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    Professional-patient communication in the treatment of mental illness: a review. 
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    Professional-patient communication in the treatment of mental illness: a review.

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    Published Version (129.5Kb)
    Volume
    4
    Pagination
    141 - 152
    DOI
    10.1515/CAM.2007.018
    Journal
    Commun Med
    Issue
    2
    ISSN
    1612-1783
    Metadata
    Show full item record
    Abstract
    The quality of the professional-patient relationship in the treatment of mental illness predicts patient outcome. Hence, we conducted a review of recorded professional-patient communication to identify existing research, methods, and findings. Sixteen studies focused on (i) how psychiatric symptoms are manifested in patient communication; (ii) the role of therapist communication in patient improvement; (iii) the influence of sociodemographic characteristics on doctor-patient communication; and (iv) how patients and professionals jointly construct therapeutic interactions. The findings were disparate and included (a) patient nonverbal communication is impaired in depression and schizophrenia; (b) the use of specific therapeutic skills led to improvement in depression; high expressed emotion (criticism and emotional over-involvement) in treating schizophrenia was a state rather than trait characteristic of therapists; (c) patient gender, income, and education influenced communication about depression, anxiety, and medication; and (d) psychiatrists' varying institutional agendas, which sometimes competed with patients' agendas, strongly shaped their consultations. Few studies investigated two-way professional-patient communication, with most focusing on either patient or therapist communication in isolation from the other. Finally, methodological advances in linking communication processes with treatment outcomes in large-scale observational studies and trials are a challenge for research on medical communication.
    Authors
    Hassan, I; McCabe, R; Priebe, S
    URI
    http://qmro.qmul.ac.uk/xmlui/handle/123456789/755
    Collections
    • Centre for Primary Care and Public Health [1477]
    Language
    eng
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    © 2011–2017 by Walter de Gruyter GmbH
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