Exploring patient beliefs. Steps to enhancing physician-patient interaction.

Most physicians are skilled at collecting medical information important for clinical diagnosis. However, they obtain less information about the attitudes and beliefs patients have about their illnesses. Patients' beliefs determine their responses to an illness and the strategies they use for coping with it. Without knowing those beliefs, physicians may find themselves and their patients frustrated by misunderstandings and differing agenda. Beliefs can be explored fairly simply by careful listening and a few directed questions. Once recognized, they can be modified or incorporated into joint approaches to treatment. Learning patients' beliefs is an important early step in developing the physician-patient relationship.

[1]  M. Liang,et al.  Psychological care of adults with rheumatoid arthritis. , 1982, Annals of internal medicine.

[2]  P. S. Jensen,et al.  The doctor-patient relationship: headed for impasse or improvement? , 1981, Annals of internal medicine.

[3]  A. Barsky,et al.  Hidden reasons some patients visit doctors. , 1981, Annals of internal medicine.

[4]  D. Brody,et al.  The patient's role in clinical decision-making. , 1980, Annals of internal medicine.

[5]  D. Brody Physician recognition of behavioral, psychological, and social aspects of medical care. , 1980, Archives of internal medicine.

[6]  F. Platt,et al.  Clinical Hypocompetence: The Interview , 1979 .

[7]  A. Barsky Patients who amplify bodily sensations. , 1979, Annals of internal medicine.

[8]  J. E. Groves Taking care of the hateful patient. , 1978, The New England journal of medicine.

[9]  M. A. Benarde,et al.  Patient-physician negotiation. , 1978, JAMA.

[10]  D. C. Barnlund The mystification of meaning: doctor-patient encounters. , 1976, Journal of medical education.

[11]  M. Becker The Health Belief Model and Sick Role Behavior* , 1974 .

[12]  M. Wadsworth Health and sickness: the choice of treatment. , 1974, Journal of psychosomatic research.

[13]  L. F. Snow Folk medical beliefs and their implications for care of patients. A review bases on studies among black Americans. , 1974, Annals of internal medicine.

[14]  D. Mechanic Social psychologic factors affecting the presentation of bodily complaints. , 1972, The New England journal of medicine.

[15]  T. Szasz,et al.  A contribution to the philosophy of medicine; the basic models of the doctor-patient relationship. , 1956, A.M.A. archives of internal medicine.

[16]  A. Barsky,et al.  Attributions: Uses of Social Science Knowledge in the ‘Doctoring’ of Primary Care , 1981 .

[17]  L. Eisenberg Interfaces between medicine and psychiatry. , 1979, Comprehensive psychiatry.

[18]  A. Kleinman,et al.  Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research. , 1978, Annals of internal medicine.