 "Award-Wining Finalist in the Medical Reference category 2006 Book Awards, USA Book News." |
Trust in a Medical Setting. Hauppauge, NY: Novinka Books, Nova Science Publishers, 2006.Experience dealing with a host of difficult to impossible situations may help others in their encounters with these difficult and distrusting patients. Individuals covered in this case make up only a small per cent of patients and family members, probably less than 5 per cent, but take up 90 per cent of energy in coping with day-to-day conflicts that arise from their behavior. Most people are reasonable and able to trust most of the time, but those individuals who are outliers, three or four standard deviations off the norm of human behavior, under the stress of illness, require an extraordinary amount of time and energy from an already stressed staff. We must cope with the distrustful, but we seldom talk about these difficult, distrustful and sometimes threatening individuals amongst ourselves; rather we suffer and endure them unnecessarily by ourselves. The problem is timeless as recorded in the world’s literature. Broad categories and a general outline are presented, acknowledging that many exceptions arise. Some exhibit multiple aspects of distrust. It’s the Law of the Jungle brought to the bedside. Out of the wreckage of human behavior comes valued experience leading to maneuvers and tactics of survival that are appropriate to almost all aspects and settings of human interaction: schools, families, teams, corporations, etc. To those who find my descriptions and experience meliorative to their daily coping with the difficult and distrustful, I say hurrah! For those who don’t, I say good luck, anyway. Contents: Preface Chapter 1 Shock to the System Introduction A Shock to the System The Two Most Difficult, the Bimodal Society The Socio-Economically Advantaged: The Sick Sybarite Syndrome The Socio-Economically Disadvantaged, Medicaid Mom’s List Sign of the Yellow Tablet Chapter 2. Complaints The Complainer The Complaint The Angry, Upset Complainer The Help Rejecting Complainer The Habitual Complainer The ‘Why’ Question Chapter 3. Confrontation. Street Fight Intimidation The Hateful Patient Virulent Visitor. The Schmoo Enigma Managed Care Monster Telephone Terrorist Bad News Chapter 4. Big Shots Angry Relative from Out of Town. The Neglected Parent Constellation The Big Shot From Out of Town (BSFOT) The Famous Person Constant The Machiavelli Principle: Toxic Health Care Professional Chapter 5. Passive Distrust The Guilt / Thanks Anyway, Doc Splitters and Squatters The Alternative Medicine Parry The Absolutist Chapter 6. Futility “You’re the Doctor.” Bounded Rationality-Informed Consent Personality Conflict The Dooney Bourke Boundary Disgust Leads to Distrust Pillar to Post: from the borderline and beyond. Chapter 7. Rehab Milieu Lucy’s Hair Cats and Dogs: Homesickness Crisis at 7 to 10 days: Italian Prozac Family in Crisis “She’s a Fighter” The Vanishing Family Chapter 8. Physicians and Conflict Physicians and Conflict Fear “My Former Doctor” “If you want to be my doctor!” Flattery “And How Are You, Doctor?” Chapter 9. Conclusions The Socially Inept Ray Charles: “The Snake.” A Word For It: Rebarbative Additional Guidelines Conclusion |
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