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Study Notes for, The Patient-Doctor Relationship Kaplan & Sadock's Synopsis of Psychiatry:

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Study Notes for, The Patient-Doctor Relationship Kaplan & Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10thEd The Patient-Doctor Relationship Kaplan & Sadock's Synopsis of... Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10th Edition EDIT Dr liza 140 366 660RAPPORT  An effective relationship is characterized by good rapport.  Rapport is the spontaneous, conscious feeling of harmonious responsiveness that promotes the development of a constructive therapeutic alliance.  It implies an understanding and trust between the doctor and the patient. Frequently, the doctor is the only person to whom the patients can talk about things that they cannot tell anyone else. Most patients trust their doctors to keep secrets, and this confidence must not be betrayed.  Patients who feel that someone knows them, understands them, and accepts them find that a source of strength. In his essay,Caring for the Patient Francis Peabody M D (1881-1927) a6 STRATEGIES RAPPORT  Ekkehard Othmer and Sieglinde Othmer defined the development of rapport as encompassing six strategies: (1) putting patients and interviewers at ease; (2) finding patients' pain and expressing compassion; (3) evaluating patients' insight and becoming an ally; (4) showing expertise; (5) establishing authority as physicians and therapists; and (6) balancing the roles of empathic listener, expert, and authority. As part of a strategy for increasing rapport, they developed a checklist (Table 1-1) that enables interviewers to recognize problems and refine their skills in establishing rapport. Empathy  Empathy is a way of increasing rapport. It is an essential characteristic of psychiatrists, but it is not a universal human capacity. An incapacity for normal understanding of what other people are feeling appears to be central to certain personality disturbances, such as antisocial and narcissistic personality disorders. Although empathy probably cannot be created, it can be focused and deepened through training, observation, and self-reflection. It manifests in clinical work in a variety of ways. [Show More]

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