in the primary care team psychologists family therapists counsellors and other professionals attached to primary care. GP trainers tutors and course organisers will find it a valuable educational tool. Professionals elsewhere in primary care such as pharmacists dentists and optometrists and academics in medical sociology and medical anthropology will also find it very useful.
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the three kinds of consultation
What are we talking about?
What seems to be the trouble? Why healthcare is complicated and will get worse
principles guidelines and some rules
Consultation with working groups and organisations
Consultation as teaching and training
Consultation in assessing and managing clinical problems
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ADHD adolescent adult agenda anorexia nervosa asked attachment theory authority behaviour Bethlem Royal Hospital Chapter child psychiatry children's home client clientele clinical consultation clinician colleagues common complex consultant and consultees consultative approach consultative meeting consultative session consultee's counsellor decisions described diabetes discussed disorder doctor dynamic enquiry example exercise expected exploration family therapy feelings focus going handle happen healthcare workers hospital idea important institutions involved issues learning matter medical model medicine MRSA narrative needed nurse organisation paediatricians parents particular patient patient empowerment peer-peer person perspective practice practitioner problem profes professional psychoanalysis psychodynamic theory psychology psychotherapy questions relationships responsibility role seems senior sense skills someone sometimes specialist specialist registrar staff Steinberg story Superego supervision systems consultation systems theory teachers teaching therapeutic therapist therapy things tion treatment wanted