Communication et surdité en médecine générale

Communication et surdité en médecine générale PDF Author: Ilhame Assyadi
Publisher:
ISBN:
Category :
Languages : fr
Pages : 162

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Book Description
OBJECTIFS : évaluer les compétences des médecins généralistes en communication dans une situation de handicap partagée. MÉTHODE : enquête par questionnaire auprès d’un panel de 47 sourds signants en Île-de-France de mars 2009 à décembre 2009, explorant la compétence en communication du médecin traitant lors de la dernière consultation au travers des tâches telles qu’elles sont décrites dans la grille de Calgary Cambridge. RESULTATS : Les pratiques communicationnelles étaient majoritairement verbales pour les sourds et les médecins, par contre les sourds mobilisaient des stratégies non verbales 3 fois plus que les médecins. 82,3% des personnes interrogées estimaient que le médecin adaptait sa communication en fonction de leur surdité : maintien du contact visuel (64%), recours à la patience (48,7%), vérification de la compréhension (41%), bonne articulation labiale (43,6%), simplification des écrits (35,9%). Les stratégies de reformulation étaient très peu utilisées (12,8%), de même que les supports visuels (5%). Globalement, les personnes avaient estimé comprendre les explications données sur le diagnostic (90%), le traitement (89,7%) et les examens complémentaires (85,7), mais peu de résumés étaient mentionnés en fin de consultation (30,9%). Les critiques portaient principalement sur le manque d'intégration dans la prise de décision les concernant (61,6%), le manque de respect du droit à l'information (54,4%) et l'utilisation importante du jargon médical (44,4%). CONCLUSION : Les personnes sourdes estimaient être satisfaites de la relation et de la consultation. Mais 30 % d'entre eux étaient insatisfaits de la communication établie avec leur médecin.

Communication et surdité en médecine générale

Communication et surdité en médecine générale PDF Author: Ilhame Assyadi
Publisher:
ISBN:
Category :
Languages : fr
Pages : 162

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Book Description
OBJECTIFS : évaluer les compétences des médecins généralistes en communication dans une situation de handicap partagée. MÉTHODE : enquête par questionnaire auprès d’un panel de 47 sourds signants en Île-de-France de mars 2009 à décembre 2009, explorant la compétence en communication du médecin traitant lors de la dernière consultation au travers des tâches telles qu’elles sont décrites dans la grille de Calgary Cambridge. RESULTATS : Les pratiques communicationnelles étaient majoritairement verbales pour les sourds et les médecins, par contre les sourds mobilisaient des stratégies non verbales 3 fois plus que les médecins. 82,3% des personnes interrogées estimaient que le médecin adaptait sa communication en fonction de leur surdité : maintien du contact visuel (64%), recours à la patience (48,7%), vérification de la compréhension (41%), bonne articulation labiale (43,6%), simplification des écrits (35,9%). Les stratégies de reformulation étaient très peu utilisées (12,8%), de même que les supports visuels (5%). Globalement, les personnes avaient estimé comprendre les explications données sur le diagnostic (90%), le traitement (89,7%) et les examens complémentaires (85,7), mais peu de résumés étaient mentionnés en fin de consultation (30,9%). Les critiques portaient principalement sur le manque d'intégration dans la prise de décision les concernant (61,6%), le manque de respect du droit à l'information (54,4%) et l'utilisation importante du jargon médical (44,4%). CONCLUSION : Les personnes sourdes estimaient être satisfaites de la relation et de la consultation. Mais 30 % d'entre eux étaient insatisfaits de la communication établie avec leur médecin.

La communication non-verbale dans la consultation médicale

La communication non-verbale dans la consultation médicale PDF Author: Denis Graf
Publisher:
ISBN:
Category :
Languages : fr
Pages : 236

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Book Description


Français Interactif

Français Interactif PDF Author: Karen Kelton
Publisher:
ISBN: 9781937963200
Category :
Languages : en
Pages :

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Book Description
This textbook includes all 13 chapters of Français interactif. It accompanies www.laits.utexas.edu/fi, the web-based French program developed and in use at the University of Texas since 2004, and its companion site, Tex's French Grammar (2000) www.laits.utexas.edu/tex/ Français interactif is an open acess site, a free and open multimedia resources, which requires neither password nor fees. Français interactif has been funded and created by Liberal Arts Instructional Technology Services at the University of Texas, and is currently supported by COERLL, the Center for Open Educational Resources and Language Learning UT-Austin, and the U.S. Department of Education Fund for the Improvement of Post-Secondary Education (FIPSE Grant P116B070251) as an example of the open access initiative.

Cultural Consultation

Cultural Consultation PDF Author: Laurence J. Kirmayer
Publisher: Springer Science & Business Media
ISBN: 1461476151
Category : Psychology
Languages : en
Pages : 365

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Book Description
Based on a recently completed project of cultural consultation in Montreal, Cultural Consultation presents a model of multicultural and applicable health care. This model used clinicians and consultants to provide in-depth assessment, treatment planning, and limited interventions in consultation with frontline primary care and mental health practitioners working with immigrants, refugees, and members of indigenous and ethnocultural communities. Evaluation of the service has demonstrated that focused interventions by consultants familiar with patients’ cultural backgrounds could improve the relationship between the patient and the primary clinician. This volume presents models for intercultural work in psychiatry and psychology in primary care, general hospital and specialty mental health settings. The editors highlight crucial topics such as: - Discussing the social context of intercultural mental health care, conceptual models of the role of culture in psychopathology and healing, and the development of a cultural consultation service and a specialized cultural psychiatric service - Examining the process of intercultural work more closely with particular emphasis oto strategies of consultation, the identity of the clinician, the ways in which gender and culture position the clinician, and interaction of the consultant with family systems and larger institutions - Highlighting special situations that may place specific demands on the clinician: working with refugees and survivors of torture or political violence, with separated families, and with patients with psychotic episodes This book is of valuable use to mental health practitioners who are working in multidisciplinary settings who seek to understand cultural difference in complex cases. Psychiatrists, psychologists, social workers, nurse practitioners, primary care providers and trainees in these disciplines will make thorough use of the material covered in this text.

Theory and Cases in School-Based Consultation

Theory and Cases in School-Based Consultation PDF Author: Laura M. Crothers
Publisher: Routledge
ISBN: 1135893780
Category : Education
Languages : en
Pages : 267

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Book Description
This casebook provides an applied perspective regarding school-based consultation, including an overview of mental health consultation, behavioral consultation, social learning theory consultation, Adlerian consultation, and ecological/organizational consultation. Along with relevant discussion of the issues in each case study, critical thinking questions are included for discussion among students and educators regarding school-based consultation. This text includes many more and diverse case examples than the competing casebooks available, and is designed to be used in conjunction with any of the established primary texts in Consultation. School-Based mental health professionals, educators, and graduate students will find Theory and Cases in School-Based Consultation an indispensable guide in their work and study.

Your Mindful Compass

Your Mindful Compass PDF Author: Andrea Maloney Schara
Publisher:
ISBN: 9780615928791
Category : Families
Languages : en
Pages : 318

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Book Description
"Your Mindful Compass" takes us behind the emotional curtain to see the mechanisms regulating individuals in social systems. There is great comfort and wisdom in knowing we can increase our awareness to manage the swift and ancient mechanisms of social control. We can gain greater flexibility by seeing how social controls work in systems from ants to humans. To be less controlled by others, we learn how emotional systems influence our relationship-oriented brain. People want to know what goes on in families that give rise to amazing leaders and/or terrorists. For the first time in history we can understand the systems in which we live. The social sciences have been accumulating knowledge since the early fifties as to how we are regulated by others. S. Milgram, S. Ashe, P. Zimbardo and J. Calhoun, detail the vulnerability to being duped and deceived and the difficulty of cooperating when values differ. Murray Bowen, M.D., the first researcher to observe several live-in families, for up to three years, at the National Institute of Mental Health. Describing how family members overly influence one another and distribute stress unevenly, Bowen described both how symptoms and family leaders emerge in highly stressed families. Our brain is not organized to automatically perceive that each family has an emotional system, fine-tuned by evolution and "valuing" its survival as a whole, as much as the survival of any individual. It is easier to see this emotional system function in ants or mice but not in humans. The emotional system is organized to snooker us humans: encouraging us to take sides, run away from others, to pressure others, to get sick, to blame others, and to have great difficulty in seeing our part in problems. It is hard to see that we become anxious, stressed out and even that we are difficult to deal with. But "thinking systems" can open the doors of perception, allowing us to experience the world in a different way. This book offers both coaching ideas and stories from leaders as to strategies to break out from social control by de-triangling, using paradoxes, reversals and other types of interruptions of highly linked emotional processes. Time is needed to think clearly about the automatic nature of the two against one triangle. Time and experience is required as we learn strategies to put two people together and get self outside the control of the system. In addition, it takes time to clarify and define one's principles, to know what "I" will or will not do and to be able to take a stand with others with whom we are very involved. The good news is that systems' thinking is possible for anyone. It is always possible for an individual to understand feelings and to integrate them with their more rational brains. In so doing, an individual increases his or her ability to communicate despite misunderstandings or even rejection from important others. The effort involved in creating your Mindful Compass enables us to perceive the relationship system without experiencing it's threats. The four points on the Mindful Compass are: 1) Action for Self, 2) Resistance to Forward Progress, 3) Knowledge of Social Systems and the 4) The Ability to Stand Alone. Each gives us a view of the process one enters when making an effort to define a self and build an emotional backbone. It is not easy to find our way through the social jungle. The ability to know emotional systems well enough to take a position for self and to become more differentiated is part of the natural way humans cope with pressure. Now people can use available knowledge to build an emotional backbone, by thoughtfully altering their part in the relationship system. No one knows how far one can go by making an effort to be more of a self-defined individual in relationships to others. Through increasing emotional maturity, we can find greater individual freedom at the same time that we increase our ability to cooperate and to be close to others.

The Patient Will See You Now

The Patient Will See You Now PDF Author: Eric Topol
Publisher: Basic Books
ISBN: 0465094473
Category : Medical
Languages : en
Pages : 386

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Book Description
The essential guide by one of America's leading doctors to how digital technology enables all of us to take charge of our health A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"-but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical. In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system. The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result-better, cheaper, and more human health care-will be worth it. Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.

Consultation in Psychology

Consultation in Psychology PDF Author: Carol A. Falender
Publisher: American Psychological Association (APA)
ISBN: 9781433830907
Category : Psychology
Languages : en
Pages : 0

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Book Description
This volume provides a comprehensive, practical foundation for psychologists to develop or enhance their consultation practice.

Clinical Tuberculosis

Clinical Tuberculosis PDF Author: Peter D. O. Davies
Publisher: CRC Press
ISBN: 0429586493
Category : Medical
Languages : en
Pages : 482

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Book Description
Completely updated and revised, Clinical Tuberculosis continues to provide the TB practitioner-whether in public health, laboratory science or clinical practice-with a synoptic and definitive account of the latest methods of diagnosis, treatment and control of this challenging and debilitating disease.New in the Fifth Edition:Gamma interferon-based

Handbook of Music and Emotion

Handbook of Music and Emotion PDF Author: Patrik N. Juslin
Publisher: OUP Oxford
ISBN: 0191620726
Category : Psychology
Languages : en
Pages : 1983

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Book Description
Music's ability to express and arouse emotions is a mystery that has fascinated both experts and laymen at least since ancient Greece. The predecessor to this book 'Music and Emotion' (OUP, 2001) was critically and commercially successful and stimulated much further work in this area. In the years since publication of that book, empirical research in this area has blossomed, and the successor to 'Music and Emotion' reflects the considerable activity in this area. The Handbook of Music and Emotion offers an 'up-to-date' account of this vibrant domain. It provides comprehensive coverage of the many approaches that may be said to define the field of music and emotion, in all its breadth and depth. The first section offers multi-disciplinary perspectives on musical emotions from philosophy, musicology, psychology, neurobiology, anthropology, and sociology. The second section features methodologically-oriented chapters on the measurement of emotions via different channels (e.g., self report, psychophysiology, neuroimaging). Sections three and four address how emotion enters into different aspects of musical behavior, both the making of music and its consumption. Section five covers developmental, personality, and social factors. Section six describes the most important applications involving the relationship between music and emotion. In a final commentary, the editors comment on the history of the field, summarize the current state of affairs, as well as propose future directions for the field. The only book of its kind, The Handbook of Music and Emotion will fascinate music psychologists, musicologists, music educators, philosophers, and others with an interest in music and emotion (e.g., in marketing, health, engineering, film, and the game industry). It will be a valuable resource for established researchers in the field, a developmental aid for early-career researchers and postgraduate research students, and a compendium to assist students at various levels. In addition, as with its predecessor, it will also attract interest from practising musicians and lay readers fascinated by music and emotion.