LinkedIn

 آمار

تعداد نشریات20
تعداد شماره‌ها1,095
تعداد مقالات10,041
تعداد مشاهده مقاله27,983,912
تعداد دریافت فایل اصل مقاله7,796,500
Sadati, Ahmad, Lankarani, Kamran, Enayat, Halimeh, Kazerooni, Akbar, Ebrahimzadeh, Sara. (1393). Clinical Paternalistic Model and Problematic Situation: A Critical Evaluation of Clinical Counseling. سامانه مدیریت نشریات علمی, 2(2), 78-87.
Ahmad Kalateh Sadati; Kamran Bagheri Lankarani; Halimeh Enayat; Akbar Rasekhi Kazerooni; Sara Ebrahimzadeh. "Clinical Paternalistic Model and Problematic Situation: A Critical Evaluation of Clinical Counseling". سامانه مدیریت نشریات علمی, 2, 2, 1393, 78-87.
Sadati, Ahmad, Lankarani, Kamran, Enayat, Halimeh, Kazerooni, Akbar, Ebrahimzadeh, Sara. (1393). 'Clinical Paternalistic Model and Problematic Situation: A Critical Evaluation of Clinical Counseling', سامانه مدیریت نشریات علمی, 2(2), pp. 78-87.
Sadati, Ahmad, Lankarani, Kamran, Enayat, Halimeh, Kazerooni, Akbar, Ebrahimzadeh, Sara. Clinical Paternalistic Model and Problematic Situation: A Critical Evaluation of Clinical Counseling. سامانه مدیریت نشریات علمی, 1393; 2(2): 78-87.

Clinical Paternalistic Model and Problematic Situation: A Critical Evaluation of Clinical Counseling

Journal of Health Sciences & Surveillance System
مقاله 6، دوره 2، شماره 2، تیر 2014، صفحه 78-87    اصل مقاله (488.82 K)
نوع مقاله: Original Articles
نویسندگان
Ahmad Kalateh Sadati* 1؛ Kamran Bagheri Lankarani2؛ Halimeh Enayat3؛ Akbar Rasekhi Kazerooni4؛ Sara Ebrahimzadeh5
1Health Policy Research Center (HPRC), Shiraz University of Medical Science, Shiraz, Iran; Department of Sociology and Social Planning, College of Economics, Management, and Social Sciences, Shiraz, Iran;
2Health Policy Research Center (HPRC), Shiraz University of Medical Science, Shiraz, Iran;
3Department of Sociology and Social Planning, College of Economics, Management, and Social Sciences, Shiraz, Iran;
4Department of Internal Medicine, Shiraz University of Medical Science, Shiraz, Iran;
5Department of Clinical Psychology, Islamic Azad University Fars Science and Research Branch, Marvdasht, Iran
چکیده
Background: Many of health system services are done in clinical counseling. A patient’s expectation of clinical consultation and physician office visits is to obtain diagnostic-remedial results, while such an expectation can be fulfilled only through an active relationship between the doctor and the patient. The aim of this study is to evaluate the quality of doctor- patient interaction in an educational clinic in southern Iran. Methods: This is a conversation analysis based on critical approach. So, 33 clinical consultations were analyzed critically. Results: Results showed that paternalistic model is the overall pattern in consultations. This leads to limitation of the patients’ opportunity to participate in their diagnosis and treatment. Powers’ asymmetrical relations lead to conditions in which physicians determine the clinical counseling process. Also, physicians determine the subject of consultation in the counseling period. In this situation, the patients’ concerns were ignored. This ignorance leads to the patients’ suppression in problematic situations. The main point is that the clinical counseling occurs in one general contract that is unwritten but has been known for the two sides of interaction. Conclusion: Clinical counseling can be an active consultation when it included the symmetrical distribution of power and the patient has an active participation in the consultation. Therefore, the new patient-centered approaches can be an appropriate model for access to a type of consultation based on symmetrical power distribution between physician and patient.
کلیدواژه‌ها
Doctor- patient interaction؛ Paternalism؛ Problematic situation؛ Suppression
مراجع
  1. Cordella M. The Dynamic Consultation A discourse
  2. analytical study of doctor–patient relation. Amsterdam:
  3. John Benjamins Publishing Company; 2004.
  4. Parsons T. The Social System. England: Routledge;
  6. Turner, BH. Introduction. In The Social System.
  7. England: Routledge; 1991.
  8. Armstrong, D. Bodies of Knowledge/Knowledge of
  9. Bodies. In Jones, C. and Porter, R. (eds) Reassessing
  10. Foucault. Power, medicine and the body, London:
  11. Routledge;1994:17-27.
  12. Driver, F. Bodies in Space: Foucault’s Account of
  13. Disciplinary Power. Bodies. In Jones, C. and Porter,
  14. R. (eds) Reassessing Foucault. Power, medicine and the
  15. body. London: Routledge; 1994: 113- 131.
  16. Foucault M. The Birth of the Clinic. An Archeology
  17. of Medical Perception. Sheridan AM (translate). UK:
  18. Tavistock Publications Limited; 1973.
  19. McGowen, R. Power and Humanity, or Foucault Among
  20. the Historians. In Jones, C. and Porter, R. Reassessing
  21. Foucault. Power, medicine and the body. London:
  22. Routledg; 1994: 91-112.
  23. Habermas, J. Theory of Communicative Action, Vol. 2.
  24. Lifeworld and System. Cambridge: Polity Press; 1978.
  25. Scambler, G. Habermas a nd t he Power of M edical
  26. Experties. In Scambler, G. (eds) Medical Sociology.
  27. Major Themes in Health and Social Welfare. USA:
  28. Routledge; 2005: 138-162.
  29. Scambler, G. and Britten, N. System, lifeworld and
  30. doctor–patient interaction Issues of trust in a changing
  31. world. In Scambler, G. (eds) Habermas, critical theory
  32. and Health. London: Routledge; 2001: 45-67.
  33. Powers, P. The Philosophical Foundations of Foucaultian
  34. Discourse Analysis. Critical Approaches to Discourse
  35. Analysis across Disciplines 2007; 1(2): 18-34.
  36. Barry ChA, Stevenson FA, Britten N, Bradley CP.
  37. Giving voice to the lifeworld. More humane, more
  38. effective medical care? A qualitative study of doctor–
  39. patient relation in general practice. Soc Sci Med 2001;
  40. : 487–505.
  41. Fairclough N. Discourse and Social Changes. USA:
  42. Polity Press; 1992.
  43. Kralova P. Power Relations in doctor- patient relation.
  44. Kamenice: Masaryk University; 2012 [cited: 2013 Aug
  45. . available from: http://is.muni.cz/th/361459/ff_b/
  46. Thesis.pdf.
  47. Islam G, Zyphur M. Ways of interacting: The
  48. standardization of relation in medical training. Hum
  49. Relat 2007; 6(5): 769-92.
  50. Mishler, GE. The Discourse of Medicine: dialectics
  51. of medical interviews. Norwood, New Jersey: Ablex
  52. Publishing Company; 1984.
  53. Heritage and myard
  54. American Sociological Association. Code of Ethics
  55. and Policies and Procedures of the ASA Committee
  56. on Professional Ethics. 1997 [updated 2008 May 10;
  57. cited: 2014 Jan 1]. Available from: http://www.asanet.
  58. org/images/asa/docs/pdf/Ethics%20Code.pdf
  59. Wells K. Narrative Inquiry. USA: Oxford University
  60. Press; 2011.
  61. Gee, JP. An Introduction to Discourse Analysis, Theory
  62. and Method. Third Edition. New York: Routledge; 2010.
  63. Emanuel JE, Emanuel LL. Four Model of the Physicianpatient
  64. relationship. Am J Med Sci 1992; 267(16): 5-13.
  65. Merriam- webster online dictionary. Marginalize.
  66. [cited: 2014 22 May] Available from: http://www.
  67. merriam-webster.com/dictionary/marginalize
  68. McKinney, J. PTSD Patients Marginalized by the
  69. Current Healthcare System. 2012. Available from:
  70. http://www.thomhartmann.com/users/johnmckinney/
  71. blog/2012/11/ptsd-patients-marginalized-currenthealthcare-
  72. system-11122012.
  73. Atkinson, P. M edical Talk a nd M edical Work.
  74. London: S age p ub; 1995.
  75. Bensing, J. Bridging the gap. The separate worlds
  76. of Evidence-based medicine and p atient-centered
  77. medicine. Patient Educ Couns 2000; 39: 17-25.
  78. Forman, H. Nursing Leadership For Patient-Centered
  79. Care. Authenticity Presence Intuition Expertise. New
  80. York: Springer Publishing Company; 2011.
  81. Mengel, MB. The Systemic Patient-Centered Method.
  82. Introduction to Clinical Skills : A Patient-centered
  83. Textbook. Mengel, MB, Scott, AF (eds). Plenum Press;
  85. Watson, J., Frampton, SB. Human Interactions and
  86. Relationship – centered Caring. Putting Patients
  87. First. Best Practices in Patient-Centered Care. Second
  88. Edition. Editors Frampton, SB. and Charmel PA; 2009.
  89. Pendleton D, Schofield Th, Tate P, Havelock P. The New
  90. Consultation Developing doctor–patient communication.
  91. New York: Oxford University press; 2003.
  92. Sadati AK, Iman MT, Lankarani KB. Medical
  93. Paraclinical Standards, Political Economy of Clinic,
  94. and Patients’ Clinical Dependency; A Critical
  95. Conversation Analysis of Clinical Counseling in South
  96. of Iran. IJCBNM 2014; 2(3): 157-68.
آمار
تعداد مشاهده مقاله: 2,105
تعداد دریافت فایل اصل مقاله: 411


سامانه مدیریت نشریات علمی. قدرت گرفته از سیناوب