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1

L, Ragan Sandra, i DuPré Athena, red. Partnership for health: Building relationships between women and health caregivers. Mahwah, N.J: Erlbaum, 1997.

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The clay pedestal: A renowned cardiologist reexamines the doctor-patient relationship. New York: Scribner's, 1986.

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Enchantments of the clinic: Power, eroticism, and illusion in the clinical relationship. Lanham: Jason Aronson, 2010.

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Kohlenberg, Robert J. Functional analytic psychotherapy: Creating intense and curativetherapeutic relationships. New York: Plenum Press, 1991.

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Lee, Bachant Janet, red. Working in depth: A clinician's guide to framework and flexibility in the analytic relationship. Northvale, N.J: Jason Aronson, Inc., 1998.

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Mavis, Tsai, red. Functional analytic psychotherapy: Creating intense and curative therapeutic relationships. New York: Plenum Press, 1991.

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Welsh, Ira David. The therapeutic relationship: Listening and responding in a multicultural world. Westport, Conn: Praeger, 2003.

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8

Rethans, Jan-Joost. Does competence predict performance?: Standardized patients as a means to investigate the relationship between competence and performance of general practitioners. Amsterdam: Thesis Publishers, 1991.

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Clinical practice with caregivers of dementia patients. Washington, D.C: Taylor & Francis, 1996.

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10

McAuliffe, Mary Boesen. Patient workbook: A clinical application of the sick love relationship concept presented in The Essentials of chemical dependency. Dubuque, Iowa: Kendall/Hunt, 1992.

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11

1939-, Dillon Carolyn, red. Interviewing in action: Relationship, process, and change. Wyd. 2. Australia: Brooks/Cole Thomson Learning, 2003.

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Shelby, R. Dennis. If apartner has AIDS: Guide to clinical intervention for relationships in crisis. New York: Harrington Park Press, 1992.

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If a partner has AIDS: Guide to clinical intervention for relationships in crisis. New York: Harrington Park Press, 1992.

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If a partner has AIDS: Guide to clinical intervention for relationships in crisis. New York: Haworth Press, 1992.

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McCullagh, Peter. Ted Freeman and the Battle for the Injured Brain: A case history of professional prejudice. Canberra: ANU Press, 2013.

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Caring and compassion in clinical practice. San Francisco, Calif: Jossey-Bass, 1985.

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Sarason, Seymour Bernard. Caring and compassion in clinical practice. Northvale, N.J: J. Aronson, 1995.

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1947-, Apprey Maurice, red. Clinical stories and their translations. Chalottesville: University Press of Virginia, 1990.

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Piero, De Giacomo, red. Intimate relationships and how to improve them: Integrating theoretical models with preventative and psychotherapeutic applications. Westport, Conn: Praeger, 2003.

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20

Balboni, Michael J., i Tracy A. Balboni. Theology Within the Patient–Clinician Relationship. Redaktorzy Michael J. Balboni i Tracy A. Balboni. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199325764.003.0010.

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This chapter describes how there are distinct theological beliefs about the essence of personhood and that these views inform how clinicians inevitably see and engage patients. Dichotomizing the person into immaterial and material is at its root a claim concerning the essence of personhood, and this ultimately implies an underlying religious-like position concerning the presence or absence of a soul. While the intention of the sacred–secular divide was intended to create a neutral and nonreligious sphere, counterevidence suggests that this bifurcated structure is itself based on an unverifiable, religious-like position about human essence. Understanding these aspects of personhood in radical separation and independence has led to an imagining of the patient–clinician relationship in nonrelational terms focused predominantly on the material body. The chapter unearths implicit beliefs within this practice that are essentially theological, concerning the nature of personhood.
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Plioplys, Sigita, Shan Abbas i Brien Smith. Clinicians’ Response to the Diagnosis. Redaktorzy Barbara A. Dworetzky i Gaston C. Baslet. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190265045.003.0011.

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This chapter explores clinicians’ attitudes toward the diagnosis and treatment of psychogenic nonepileptic seizures (PNES). Across medical specialties, many clinicians report misconceptions about the nature of PNES, which contributes to a negative attitude toward this disorder and difficulties interacting with PNES patients. When working with PNES patients, clinicians often experience feelings of professional incompetency, frustration, and anxiety, which can negatively impact the clinician–patient relationship and treatment outcome. Recommendations to increase clinicians’ knowledge about PNES, promote more positive attitudes toward the disorder, and improve the clinician–patient relationship are provided.
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22

Spinner, Gary F., Jean R. Anderson, Joseph A. Church, Renata Arrington-Sanders, Aroonsiri Sangarlangkarn, Paul W. DenOuden, Madeline B. Deutsch i in. Issues in Specific Patient Populations. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190493097.003.0013.

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It is estimated that 61% of new HIV infections are transmitted by patients who have either dropped out of care or are not taking their medications. In order to improve patient adherence and retention-in-care, efforts to enhance trust in health care providers require a broader understanding of the diversity and cultures of many different groups of patients with HIV. Children, adolescents, women, older patients, transgender patients, incarcerated patients, homeless patients, and rural and migrant patients represent special populations the care of which requires cultural competency and awareness of their special needs. Becoming competent in developing a clinician–patient relationship across cultural differences is very important.
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Balboni, Michael J., i Tracy A. Balboni. The Frequency of Spiritual Care at the End of Life. Redaktorzy Michael J. Balboni i Tracy A. Balboni. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199325764.003.0004.

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Data suggest that clinicians infrequently provide spiritual care within life-threatening illness, at least within the perspective of patients’ accounts. Boston patients indicate that 13% of patient–nurse relationships and 6% of patient–physician relationships at any point in their clinical relationship entailed a spiritual care encounter. Nurses and physicians perceive spiritual care to be a more frequent occurrence. The gap in perception that exists may partially be due to underlying religious demographic differences between patients, nurses, and physicians. While most patients experience illness as a spiritual event, and there are notable medical outcomes and growing national guidelines calling for clinician spiritual care, by most accounts, including nurses and physicians, spiritual care seldom occurs. Questions arise regarding why physicians neglect or avoid providing spiritual care in serious illness.
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Peterson, Emily B., Megan J. Shen, Jennifer Gueguen Weber i Carma L. Bylund. Cancer patients’ use of the internet for cancer information and support. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198736134.003.0009.

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The rise of the internet has dramatically changed the way that patients seek cancer-related information, as well as how they discuss these topics with their healthcare providers. Patients’ increased access to web-acquired information has created a power shift in clinician–patient communication, which may either have a beneficial effect on the relationship (e.g. when patients engage in better shared decision-making) or a harmful effect (e.g. when patients directly challenge their provider’s opinions). This chapter first explores how patients utilize the internet both to acquire cancer-related health information and to seek social support through online forums and support groups. The chapter then draws from facework theories to better understand how clinicians and patients introduce, discuss, and evaluate internet information. The chapter concludes with suggested guidelines and exemplary statements to improve clinician–patient communication about health information found on the internet.
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Recupero, Patricia R. The Role of the Law and Legal Profession and Relationship to the Psychiatric Consultant. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199374656.003.0039.

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Understanding the roles of laws, regulations, and legal professionals is important to the successful practice of geriatric forensic psychiatry, as geriatric psychiatrists may be among the first clinicians to recognize an elderly person’s need for legal assistance. In working with attorneys, psychiatrists will find it helpful to gain a basic understanding of different aspects of elder law and the ethical obligations of attorneys. This chapter discusses professional ethical codes and rules that lawyers are held to and how these relate to working with the geriatric psychiatrist in assisting an elderly client. When working with an attorney or a court, the geriatric psychiatrist may serve as a consultant, expert witness, educator, or as the treating clinician for a patient involved in legal proceedings. Some degree of reciprocal education is often necessary: the physician can help the attorney learn about a client’s condition (such as its prognosis, treatment, and current or expected impact on cognition and functional status), and the attorney can help the physician to understand how different laws, regulations, or legal professionals may be helpful to the elderly patient or client.
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Walsh, David A. Contextual aspects of pain: why does the patient hurt? Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199668847.003.0014.

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The context in which osteoarthritis (OA) pain is experienced moderates and, to an extent, mediates its severity and impact. Context is both internal to the patient (e.g. genes, gender, age, comorbidities, psychological distress, and catastrophizing), and a consequence of external factors (e.g. social, healthcare, and work environment). Context influences how people report their pain, and also how the nervous system processes nociceptive information. Treatment contexts moderate and mediate therapeutic effectiveness, dependent on treatment expectations, beliefs, and risk evaluation. Uptake of treatments, both in primary and secondary care, is further influenced by the contexts in which they are offered. Understanding the nature and consequences of context helps explain heterogeneity between different people with OA pain, and opens avenues for potentially powerful interventions that could improve their quality of life. Context can be adjusted through the clinician–patient relationship and by targeting risk factors for poor outcome. Concurrent weight reduction, and psychological and physiotherapeutic interventions illustrate the use of combination therapy to address multiple contextual aspects of OA pain.
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Balboni, Michael J., i Tracy A. Balboni. Introduction. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199325764.003.0001.

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A spiritual sickness lies over American medicine. As an introduction to Hostility to Hospitality, this chapter depicts the sickness as a growing hostility within the patient–clinician relationship. Forms of this hostility are revealed by three paintings completed around the turn of the twentieth century that depict a depersonalizing relationship between patients and clinicians. The book’s motivation is to describe why spiritual care is avoided or neglected by clinicians within the context of serious illness and then to consider the large-scale cultural consequences of this divorce between medicine and spirituality/religion. In moving from empirical and sociological description to theological analysis and concluding with public policy considerations, the chapter proposes a new partnership model for medicine and spiritual traditions.
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Cherny, Nathan I., Batsheva Werman i Michael Kearney. Burnout, compassion fatigue, and moral distress in palliative care. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199656097.003.0416.

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Clinicians involved in the provision of palliative care constantly confront professional, emotional, and organizational challenges. These challenges can make clinicians vulnerable to experiencing one or more of three well-described interrelated syndromes-burnout, compassion fatigue, and moral distress-each of which can lower the threshold for the development of the others. Burnout results from stresses that arise from the clinician’s interaction with the work environment, compassion fatigue evolves specifically from the relationship between the clinician and the patient, and moral distress is related to situation in which clinicians are asked to carry our acts that run contrary to their moral compass. Clinicians who care for dying patients are at risk of all of these and it is vital that palliative care clinicians are aware of these potential problems and with strategies to mitigate risks and to manage them when they present either in their own individual lives or in the work environment.
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Balboni, Michael J., i Tracy A. Balboni. Why Medicine Should Resist Immanence. Redaktorzy Michael J. Balboni i Tracy A. Balboni. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199325764.003.0013.

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This chapter outlines four reasons why medicine should resist a spirituality of immanence as its chief love. First, this spirituality is incongruent with the beliefs of most American patients and their experience of serious illness. Second, a spirituality of immanence fails the test of religious pluralism, an essential characteristic of medicine in the twenty-first century. Third, this spirituality enables and encourages impersonal social forces, including bureaucracy, market forces, and the technological imperative, to affect how medicine is conceived, practiced, and experienced. Finally, immanence is creating a professional socialization with negative clinician outcomes, such as burnout. The argument especially focuses on the impact of immanence in creating conditions for impersonal medicine and its subsequent impact on clinician socialization. Apart from partnership with traditional religions, medicine is helpless to resist impersonal forces overtaking the patient–clinician relationship.
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Boudreau, J. Donald, Eric J. Cassell i Abraham Fuks. The Doctor–Patient Relationship. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780199370818.003.0005.

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The centrality of the doctor–patient relationship in medicine is highlighted. Its inalterable central feature is the complementarity of one who needs healing with the other whose function is to heal. Various taxonomies and models that have been proposed to describe this relationship are presented. It is suggested that the basis of the clinical relationship can be understood by considering the conceptual differences between a contract and a covenant. The point is made that there is no universally accepted gold standard for an ideal doctor–patient relationship; the relationship should accommodate differing personal values and beliefs. The nature of attentive listening, and its crucial role in establishing and maintaining a relationship, is discussed.
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Sheahan, Linda, i David W. Kissane. Denial and communication. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198736134.003.0016.

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Patients who appear not to acknowledge the diagnosis or severity of an illness may be ‘in denial’. Denial will be examined on a spectrum from maladaptive to beneficial outcomes, exploring how it functions within the palliative care setting. We consider when intervention is appropriate and how that intervention is best undertaken. Specific attention is given to the communication skills required for an effective clinical response to denial. Although the term ‘denial’ is an accepted part of the medical vernacular, it is used in a variety of clinical circumstances, with varying definitions and little consensus. This chapter establishes a pragmatic view of denial, explores how it functions within the clinician-patient relationship, and then demonstrates when intervention is appropriate and how that intervention is best undertaken. Specific attention will be given to the communication skills required for an effective clinical response to denial.
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Cheatle, Martin D., i Perry G. Fine. Facilitating Treatment Adherence in Pain Medicine. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190600075.003.0001.

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Almost daily, we seem to be witnessing astonishing innovations in diagnostic technologies and the development of novel therapeutics. In spite of these advancements and other time-tested interventions to mange the major diseases including intractable pain, patient nonadherence continues to undermine efforts to optimize individual and population health. The World Health Organization defines adherence as “The extent to which a person’s behavior taking medication, following a diet, and/or executing lifestyle changes, corresponds with agreed recommendations from a healthcare provider.” This definition implies that the patient-clinician relationship is based on a model of collaboration and patient-centeredness requiring time and resources which are scarce commodities in current practice. With these constraints in mind, acquiring skills to facilitate adherence to prescribed therapies and healthy lifestyle behaviors is critical to improving clinical outcomes.In this chapter we will review the evolution of the concept of adherence, the incidence of nonadherence, factors influencing adherence behavior and provider and nonprovider enhancement of adherence.
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Hoff, Timothy J. Doctor-Patient Relationships and Our Expectations. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780190626341.003.0001.

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Despite strong evidence over time of the clinical, psychological, and emotional benefits of strong doctor-patient relationships, these relationships are transforming quickly due to a “new normal” within health care delivery of de-emphasizing patient contact with the physician; using disruptive innovations that emphasize transactional speed and convenience in service delivery; and pressures exerted by external forces like the overuse of performance metrics. Strong doctor-patient relationships are characterized by dyadic interactions over time that feature high degrees of trust, empathy, listening, and emotional support. As the notion of “relationship” in health care moves from doctor-patient to organization-patient, it is important to gain insights about the present and future of relational care through the voices of doctors and patients describing their interactional experiences, and how these experiences shape their thinking and behavior with respect to each other.
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Scharer, Kathleen Mary. NURSE-PATIENT RELATIONSHIPS IN CHILD PSYCHIATRIC UNITS (MILIEU THERAPY). 1996.

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Snead, O. Carter, i Michael P. Moreland. Law, Religion, and the Physician-Patient Relationship. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190272432.003.0018.

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This essay explores a range of legal and moral issues regarding the role of conscience in medicine. In Part One, we survey some of the leading recent contributions to the debate over physician conscience, both those arguing against such claims of conscience by physicians and those arguing for a broad protection for a physician’s refusal to participate in or perform certain procedures. Second, we address the legal issues surrounding claims based on a physician’s conscientious objection or other forms of religious expression in medical practice. Such claims are at the intersection of two lines of cases, statutes, and regulations in current law: informed consent in medicine and freedom of religion. In the final part of this essay, we briefly argue for a broad space for a physician’s religious or moral beliefs in the clinical setting by drawing on the work of Alasdair MacIntyre on moral fragmentation.
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Shelp, E. E. The Clinical Encounter: The Moral Fabric of the Patient-Physician Relationship. Ingramcontent, 2012.

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The Clinical Encounter: The Moral Fabric of the Patient-Physician Relationship. Springer, 2012.

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Norcross, John C., i Michael J. Lambert, red. Psychotherapy Relationships that Work. Oxford University Press, 2019. http://dx.doi.org/10.1093/med-psych/9780190843953.001.0001.

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Psychotherapy Relationships That Work is the definitive, evidence-based book on the topic: Volume 1 contains 16 chapters that address what works in general and Volume 2 consists of 11 chapters that address what works for particular patients. Each chapter presents definitions, clinical examples, landmark studies, comprehensive meta-analyses, diversity considerations, training implications, and ends with bulleted clinical practices. The third edition is a compelling synthesis of best available research, clinical expertise, and patient values that underscores the power of the therapist-client connection.
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Norcross, John C., i Bruce E. Wampold, red. Psychotherapy Relationships that Work. Oxford University Press, 2019. http://dx.doi.org/10.1093/med-psych/9780190843960.001.0001.

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Psychotherapy Relationships That Work is the definitive, evidence-based book on the psychotherapy relationship: what works in general (Volume 1) and what works for particular patients (Volume 2). Each chapter presents definitions, clinical examples, landmark studies, comprehensive meta-analyses, diversity considerations, and training implications and ends with bulleted clinical practices. The third edition of the classic Psychotherapy Relationships That Work features expanded coverage and updated reviews with an enhanced practice focus. The result is a compelling synthesis of best available research, clinical expertise, and patient values that underscores the power of the therapist-client connection.
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Balboni, Tracy A., i Michael J. Balboni. Religion and Spirituality in Palliative Medicine. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190272432.003.0010.

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The chapter outlines the state of the science in religion/spirituality within advanced illness. Research indicates that most patients hold religion/spirituality to play an important role in advanced illness; benefits include improved pain tolerance and better quality of life. A few prospective studies indicate that dimensions of religious coping and spiritual support from medical and religious communties are assocated with notable medical outcomes in the final week of life. Research suggests that most patients have multiple spiritual needs that arise within life-threatening illness, and that most patients and clinicians believe it is appropriate for clinicians to address patient religion/spirituality. Clinicians should begin by taking a short spiritual history and by assessing this dimension of illness, especially in its clinical relevance to decision-making and quality of life. Training of clinicians remains a critical need within the field. Conditions for engaging in these complex relationships include religious/spiritual concordance and establishing a physician-patient relationship.
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Balboni, Michael J., i Tracy A. Balboni. From Hostility to Hospitality. Redaktorzy Michael J. Balboni i Tracy A. Balboni. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199325764.003.0016.

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Many will resist structural pluralism for medicine out of concern that it will lead to greater fragmentation. Though acknowledging this worry, the major spiritual traditions, from Abrahamic to humanist, are unified around three fundamental values including the centrality of the patient, critical incorporation of knowledge from the empirical sciences, and the value of hospitality. It is especially the value of hospitality, an individual and collective practice in which the ill stranger in need is graciously received, that links many traditions in why care for the sick is a central human value. The internal logic of hospitality remains the most powerful way of conceiving the patient–clinician relationship in terms of host and guest. When supported by spiritual traditions, hospitality is a concept that offers both language and perceptions, not only powerful enough to unite medicine despite structural pluralism, but uniquely able to counter the impersonal forces overtaking medicine.
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42

Berckman, Katherine Finney. RELATIONSHIPS AMONG CAUSAL ATTRIBUTION, PERCEIVED CONTROL AND ADJUSTMENT IN PATIENTS WITH LUNG CANCER. 1987.

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43

Watson, Maggie, i David Kissane, red. Sexual Health, Fertility, and Relationships in Cancer Care. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190934033.001.0001.

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This book, from the International Psycho-oncology Society, is the second in a series of Companion Guides for Clinicians. The series editors identified a need for a guide to focus on the impact of cancer and oncology treatments on sexual health, fertility, and relationships. This brief manual takes a psycho-oncology perspective, placing the emotional, behavioral, and social elements at the center of the topics covered in the chapters. The aim is to describe approaches and treatments that cancer clinicians, mental health professionals, psycho-oncologists in training, and allied psychosocial oncology professionals can use. It emphasizes the importance of multidisciplinary care. The guide is not intended to replace national clinical guidelines and policies but gives a more generic international overview of factors that need to be considered when dealing with these issues in cancer patients along the treatment trajectory. Topics include management of sexual health, onco-fertility care, and relationship issues. The manual covers standards of good practice across all cancer patients, as well as focusing on the needs of individuals, couples, young people, and LGBT+ groups in a pragmatic format for use in everyday practice. Assessment methods are covered, alongside psychological treatments, encompassing a range of patient ages and cancer types. Policies and service, legal, ethical, confidentiality, and communication issues are covered. This manual can be used for quick reference. This will suit oncology professionals who decide to look further into a topic on a case-by-case or problem-focused basis as they undertake clinical work.
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Finn, Robert, i Linda Lamb. Cancer Clinical Trials (Patient-Centered Guides). Patient Centered Guides, 1999.

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45

Krauter, Cheryl. Psychosocial Care of Cancer Survivors. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190636364.001.0001.

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Psychosocial Care of Cancer Survivors: A Clinician’s Guide and Workbook for Providing Wholehearted Care is a clinical resource written for healthcare practitioners with the goal of helping them enhance communication with both patients and colleagues. It addresses questions of how to bring a humanistic approach and quality attention to the growing needs of patients in the post-treatment phase of a cancer diagnosis. As a workbook, it is both a guide and an applicable resource for daily clinical practice. It provides a needed structure for clinicians to help them reconnect with the meaningful aspects of their work. Part I focuses on skillful means for providing humanistic, person-centered care. Part II offers clinicians pragmatic structures and methods they can start using with patients right away and provides a humanistic clinical framework that benefits them both personally and professionally: clinical skills vital to forming healing clinical relationships (e.g., the four C’s of communication: communication, curiosity, concern, conversation; communication tools to enhance effective collaboration, such as personal and professional boundaries, the essentials of a healing relationship, stages of the clinical interview, collegial collaboration; exercises designed for personal reflection and the implementation of the clinical skills and communication tools mentioned; and useful practices and solutions to increase the efficacy of and satisfaction with their work.
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Gopichandran, Vijayaprasad. Dynamics of Trust in Doctor-Patient Relationship in India: A Clinical, Social and Ethical Analysis. Springer, 2019.

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The Therapeutic Relationship: Listening and Responding in a Multicultural World (Developments in Clinical Psychology). Praeger Publishers, 2003.

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Balboni, Michael, i John Peteet, red. Spirituality and Religion Within the Culture of Medicine. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190272432.001.0001.

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This book provides a comprehensive evaluation of the relationship between spirituality, religion, and medicine evaluating current empirical research and academic scholarship. In Part 1, the book examines the relationship of religion, spirituality, and the practice of medicine by assessing the strengths and weaknesses of the most recent empirical research of religion/spirituality within twelve distinct fields of medicine including pediatrics, psychiatry, internal medicine, surgery, palliative care, and medical ethics. Written by leading clinician researchers in their fields, contributors provide case examples and highlight best practices when engaging religion/spirituality within clinical practice. This is the first collection that assesses how the medical context interacts with patient spirituality recognizing crucial differences between contexts from obstetrics and family medicine, to nursing, to gerontology and the ICU. Recognizing the interdisciplinary aspects of spirituality, religion, and health, Part 2 of the book turns to academic scholarship outside the field of medicine to consider cultural dimensions that form clinical practice. Social-scientific, practical, and humanity fields include psychology, sociology, anthropology, law, history, philosophy, and theology. This is the first time in a single volume that readers can reflect on these multi-dimensional, complex issues with contributions from leading scholars. In Part III, the book concludes with a synthesis, identifying the best studies in the field of religion and health, ongoing weaknesses in research, and highlighting what can be confidently believed based on prior studies. The synthesis also considers relations between the empirical literature on religion and health and the theological and religious traditions, discussing places of convergence and tension, as well as remaining open questions for further reflection and research.
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Steinberg, Martin, i Paul B. Rosenberg. Cognitive Impairment and Depression in Older Patients. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199959549.001.0001.

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Depression, mild cognitive impairment (MCI) and dementia in the elderly can present with similar features such as cognitive complaints, loss of initiative, and difficulties with psychosocial functioning. These can be difficult to distinguish in the office setting, especially when mild in severity. The relationships between the three syndromes remains incompletely understood. Patients with MCI are at high risk for conversion to dementia. Depression may be either a risk factor for or early manifestation of MCI. Depression in late life is associated with Alzheimer’s disease (AD) and other dementias, but the causal relationship remains controversial. Depression may also increase the risk of conversion from MCI to dementia and be more strongly associated with conversion to Vascular dementia (VaD) than to AD. This book will provide guidance to clinicians in the diagnosis and management of these complex conditions in the office setting.
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Walsh, Joseph. Clinical Case Management with Persons Having Mental Illness: A Relationship-Based Perspective. Wadsworth Publishing, 1999.

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