'Heartsink' patients in general practice: a defining paper, its impact, and psychodynamic potential.
نویسنده
چکیده
منابع مشابه
230 Butler.qxd
The term ‘heartsink patient’ is now part of the vocabulary of general practice. But what and where is the heartsink? How should the phenomenon be studied? What are the implications of differing interpretations for general practice? The heartsink patient presents personal, social, and soteriological (pertaining to salvation) problems in physical terms. This poses a fundamental challenge to the p...
متن کاملHeartsink patients: a study of their general practitioners.
BACKGROUND A number of attempts have been made to investigate the heartsink, difficult, dysphoric or problem patient. Most studies have emphasized the role which the patient plays in evoking despair, anger and frustration in the doctor. However, one doctor's list of difficult patients may not necessarily be the same as another's. AIM A study was undertaken to determine if the individual chara...
متن کاملHeartsink encounters: a qualitative study of end-of-life care in out-of-hours general practice
OBJECTIVES We aimed to establish how prepared GPs who work regular out-of-hours shifts feel when dealing with end-of-life issues in palliative care patients, what they thought about seeing such patients and whether they considered themselves emotionally equipped to do so. DESIGN Semi-structured interviews were conducted with GPs who worked regular out-of-hours shifts. A detailed analysis of t...
متن کاملHeartlift patients? An interview-based study of GP trainers and the impact of 'patients they like'.
BACKGROUND The concept of the 'heartsink patient' is well known and much used when talking about general practice. The opposite of this type of patient, however, has been little explored. OBJECTIVE To identify patient characteristics valued by GPs. METHODS Structured interview to collect narratives from GPs of individual patients, analysed qualitatively through thematic analysis and word fr...
متن کاملThe heartsink consultation in occupational health practice.
Editorial the heartsink consultation in occupational health practice The term 'heartsink patient' was first used by O'Dowd in 1988 to describe patients who engender a feeling of intense dysphoria in doctors. Terms used to describe that dysphoria include 'exasperate', 'overwhelm', 'anger', 'inadequacy' and 'frustration'. While these patients present with a range of diagnoses and socio-demographi...
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عنوان ژورنال:
- The British journal of general practice : the journal of the Royal College of General Practitioners
دوره 61 586 شماره
صفحات -
تاریخ انتشار 2011