Psychology 2036A/B Lecture 4: Lecture 4

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Quality of relationship with physician is an important factor in peoples decisions to use medical services. Basic models of interaction (szasz and hollender, 1956) 1. their care or make decisions because of their medical condition. Active-passive model situation in which patients are unable to participate in: doctors make decisions on their behalf o. Guidance-cooperation model communication in which the patient seeks advice. 2. from the physician and answers the questions that are asked, but the physician is responsible for determining the diagnosis and treatment: physician is responsible for thinking and decision making o. Mutual participation the patient and physician make joint decisions about. Narrowly biomedical biomedical talk only, closed-ended medical questions and. Expanded biomedical biomedical talk with moderate levels of psychosocial. 3. involved in any given state of health or illness. Biopsychosocial suggests that biological, psychological and social factors are all. Psychosocial substantial psychosocial exchange between physician and patient.

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