Doctor / patient relationship Books

Book Synopsis"To derive benefit from medical care, a patient must be able to trust the physician. This trust exists only to the extent that the patient feels confident that he or she occupies the doctor''s central focus at every medical encounter, and that this focus is being used to derive a full measure of healthful benefit. This is the beginning and end of the doctor''s work and is best accomplished by every doctor understanding and maximizing each element of the doctor - patient relationship. These elements of the doctor - patient relationship are carefully dissected in this book, and then illustrated with consequential and true case histories of patients. The science to these elements - for example, the methods of clinical reasoning - are succinctly described, butalways the elements are artfully illustrated by descriptions of their real-life application to human beings. That these cases celebrate the grace and courage and resiliency of individual patients is no accident, as a doctor''s patients represent worthy brothers and sisters, fellow travelers walking the lonesome valley of an individual human life, affected by both illnesses and triumphs of all sorts. Their stories offer practical insights for all readers, not just for physicians or prospective physicians, and I hope some of them make you smile. Because of the burgeoning complexities of medicine and the social contexts in which medicine is practiced, multiple physicians are often involved in the care of a patient, something which has become quite evident inthe recent Covid 19 pandemic. However, each physician involved in the care of a patient at a particular moment in time has the responsibility to understand and respect the ideals of the doctor - patient relationship, to maintain and fortify it, even if the next visit is with yet another, different physician, thus enabling the doctor - patient relationship to be the vehicle that transports the patient some distance down a path towards feeling better, a path towards a medical outcome that is helpful, sometimes healing, and always hopeful. We live in a time when there are powerful and complex forces undermining the doctor - patient relationship, the most important of which is the lack of available medical care for poor people, preventing them from having the benefit of the doctor - patient relationship in the first place. We have seen this vividly in the aftermath of Covid 19; none of the patients who ended up dying alone in the Old Soldier''s Home in Massachusetts or piled up and hidden in nursing homes in New Jersey or New York City had a good doctor"--

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Book SynopsisDay-to-day clinical practice in the health and care professions is filled with challenging situations rooted in interpersonal psychology. Beyond their technical and profession-specific knowledge and skills, clinical practitioners must have extraordinary communication and observation skills to manage the complexities of their daily work. This can be particularly challenging for individuals educated within one profession when they are working within interprofessional teams where collaboration, consensus, and cooperative decision making are expected.Communication in Interprofessional Care: Theory and Applications approaches this important topic with a new perspective, supporting learners and teachers through practical application of psychological and communication theory.KEY FEATURES: Contains 14 real-world clinical cases and vignettes. Explains the role of motivation, trait, and social-psychological context in influencing behaviors. Uses theory to provide practical guidance around interpersonal communication. A model for understanding the psychology of empathy. Uses personal emotional intelligence as a tool for enhancing quality of interpersonal and interprofessional communication.

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Book Synopsis""People come to us for help. They come for health and strength." With these simple words David Mendel begins Proper Doctoring, a book about what it means (and takes) to be a good doctor, and for that reason very much a book for patients as well as doctors--which is to say a book for everyone. In crisp, clear prose, he introduces readers to the craft of medicine and shows how to practice it. Discussing matters ranging from the most basic--how doctors should dress and how they should speak to patients--tothe taking of medical histories, the etiquette of examinations, and the difficulties of diagnosis, Mendel moves on to consider how the doctor can best serve patients who suffer from prolonged illness or face death. Throughout he keeps in sight the fundamental moral fact that the relationship between doctor and patient is a human one before it is a professional one. As he writes with characteristic concision, "The trained and experienced doctor puts himself, or his nearest and dearest, in the patient''s position, and asks himself what he would do if he were advising himself or his family. No other advice is acceptable; no other is justifiable." Proper Doctoring is a book that is admirably direct, as well as wise, witty, deeply humane, and, frankly, indispensable"--Provided by publisher.

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Book Synopsis In When Sickness Heals, Dr. Siroj Sorajjakool draws on more than ten years of studies on health benefits in relation to spirituality, especially focusing on the function of "meaning." He expounds on his theory that healing is primarily the function of meaning, and meaning transcends sickness and even death itself. He concludes that what people ultimately seek in life is the healing of their souls. Sorajjakool brings many Eastern and Western resources to his conversation on health, meaning, and healing. He incorporates the perspectives of theologians and philosophers like Paul Tillich, Carl Jung, Søren Kierkegaard, Raimundo Panikkar, Dietrich Bonhoeffer, and John Macquarrie; as well as references to religious texts, including yin and yang, and alchemy. A clear, distinct understanding of spirituality in clinical contexts is presented, with an argument for the role of meaning in the healing process, based on evidence that there may be healing even in the face of death. Sorajjakool identifies the transitional processes people may go through as they seek to make sense of their experiences during a health crisis. He suggests an alternative approach to spiritual assessment and provides methods of spiritual care that speak to the soul.

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Book SynopsisIn When Sickness Heals, Dr. Siroj Sorajjakool draws on more than ten years of studies on health benefits in relation to spirituality, especially focusing on the function of "meaning." He expounds on his theory that healing is primarily the function of meaning, and meaning transcends sickness and even death itself. He concludes that what people ultimately seek in life is the healing of their souls. Sorajjakool brings many Eastern and Western resources to his conversation on health, meaning, and healing. He incorporates the perspectives of theologians and philosophers like Paul Tillich, Carl Jung, Søren Kierkegaard, Raimundo Panikkar, Dietrich Bonhoeffer, and John Macquarrie; as well as references to religious texts, including yin and yang, and alchemy. A clear, distinct understanding of spirituality in clinical contexts is presented, with an argument for the role of meaning in the healing process, based on evidence that there may be healing even in the face of death. Sorajjakool identifies the transitional processes people may go through as they seek to make sense of their experiences during a health crisis. He suggests an alternative approach to spiritual assessment and provides methods of spiritual care that speak to the soul.

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Book SynopsisBurn out. Two words that haunt those in high stress jobs, especially in the medical profession. Long hours and the literal life-and-death nature of the field creates expectations to not only be on call at all hours, but to be at one’s best, even at 3:00 AM after a twenty-hour shift. So much energy is devoted to the care of others that self-care is forgotten. Yet, more are noticing and research confirms that self-care is needed, not only for personal sanity but also for quality of work. Unwell medical professionals are not the best at treating others. And this self-care includes not just rest, food, and water, but a deeper care, one that tends the spiritual side as well. To both the spiritually active and the spiritually resistant, hospital chaplain William Dorman offers a guide to understand a more comprehensive, full-bodied self-care. Each chapter begins with case studies, concrete experiences that help unpack abstract concepts which bring much needed peace to stressed individuals. Dorman also structures each chapter to end with prayers and action steps, which offer more concrete ways to care for the self. From working as a hospital chaplain for over 18 years, and serving as the director of chaplaincy services for the largest integrated health care system in New Mexico, Rev. Dorman recognizes the stresses that come to those who have made it their profession to heal others. Healers need healing too—and this guide is the first step.Trade Review“This book is a great resource for anyone who provides care at the bedside and who feels the spiritual weight of their work. It would serve well as the text for a discussion group or for a class teaching spirituality as part of whole-self-care. For chaplains, it could be used as a health care Rosetta Stone, becoming the medium by which the rich imagery and spiritual power of religiously shaped spiritual exercises can be decoded and offered as sustenance to harried clinicians (APC Pastoral Care Competencies 3, 7, 8, and 9). Clergy and pastoral counselors who care for health care professionals in their communities will gain insight into the sometimes hard to articulate experiences that trouble and uplift those seeking guidance.” —Keith Goheen, BCC, Chaplain, Beebe Healthcare (APC™ Forum, March 2017, Vol. 19 No. 2) “A carefully woven collection of case studies, intelligent advice, and direct ways to engage in the spiritual, Restoring the Healer is a great guide to anyone in the medical field who is on the verge of burnout and recognizes a need for self-care.” —Harold G. Koenig, MD, director of the Duke University Center for Spirituality, Theology and Health “As a physician coach, I sought out Dr. William Dorman’s sage advice on restoring the well-being of many of my colleagues. I’m so delighted he has now captured the essence of his experiences in Restoring the Healer. I highly recommend Bill’s new book for all health care professionals for their own well-being in a highly stressful industry.” —William H. Brady, MD, MBA, MSc, physician coach and health care economist “When I personally met Bill here in Albuquerque, I found him to be an exceptional human being, so the quality of his book is no surprise!” —Fr. Richard Rohr, OFM, Center for Action and Contemplation“Chaplain Dorman has crafted a wise and compassionate spiritual care primer. His deep knowledge of the clinical environment, especially its language and culture, are evident in the structure of every chapter. His sensitivity to the demands and needs of the people who practice in the hospital setting warms every page. . . . This book is a great resource for anyone who provides care at the bedside and who feels the spiritual weight of their work. It would serve well as the text for a discussion group or for a class teaching spirituality as part of whole-self-care. For chaplains, it could be used as a health care Rosetta Stone, becoming the medium by which the rich imagery and spiritual power of religiously shaped spiritual exercises can be decoded and offered as sustenance to harried clinicians (APC Pastoral Care Competencies 3, 7, 8, and 9). Clergy and pastoral counselors who care for health care professionals in their communities will gain insight into the sometimes hard to articulate experiences that trouble and uplift those seeking guidance.” Keith Goheen BCC, Chaplain, Beebe Healthcare, Lewes, DE

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Book SynopsisThis spiral-bound visual communication aid is designed to help pediatricians and others who work in medical settings with children who are nonverbal, including toddlers; children with conditions such as autism, cerebral palsy, language disorders, intellectual disabilities, or oral-motor apraxia; or children who do not speak English. Nearly 400 easy to understand, full color images depict common medical procedures, from bandaging to vaccine administration as well as important patient-provider communication, including describing symptoms or post-visit instructions. Each image is captioned in both English and Spanish for maximum in-office utility, and the pages are fully wipeable for simple disinfecting after each patient. Interactive use of this resource will improve communication, reduce fear and anxiety, and boost patients’ understanding and participation in the medical visit. Key Features Four-color interior Captions in both English and Spanish Includes both office-based and inpatient procedures Wipeable pages for easy disinfecting Spiral binding for lay-flat, easy use with patients

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Book SynopsisWhat will you do… if colleagues covertly or overtly break protocols? if you need to give constructive feedback? if need to ask for help from these colleagues or seek alternative teachers? if you need to take the necessary time to follow protocols, but more experienced colleagues do not follow them or support you in your efforts? Explore all of the critical ways your ability to communicate successfully can positively impact not only nurse-client, nurse-family, and colleague-colleague relationships, but also your ability to make the work environment less stressful and to manage professional and personal challenges, even in a world still reeling from the impact of the pandemic. Step by step, you’ll build the essential communication skills you need, with an emphasis on developing the emotional intelligence necessary to speak assertively and listen respectfully in the high-stakes, high-pressure environments where nurses work.Five Stars!! Every nurse needs to read this!!!!!!!!“I was lacking in some essential communication skills and didn't know it until I read this book. It's easy to follow. I recommend this book to all of my coworkers. Highly recommend!!!”—Online Reviewer New! 4-color, contemporary design New! “Confident Voices: On Resilience” helps entry level nurses who are joining a workforce that is traumatized and/or burned out. Considers all aspects of communication, including emotional intelligence, group dynamics, organizational development, complex adaptive systems, and more. Focuses on self-awareness, self-esteem, and respect for others. Addresses real-world stressors, challenges, and workplace issues, bridging the gap between academia and professional nursing practice. Features case studies that use brief vignettes to explore a range of scenarios, followed by discussion questions. Table of Contents I.Developing Successful Nurse Communication 1.Communication and Behavior 2.Emotional Intelligence 3.Respectful and Effective Listening 4.Assertiveness II.Why Successful Nurse Communication is Critical 5.Patient Safety 6.Patient Experience 7.Respectful Workplaces 8.Managing Stress and Strategies for Self-Care III.Organizations and Successful Nurse Communication 9.Understanding Organizational Culture 10.Collaboration and Team Development 11.Complex Adaptive Systems 12.Change Agents, Quality Improvement, and the Learning Organization IV.Successful Nurse Communication in Action 13.Diversity, Inclusion, and Dignity 14.Health Information Technology and Digital Communication 15.Preparing for Leadership Epilogue: From Theory to Practice

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Book Synopsis“Urgent, alarming, riveting, and essential.” —Ibram X. Kendi Carte Blanche is the alarming tale of how the right of Americans to say “no” to risky medical research is being violated. Patients' right to give or withhold consent is supposed to be protected by law, but for decades medical research has been conducted on trauma victims—who are disproportionately people of color—without their consent or even their knowledge. Harriet A. Washington, the author of Medical Apartheid, is again exposing a large-scale violation of patient, civil, and human rights. She reveals that the abuse first began in the military: In 1990, the Department of Defense forced an experimental anthrax vaccine on ground troops headed for the Persian Gulf. After a 1996 loophole to federal law permitted research to be conducted even on private citizens, particularly trauma patients, the military has pressed ahead to impose nonconsensual testing of the dangerous and sometimes lethal blood substitute PolyHeme among civilians, quietly using it on more than 20,000 non-consenting victims. Since then, more than a dozen studies have used the 1996 loophole to give risky and potentially deadly drugs to patients without their knowledge, especially people of color, many of whom were already justifiably distrustful of racial bias in medicine. Carte Blanche is an exposé of a U.S. medical-research system that has proven again and again that it cannot be trusted.Trade Review“Urgent, alarming, riveting, and essential, Carte Blanche reveals that Americans, including African Americans, are still being medically experimented upon without their consent—yet again in research sanctioned by law. Harriet Washington’s powerful indictment of ongoing medical coercion unveils a gross violation of our human rights. It is vital reading at a moment when change is so necessary.” —Ibram X. Kendi, author of How to Be an Antiracist “Harriet Washington’s new book Carte Blanche, about unsanctioned medical experimentation on Americans, is the most unsettling and alarming work I’ve read in a long time. This issue is not a relic of history. It's a problem RIGHT NOW. This is required reading to understand the context of this pandemic.” —Jelani Cobb, author of The Substance of Hope: Barack Obama and the Paradox of Progress “A tight and informative historical overview of the ways informed consent has been evaded.” —Washington Post “Medical ethicist and journalist Washington offers considerable evidence of deceptive and devious practices in medical research, which especially impact Black Americans.... An enlightening and well-supported examination of shocking malfeasance.” —Kirkus Reviews “I want to thank Harriet Washington for her wonderful book. As a physician, it was really engaging reading for so many reasons. It encompasses all the human conflicts and challenges we face when working in a fundamentally unjust system.” —Olajide A. Williams, MD, MS, Professor and Chief of Staff of the Department of Neurology at the Columbia University Vagelos College of Physicians and Surgeons

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Book Synopsis'Heartfelt, honest, illuminating and wise' Julia Samuel, author of This Too Shall Pass.Perfect for fans of This Is Going to Hurt. Grief. Anger. Joy. Fear. Distraction. Disgust. Hope. All emotions we expect to encounter over our lifetime. But what if this was every day? And what if your ability to manage them was the difference between life and death? For Aoife Abbey, a doctor in intensive care, these experiences are part of the job - from grief when you make a potentially fatal mistake to joy when the ward unexpectedly breaks into song. Seven Signs of Life is Abbey's extraordinary account of what it means to be alive and how it feels to care for a living. An insightful, tender and inspiring memoir that explores the reality of life on the NHS front line. 'Brilliant, compelling... A hugely life-affirming book' Mail on SundayTrade ReviewA brilliant, compelling account of what it is like to spend your days caring for patients "on the fringe of existence" ... A hugely life-affirming book. In between the many grim situations encountered on a daily basis, Abbey shows us moments of both joy and deep emotional connection -- Kathryn Hughes * Mail on Sunday *Heartfelt, honest, illuminating and wise – a wonderful book that I would urge everyone to read -- Julia Samuel, author of Grief WorksA powerful glimpse into the high stakes of intensive care …Above all this book is insightful about the grey areas where a doctor must go ... Some readers may be wearying of doctor memoirs. This one ... has a freshness and a sincerity that moved me. She is a gifted writer ... honest, compassionate, sensitive… [and] the doctor we would crave in our greatest need -- Melanie Reid * The Times *Abbey’s book stands out among the current crop of doctor-penned memoirs for its thoughtful, compassionate reflections on life in Intensive Care. Abbey presents the usual case studies with an unusual depth of feeling and evident love for those in her care. She may be in the earlier stages of her career, but the author writes with a maturity and vocational fervour well beyond her years. An unsung classic of the genreA thoughtful and necessary book about a world all of us might inhabit at some point in our lives -- Rosita Boland * Irish Times *

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Book SynopsisFrom the No.1 bestselling author of Do No Harm, an entrancing and uplifting meditation on the gift of life.‘A book to treasure and reread’ Gavin Francis, author of Adventures in Human BeingAs a retired brain surgeon, Henry Marsh thought he understood illness, but even he was unprepared for the impact of his diagnosis of advanced cancer.In And Finally, he navigates the bewildering transition from doctor to patient. As the days pass, his mind turns to his career, to the people and places he has known, and to creative projects still to be completed.Yet he is also more entranced than ever by the mysteries of science and nature, by his love for his family, and – most of all – by what it is to be alive.* A Daily Telegraph, The Times and Financial Times Book of the Year *‘Magnificent’ Rachel Clarke‘Vividly wry and honest’ The Times‘I admire this book enormously’ Philip Pullman‘Enthralling’ GuardianTrade ReviewHenry Marsh may have retired from medicine but let's hope he keeps producing books as good as this one, which enthral as well as teach. * Observer *[And Finally] is unexpectedly fun, and the author is pretty much irresistibly likeable... diagnoses and remissions are described with wonderful candour... [and Marsh's] discussion of end-of-life care and assisted dying is the best essay I have read on the subject. * Guardian *[Marsh is] deeply reflective, the result is a bit like sitting in the pub with the smartest person you know. * Spectator *Beautifully written... A thoughtful journey into his experience as a doctor-turned-patient, enlivened with a wonderful black humour and a gimlet eye for comforting nonsense... One couldn't wish for a better guide. -- Steven Poole * Daily Telegraph, 5 stars *His dignified introspection is a joy. -- Clare Chambers, author of SMALL PLEASURES

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Book SynopsisBMA Medical Book Awards FinalistThe number of people coming out as transgender continues to rise, and this book shows healthcare and medical practitioners how to deliver excellent primary and secondary care to gender diverse patients.This guide provides accessible and practical advice on tailoring the social and ethical aspects of practice to the needs of each individual. Beyond setting out how clinical procedures should work for gender reassignment, it explains how to use language and pronouns in a respectful way, provides information on transgender services and resources, and offers insights into the challenges commonly faced by transgender people in both medical and social contexts. Based on cutting edge research and the lived experience of the author as a non-binary person, this is essential reading for all those working to meet the needs of transgender people in healthcare settings.Trade ReviewAt last, a book that fulfills the very real need among medical practitioners, faced with growing numbers of transgender or non-binary service users in everyday practice. This is a very comprehensive volume, packed with up-to-date advice from a clinical expert. A must-have on every shelf. -- Christine Burns MBE, author and transgender activistI can't think of anyone, working in any aspect of general healthcare, who wouldn't be likely to provide much better care to trans people as a result of reading this book. -- Dr James Barrett, Lead Clinician of the Charing Cross Gender Identity ClinicDr Vincent's book, 'Transgender health', is comprehensive and thorough in its scope and detail; historically and philosophically well grounded, giving much food for thought, yet it is also direct and practical. Dr Vincent brings their characteristic scholastic integrity to this excellent book. On behalf of GIRES, Bernard and Terry Reed recommend it to professional as well as lay readers. -- Terry Reed OBE and Bernard Reed OBE, founders of the trans charity GIRESOne of the best and easiest to read medical texts I've found. It's very informative and answered many questions that I had...The text is broken into easy-to-read chunks and well-referenced and includes a nice personal touch at the end. * BMA Medical Book Awards Judging Panel *Table of ContentsAcknowledgements. 1. Introducing Trans Terminology. 2. Fundamental Concepts: Sex, Gender, and Transgender History. 3. Administration, and Patient Interactions. 4. The Referral Process. 5. Care Separate from Transition. 6. Children and Adolescents. 7. Gender Affirmation: Hormone Replacement Therapy, and Non-Surgical Interventions. 8. Gender Affirmation: Surgeries. Concluding Remarks. References.

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Book SynopsisInformed consent is the legal instrument that purports to protect an individual's autonomy and defends against medical arbitrariness. Informed Consent and Health highlights that possession of complete information about all relevant aspects of a proposed treatment is integral to the ability of a patient to make an informed choice. With patient choice at both legislative and judicial levels rising to greater levels of prominence, this timely book examines how the tensions between the rights of patients to make choices and the duties of doctors to provide health care are managed. This illuminating book investigates our evolving understanding of informed consent from a range of comparative and international perspectives, demonstrating the diversity of its interpretations around the world. Chapters offer a nuanced analysis of the problems that impede the understanding and implementation of the concept of informed consent and explore the contemporary challenges that continue to hinder both the patient and the medical community. Containing an in-depth discussion on this fundamental right, this thought-provoking book will be of value to academics and practitioners alike. Providing fascinating insight into new solutions and interpretations, this book will also prove a key resource for clinicians and health care workers. Contributors include: B. Buchner, S.C. Chima, I. Freckelton, R. Fretwell Wilson, N. Glover-Thomas, M. Hartlev, Y. Joly, V.G. Mammadov, G. Marrocco, Y.V. Pavlova, M. Pinkesz, S.I. Pospelova, V.L. Raposo, Y.D. Sergeyev, T. Vansweevelt, M.H. ZawatiTrade Review'Vansweevelt and Glover-Thomas have succeeded in providing a comprehensive picture of the principle of informed consent. This volume shows that despite many different levels of detail, and different interpretations, most countries have rooted the principle of informed consent within their national legislation.' --André den Exter, Erasmus University Rotterdam, the Netherlands'Consent to health care and treatment is a cornerstone of ethical medical practice and any exceptions must be carefully justified. But what exactly is informed consent? This timely book will be of invaluable assistance to practitioners, students and researchers from a range of disciplines, who are interested in understanding what the doctrine of informed consent means across countries with diverse legal systems. This book provides a useful, comparative overview of the scope, interpretation and practical application of informed consent with a view to informing the development of this important doctrine.' --Bernadette McSherry, University of Melbourne, AustraliaTable of ContentsContents: Foreword by Thomas Noguchi ix 1 A general introduction 1 Thierry Vansweevelt and Nicola Glover-Thomas PART I JURISDICTION FROM THE COMMON LAW 2 Informed consent: the Australian perspective 6 Ian Freckelton QC 3 Re-examining the Canadian law of informed consent to medical treatment in the age of informatics 32 Miriam Pinkesz, Gabriel Marrocco, Yann Joly, Ma’n H. Zawati 4 Informed consent: the UK perspective 74 Nicola Glover-Thomas 5 A critique of informed consent in the United States 101 Robin Fretwell Wilson PART II JURISDICTIONS FROM CIVIL LAW 6 Informed consent in Belgium and France 124 Thierry Vansweevelt 7 Informed consent in China and Macao 144 Vera Lúcia Raposo 8 Informed consent in the Nordic countries 163 Mette Hartlev 9 Informed consent in South Africa: a legal, ethical and cross-cultural perspective 183 Sylvester C. Chima PART III JURISDICTIONS IN WHICH THE PRINCIPLE OF INFORMED CONSENT IS ADOPTED IN THE CONSTITUTION 10 Informed consent in Germany 216 Benedikt Buchner 11 Legal regulation of voluntary informed consent in Russia 235 Svetlana I. Pospelova, Yulia V. Pavlova, Yuriy D. Sergeyev, Vugar G. Mammadov 12 Comparative conclusions: towards a global vision of informed consent? 256 Thierry Vansweevelt and Nicola Glover-Thomas Index 271

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Book SynopsisThis collection of stories from two practising GPs describes the reality of working within a failing and highly bureaucratic system, where there is a balancing act: regulation versus relationships; autonomy versus standard practice; algorithm versus individual attention. We aren’t suggesting a return to a ‘better’ time. We don’t object to being bureaucrats, embedded within and accountable to the systems we are in. But we do want to consider how and with what the gap left by the old-fashioned GP has been filled. We use stories based on our experience to describe the effect of different facets of bureaucracy on our ability to maintain a nuanced, individualised approach to each patient and encounter; and to question the prominence and effect of protocol. We are interested in the way professional relationships are influenced by protocol: between and within organisations; and most importantly with patients/clients/service users.. We are accustomed nowadays to automated telephone lines, chatbots, website FAQs- the frustration of being unable to connect with another human being who will listen to our particular question and give us something other than a generic answer. The same issues that are facing society at large have changed the way in which we work as GPs and the care we give.Trade Review'With increasing bureaucracy, doctors struggle to take the life pressure [sic] of their patients. This book offers a compelling reflection on the importance of listening to patient stories as opposed to applying chilly algorithms for human care. The authors provide the reader with a lively under-the-rug inspection of street-level medical practice and the turbulent business of managing through bureaucratic demands.' -- Professor Paul Crawford, University of Nottingham, UK'UK general practice is at a precarious crossroads. This book captures the essence of traditional, relationship-based, family doctor care, which is now under threat from a number of forces—not least the technologization of medicine and the inexorable encroachment of algorithmic, if-then decision-making on relational and narrative-based clinical method. At the very least, Shah and Foell have documented the essence of what we risk losing. Perhaps, if their warnings are heeded, they will also succeed in retaining and restoring what they rightly describe as general practice’s “soul”.' -- Trish Greenhalgh'This is an honest dispatch from the frontlines of the conflict between industrializing bureaucracies and the ongoing care of each person. It is a hopeful song for clinicians who, when the algorithm says no, breach the protocol and go the extra mile for each patient.' -- Victor M.Montori, professor of medicine at the Mayo Clinic.'A rich, wonderful, profound and moving book. I was immersed in the many stories and heartfelt, sometimes harrowing, observations. The need to innovatively transform health and social care, and particularly mental health care, by integrating the work of primary care with social care, local councils, voluntary sectors, communities, patients and families is now vital. Written in an authentic and deeply compassionate way, Fighting for the Soul of General Practice provides a broad and comprehensive understanding of the issues and challenges we face.' -- Michael West, Professor of Organizational Psychology, Lancaster University Management SchoolTable of ContentsList of Figures Acknowledgements Prologue Introduction: Standardising General Practice 1. Weaponized Bureaucracy: Bureaucracy as a Source of Injustice 2. Pigeonholes: Medical Categories 3. Guidelines, Tramlines, Mindlines: Interpreting the Evidence 4. Waiting to Connect: Algorithms That Dictate Access 5. Taking Liberties: Regulating the Mental Health Act 6. Passports for Passing: The Bureaucracy of Death 7. A Labour of Love: Why It Is That General Practice Is Still a Good Place to Work 8. Final Reflection – Image Reviewing Conclusion Bibliography Index

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Book SynopsisThis book presents a comprehensive analysis of the use of patient-/person-centred communication in providing healthcare for ageing populations through an ethnographic approach to physician in-home medical consultations in Tokyo, Japan, alongside interviews with physicians. It focuses on illustrating how linguistic dimensions of person-centred communication work by citing examples of case studies, as well as the sociocultural differences between the US, the UK, Japan and other societies in which person-centred communication models are employed. The author uses her own framework, which takes into account face and politeness theory, and makes recommendations for future training.Trade ReviewIn an era of increased digitalisation and performance targets, this book directs us back to the quintessential site of healthcare delivery, namely interpersonal contact between doctors, patients and family members. Through fine-grained analyses of clinical encounters involving older patients, Kondo beautifully illustrates the delicate interactional labour involved in compassionate, patient-centred communication and care. * Spencer Hazel, Newcastle University, UK *A fascinating study of the language of patient-centred communication in real settings, based on observation of real interactions between doctors and older patients in the home. This book sheds light on essential aspects such as politeness and empathy in medical consultations and has important implications for medical training. * Ruth Breeze, University of Navarra, Spain *Patient-centredness is crucial to good healthcare, but what does it actually mean when it comes to communication in different geographical contexts? This timely volume addresses this question with the nuance and insight that only a situated discourse-based approach can provide. Drawing on authentic healthcare interactions in Japan, this is a fascinating study that will be of interest to linguists and healthcare practitioners alike. * Zsófia Demjén, Institute of Education, UCL, UK *People who are interested in linguistics, especially in pragmatics (the study of language in use/contexts), may find this book fascinating in its quite novel perspective looking into face theory in PCC. The multiple qualitative methods of integrating the findings of literature review with empirical investigation in a culturally specific context shows both its practical and theoretical significance. * Yufei Ren, Tsinghua University, China, LINGUIST List 34.687 *Table of ContentsFigures and Tables Acknowledgments Acronyms Introduction Scope of the Book Chapter 1. Introduction to Patient-centred Communication Chapter 2. Face and Linguistic Politeness Chapter 3. Fieldwork and Data Chapter 4. Listening to Patients and Identifying Issues Chapter 5. Empathy and Acceptance Chapter 6. Work Towards Shared Decision-making Chapter 7. Leave Space for the Patient and Respecting the Patient’s Freedom Chapter 8. Transferring into Future Training Chapter 9. Appendices References Index

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Book SynopsisA haunting and exquisitely-observed collection of medical vignettes that brilliantly captures the intense drama of the Emergency Room Reminiscent of Chekhov’s stories, The Blood of Strangers is a visceral portrayal of a physician’s encounters with the highly charged world of an emergency room. In this collection of spare elegant stories, Dr Frank Huyler reveals a side of medicine – the intricacy of suturing a facial wound, the bath a patient receives from her husband and daughter – interwoven with the lives of the sick and injured. The author presents an array of fascinating characters, both patients and doctors – a neurosurgeon who practices witchcraft, a trauma surgeon who unexpectedly commits suicide, a wounded murderer, a man chased across the New Mexico desert by a heat-seaking missile. At times surreal, at times lyrical, at times brutal and terrifying, The Blood of Strangers is a deeply affecting first book from one of the most dramatic specialities of modern medicine.Trade Review‘Unforgettable.’Sunday Times ‘Set to become a classic.’Independent ‘A breathtakingly brilliant portrait, sketched so elegantly that if it were done in pencil it would only consist of a few sharp lines.’The Times ‘One of the best writers to emerge since the death of Raymond Carver. He moves medicine out of the realm of science and into the domain of humanity.’Red ‘Dr Huyler’s short, intense book treats of only the most important matters: life and death. This is a young writer with a big mind – and an even bigger heart.’Paul Auster ‘If Raymond Carver had been a doctor, these are the stories he would have written. There are no untarnished heroes here. This is the world as it is: lovely and disturbing all at once.’Atul Gawande, New Yorker

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Book SynopsisThis inspirational guide provides an innovative framework for understanding the consultation. It is concise, easy-to-read and highly accessible, presenting a simple and easily remembered non-linear diagram which facilitates the understanding of this richly complex process. Inspired by the work of Balint, it beautifully reflects the narrative of the consultation in its tone, with examples and anecdotes illustrating key concepts. It is highly effective as a primary teaching aid for undergraduate medical students, as a refresher for those in practice, an aide memoire to good consulting, a template for case analysis and reflection, and a diagnostic aid when consultations have gone wrong. The approach is recommended for all GP trainees, nurse practitioners and pharmacists where it has proven to be an immense help at all levels of experience and skill.Table of ContentsForeword. Preface. About the author. Part one: The synoptic view of the consultation. Introduction. The puzzle and the picture: introducing the synoptic view. The doctor. The patient. The illness. The patient's story of the illness: fractals. The patient's story of the illness: narrative. The patient's story of the illness: somatisation. The doctor's story of the illness. The doctor - patient relationship. The three golden questions. Working with children. The social context of the doctor. The social context of the illness. The social context of the patient. The authority of the consultation. Part two: Consultations that go wrong: using the synoptic view as a diagnostic aid. Introduction. Dysfunction: the doctor. Dysfunction: the patient. Dysfunction: the illness. Dysfunction: the patient's story of the illness. Dysfunction: the doctor's story of the illness. Dysfunction: the doctor-patient relationship. Dysfunction: the social context of the doctor. Dysfunction: the social context of the illness. Dysfunction: the social context of the patient. Part three: Personal reflections on other models of the consultation. Models of the consultation. References. Index.

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