Clinical Uncertainty in Primary Care : The Challenge of Collaborative Engagement
https://libcat.nshealth.ca/en/permalink/provcat40729
Lucia Siegel Sommers, John Launer, editors.
--New York, NY:
Springer
, c2013.
- Available Online
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- Location
- Online
This is a book about primary care clinicians and the clinical uncertainty endemic to their work. Even when seemingly straightforward, each patient raises unique questions regarding how best to listen to their complaints, empathize with their suffering, or respond to their silences. This book is also about addressing uncertainty in primary care practice and engaging it. Engagement requires knowledge, explicit and tacit, placed in the service of a single patient's problem. It also requires carefu…
- Available Online
- View e-Book
- Other Authors
- Sommers, Lucia Siegel
- Launer, John
- Responsibility
- Lucia Siegel Sommers, John Launer, editors
- Place of Publication
- New York, NY
- Publisher
- Springer
- Date of Publication
- c2013
- Physical Description
- 1 online resource (xiv, 306 p. : 41 illus., 18 illus. in color)
- ISBN
- 9781461468127
- 9781461468110 (print ed.)
- Subjects (MeSH)
- Cooperative Behavior
- Primary Health Care
- Uncertainty
- Abstract
- This is a book about primary care clinicians and the clinical uncertainty endemic to their work. Even when seemingly straightforward, each patient raises unique questions regarding how best to listen to their complaints, empathize with their suffering, or respond to their silences. This book is also about addressing uncertainty in primary care practice and engaging it. Engagement requires knowledge, explicit and tacit, placed in the service of a single patient's problem. It also requires carefully managed communication, facilitating dialogue with the patient and encouraging shared problem-solving. Most importantly, this book is about collaborative engagement with case-based uncertainty in the setting of small groups of clinicians. Sommers and Launer contend that the medical profession's tradition of working independently should be augmented with an explicitly shared, collegial one of jointly creating wisdom through practice-based learning. An international panel of expert clinicians and educators provides: Perspectives on clinical uncertainty in the medical literature; A taxonomy of clinical uncertainty with patient examples; Analysis of the educator role to support clinicians in engaging uncertainty; A compendium of small group methods for collaborative engagement with clinical scenarios; Analysis of the special challenges of collaborative engagement. A mind-opening manifesto, Clinical Uncertainty in Primary Care will equip primary care clinicians, educators, public health and behavioral health professionals with resources for infusing practice with meaning through collegial collaboration. From the Foreword: "Lucia Sommers and John Launer, with the accompanying input of their contributing authors, have done a deeply insightful and close to exhaustive job of defining clinical uncertainty. They identify its origins, components, and subtypes; demonstrate the ways in which and the extent to which it is intrinsic to medicine--and present a cogent case for its special relationship to primary care practice--Clinical Uncertainty in Primary Care not only presents a model of collegial collaboration and support, it also implicitly legitimates it." Renee Fox, Annenberg Professor Emerita of the Social Sciences, University of Pennsylvania.
- Contents
- Part I. Clinical Uncertainty in Primary Care -- 1.Introduction -- 2. Uncertainty and Clinical Method -- 3. Learning about Uncertainty in Professional Practice -- Part II. The Challenge of Engagement -- 4. Balint Groups and Peer Supervision -- 5. Research on Balint groups -- 6. The Thistle and the Maple Leaf: PBSGL in Canada and Scotland -- 7. Narrative-Based Supervision -- 8.Training in Narrative-based supervision: Conversations inviting change -- 9. Practice Inquiry: Uncertainty Learning in Primary Care Practice -- 10. Using Practice Inquiry to Engage Uncertainty in Residency Education -- 11. "We're all in the same boat": Potentials and Tensions When Learning Through Sharing Uncertainty in Peer Supervision Groups -- 12. Case-Based Learning in Swedish Primary Health Care: Strengths and Challenges -- 13. Afterword.
- Format
- e-Book
- Location
- Online
Intercultural Psychotherapy : For Immigrants, Refugees, Asylum Seekers and Ethnic Minority Patients
https://libcat.nshealth.ca/en/permalink/provcat45041
Meryam Schouler-Ocak, Marianne C. Kastrup, editors.
--Cham:
Springer
, c2020.
- Available Online
- View e-Book
- Location
- Online
This book is intended to sensitise psychotherapists, to strengthen practitioners’ intercultural competence and to encourage them to form psychotherapeutic relationships with people with an immigration background who are suffering from mental health problems. In this context, intercultural psychotherapy refers to the therapeutic work between psychotherapists and patients who hail from different cultural contexts, which often considerably hampers language- and culture-based understanding. In the …
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- Other Authors
- Schouler-Ocak, Meryam
- Kastrup, Marianne C.
- Responsibility
- Meryam Schouler-Ocak, Marianne C. Kastrup, editors
- Place of Publication
- Cham
- Publisher
- Springer
- Date of Publication
- c2020
- Physical Description
- 1 online resource (viii, 376 p.) : 5 illus., 2 illus. in color
- ISBN
- 9783030240820
- 9783030240813 (Print ed.)
- 9783030240837 (Print ed.)
- 9783030240844 (Print ed.)
- Subjects (MeSH)
- Cultural Characteristics
- Culturally Competent Care
- Minority Groups - psychology
- Psychotherapy - methods
- Refugees - psychology
- Transients and Migrants - psychology
- Specialty
- Minority Health
- Psychotherapy
- Abstract
- This book is intended to sensitise psychotherapists, to strengthen practitioners’ intercultural competence and to encourage them to form psychotherapeutic relationships with people with an immigration background who are suffering from mental health problems. In this context, intercultural psychotherapy refers to the therapeutic work between psychotherapists and patients who hail from different cultural contexts, which often considerably hampers language- and culture-based understanding. In the current context of globalisation and growing crises around the world, an increasing number of people with a migration background require psychotherapeutic treatment as a result, intercultural psychotherapy may well become the rule rather than the exception. Psychotherapists are therefore challenged to adapt to such a context. Overcoming these barriers requires certain competencies such as working with a qualified interpreter. Contributions from international experts from the field of intercultural psychotherapy provide vital insights into the theory and practice of intercultural work with patients suffering from conditions such as PTSD, depression, anxiety, personality disorders and schizophrenic disorders. These interdisciplinary specialists describe their work, share valuable lessons learned, and put forward concrete recommendations.
- Contents
- 1. Intercultural Psychotherapy: An Historical Perspective -- 2. The Current Role of Intercultural Psychotherapy -- 3. Standards in Intercultural Psychotherapy -- 4. Using the Cultural Formulation Interview in Intercultural Psychotherapy -- 5. The Significance of Intercultural Psychotherapy in Further Education and Professional Training -- 6. The Role of Language in Intercultural Psychotherapy -- 7. The Role of the Interpreters in Intercultural Psychotherapy -- 8. The Patient--Therapist Relationship in Intercultural Psychotherapy -- 9. Cultural Competence in Psychotherapy -- 10. Adopting an Intercultural Perspective in Mental Healthcare -- 11. Intercultural Balint Work -- 12. Religion and Spirituality in Intercultural Therapy -- 13. Gender-Specific Aspects of Intercultural Psychotherapy for Traumatised Female Refugees -- 14. Ethical Aspects of Psychotherapy in Forced Migrants -- 15. Psychotherapy Using Electronic Media -- 16. Measuring the Outcomes of Intercultural Therapy -- 17. Global Perspectives on the Teaching and Learning of Intercultural Psychotherapy -- 18. Ethnocultural Diversity in the Mind: Psychodynamic Psychotherapy for Non-Western Immigrants in the Netherlands -- 19. Psychotherapy for Africans with a Migration Background -- 20. Cultural Psychiatry and the Implementation of Transcultural Psychotherapy in China -- 21. Psychotherapy for Latin Americans -- 22. The Challenges of Interpreting in Psychotherapy: Interpreters Stand Apart -- 23. Psychotherapy in Japan -- 24. Psychotherapy for Indonesians -- 25. Psycho Social Interventions in Rehabilitation: An Intercultural Perspective.
- Format
- e-Book
- Location
- Online
Psychosomatic Medicine : An International Guide for the Primary Care Setting
https://libcat.nshealth.ca/en/permalink/provcat45097
Kurt Fritzsche, Susan H. McDaniel, Michael Wirsching, editors.
(Second edition)
--Cham:
Springer
, c2020.
- Available Online
- View e-Book
- Holdings
- Halifax Infirmary: v. 49, 1987 - v. 57(1-2), 1995.
- Location
- Online
Now in its fully revised and expanded second edition, this volume is the definitive global resource on psychosocial problems. Containing several new chapters and featuring extensively updated contributions from experts in the field, this title takes a uniquely global approach in laying the foundations of bio psychosocial basic care and provides relevant information about the most common mental and psychosomatic problems and disorders. An extension of the cultural aspects of the individual clini…
- Available Online
- View e-Book
- Other Authors
- Fritzsche, Kurt
- McDaniel, Susan H.
- Wirsching, Michael
- Responsibility
- Kurt Fritzsche, Susan H. McDaniel, Michael Wirsching, editors
- Edition
- Second edition
- Place of Publication
- Cham
- Publisher
- Springer
- Date of Publication
- c2020
- Holdings
- Halifax Infirmary: v. 49, 1987 - v. 57(1-2), 1995.
- Physical Description
- 1 online resource (xxi, 362 p.) : 29 illus., 8 illus. in color
- ISBN
- 9783030270803
- 9783030270797 (Print ed.)
- 9783030270810 (Print ed.)
- 9783030270827 (Print ed.)
- ISSN
- 0033-3174
- Subjects (MeSH)
- Primary Health Care - methods
- Psychosomatic Medicine - methods
- Specialty
- Psychiatry
- Abstract
- Now in its fully revised and expanded second edition, this volume is the definitive global resource on psychosocial problems. Containing several new chapters and featuring extensively updated contributions from experts in the field, this title takes a uniquely global approach in laying the foundations of bio psychosocial basic care and provides relevant information about the most common mental and psychosomatic problems and disorders. An extension of the cultural aspects of the individual clinical pictures and new contributions from China, Latin America, Russia, Iran, India, Africa and Myanmar, also about migration and mental health accompany this revision. This book is divided into four sections and begins by explaining the relationship between psychosomatic medicine and primary care. The next part outlines the best practices for diagnosing the most common biopsychosocial problems and mastering the most frequent communication challenges (e.g. biopsychosocial anamnesis, breaking bad news, dealing with difficult patients, family and health systems communication and collaboration). The following section delves into more specific psychosomatic problems such as depressive disorders, posttraumatic stress disorder, addiction, the terminally ill patient and eating disorders, among others. The final section focuses on developing psychosomatic medicine in international settings. Every chapter integrates basic theoretical background and practical skills and includes trans-culturally sensitive material, important for work with patients from different nations. Psychosomatic Medicine: An International Primer for the Primary Care Setting, second edition is a must-have reference for doctors from various specialties as well as nursing staff, social workers and clinical health psychologists.
- Contents
- Part I. Introduction -- 1. What Is Psychosomatic Medicine? -- 2. Objectives of Training in Psychosomatic Medicine in Primary Care -- 3. Traditional Medicine and Psychosomatic Medicine -- Part II. The First Contact: Basic Interventions -- 4. The Doctor–Patient Relationship -- 5. Doctor-Patient Communication -- 6. Family-Oriented Primary Care -- 7. Balint Group -- Part III. Recognition and Treatment of Most Common Clinical Presentations -- 8. Depressive Disorders -- 9. Anxiety Disorders and Obsessive Compulsive Disorder -- 10. Somatic Symptom Disorder -- 11. Psycho-oncology -- 12. Psycho-cardiology -- 13. Acute and Posttraumatic Stress Disorder (PTSD) -- 14. Dependence Syndrome -- 15. Eating Disorders -- 16. Personality Disorders -- 17. Sexual Disorders -- 18. The Terminally Ill and Dying Patient -- Part IV. Developing Psychosomatic Medicine in International Settings -- 19. Systems Development of Behavioral Health in Primary Care -- 20. The Development of Psychosomatic Medicine in China, Vietnam and Laos - The ASIA- LINK Program -- 21. Development of Psychosomatic Medicine in China -- 22. Psychosomatic Basic Care in the Context of International Migration -- 23. Development of Psychosomatic Medicine in the Latin American Region -- 24. Development of Psychosomatic Medicine in Iran -- 25. Psychosomatics in the Context of the Development of Integrative Medicine: The Russian Perspective -- 26. Psychosomatic Medicine in Africa -- 27. Maternal Mental Health in South Africa and the Opportunity for Integration -- 28. Mental Health in India: Perspectives for Psychosomatic Medicine -- 29. Development of Psychosomatic Medicine in Myanmar.
- Format
- e-Book
- Location
- Online
Psychosomatic medicine : an international primer for the primary care setting
https://libcat.nshealth.ca/en/permalink/provcat33427
Kurt Fritzsche, Susan H. McDaniel, Michael Wirsching, editors.
--New York:
Springer
, c2014.
- Available Online
- View e-Book
- Holdings
- Halifax Infirmary: v. 49, 1987 - v. 57(1-2), 1995.
- Location
- Online
Psychosocial problems appear within a medical context worldwide, and are a major burden to health. Psychosomatic Medicine: An InternationalPrimer for the Primary Care Setting takes a uniquely global approach in laying the foundations of biopsychosocial basic care (such as recognizing psychosocial and psychosomatic problems, basic counseling, and collaboration with mental health specialists) and provides relevant information about the most common mental and psychosomatic problems and disorders. …
- Available Online
- View e-Book
- Other Authors
- Fritzsche, Kurt
- McDaniel, Susan H
- Wirsching, M
- Responsibility
- Kurt Fritzsche, Susan H. McDaniel, Michael Wirsching, editors
- Place of Publication
- New York
- Publisher
- Springer
- Date of Publication
- c2014
- Holdings
- Halifax Infirmary: v. 49, 1987 - v. 57(1-2), 1995.
- Physical Description
- 1 online resource (xiv, 207 pages)
- ISBN
- 9781461410225 (electronic bk.)
- 9781461410218
- ISSN
- 0033-3174
- Subjects (MeSH)
- Internationality
- Mental Disorders - diagnosis
- Primary Health Care
- Psychosomatic Medicine
- Subjects (LCSH)
- Medicine, Psychosomatic
- Mental health
- Primary care (Medicine)
- Abstract
- Psychosocial problems appear within a medical context worldwide, and are a major burden to health. Psychosomatic Medicine: An InternationalPrimer for the Primary Care Setting takes a uniquely global approach in laying the foundations of biopsychosocial basic care (such as recognizing psychosocial and psychosomatic problems, basic counseling, and collaboration with mental health specialists) and provides relevant information about the most common mental and psychosomatic problems and disorders. The scope of the book is interculturalit addresses global cultures, subcultures living in a single country, and strengthening the care given by physicians working abroad. This clinically useful book outlines best practices for diagnosing the most common biopsychosocialproblems and mastering the most common communication challenges (e.g. doctor-patient conversation, breaking bad news, dealing with difficult patients, family and health systems communication and collaboration). Every chapter integrates basic theoretical background and practical skills and includes trans-culturally sensitive material, important for work with patients from different cultures. Psychosomatic Medicine: An InternationalPrimer for the Primary Care Setting serves as an excellent resource for clinicians hoping to gain and develop knowledge and skills in psychosomatic medicine.
- Contents
- Part I. Psychosomatic Medicine in Primary Care -- 1. What is Psychosomatic Medicine? -- 2. Psychosomatic Medicine in Primary Care -- 3. Objectives of Training in Psychosomatic Medicine in Primary Care -- 4. Traditional Medicine and Psychosomatic Medicine -- Part II. The First Contact—Basic Interventions -- 5. The Doctor-Patient Relationship -- 6. Doctor Patient Communication -- 7. Family Medicine -- 8. Balint Group -- Part III. Recognition and Treatment of Most Common Clinical Presentations -- 9. Depressive Disorders -- 10. Anxiety Disorders -- 11. Somatoform Disorders -- 12. Psycho-Oncology -- 13. Psycho-Cardiology -- 14. Acute and Posttraumatic Stress Disorder (PTSD) -- 15. Addiction -- Part IV. Developing Psychosomatic Medicine in International Settings -- 16. Systems Development of Behavioral Health in Primary Care -- 17. The Development of Psychosomatic Medicine in China, Vietnam and Laos: The ASIA-LINK Program -- 18. Psychosomatic Medicine and its Implementation in the Latin America Region -- 19. Psychosomatic Medicine in Iran.
- Format
- e-Book
- Location
- Online
Ultrasonography of the Hand in Rheumatology
https://libcat.nshealth.ca/en/permalink/provcat43022
Peter Vince Balint, Peter Mandl, editors.
--Cham:
Springer
, c2018.
- Available Online
- View e-Book
- Location
- Online
This book is an essential guide for rheumatologists using ultrasound to study musculoskeletal structures and diagnose rheumatic diseases of the hand. A fundamental understanding of anatomy is key to identifying and interpreting pathological findings on imaging. This book provides comprehensive knowledge about both gross anatomy and, more importantly, comparative imaging anatomy, as depicted by ultrasound, X-ray, and MRI of the hand. This foundation enables clinicians to readily identify patholo…
- Available Online
- View e-Book
- Other Authors
- Balint, Peter Vince
- Mandl, Peter
- Responsibility
- Peter Vince Balint, Peter Mandl, editors
- Place of Publication
- Cham
- Publisher
- Springer
- Date of Publication
- c2018
- Physical Description
- 1 online resource (xiv, 154 p.) : 170 illus., 107 illus. in color
- ISBN
- 9783319742076
- 9783319742069 (print ed.)
- 9783319742083 (print ed.)
- 9783030089368 (print ed.)
- Subjects (MeSH)
- Hand - diagnostic imaging
- Rheumatic Diseases - diagnostic imaging
- Ultrasonography - methods
- Specialty
- Rheumatology
- Ultrasonography
- Abstract
- This book is an essential guide for rheumatologists using ultrasound to study musculoskeletal structures and diagnose rheumatic diseases of the hand. A fundamental understanding of anatomy is key to identifying and interpreting pathological findings on imaging. This book provides comprehensive knowledge about both gross anatomy and, more importantly, comparative imaging anatomy, as depicted by ultrasound, X-ray, and MRI of the hand. This foundation enables clinicians to readily identify pathologic findings and thus improve diagnostic skills. The authors also offer step-by-step guidelines for using ultrasound, with comprehensive descriptions about body and transducer position, sonographic terminology, and anatomical landmarks in different planes of the hand. This book is an indispensable reference for rheumatologists and rheumatology residents using musculoskeletal ultrasound in clinical practice.
- Contents
- 1. Clinical Examination of Hand and Wrist in Rheumatology -- 2. Gross Anatomy of the Human Hand -- 3. Imaging Anatomy: Conventional Radiograph -- 4. Imaging Anatomy: Magnetic Resonance Imaging, Computed Tomography, Positron Emission Tomography, and Other Novel Imaging Techniques -- 5. Sonographic Terminology -- 6. Sonoanatomy: Physiological Structures (Articular and Periarticular) -- 7. Sonopathology: Pathological Findings (Articular and Periarticular).
- Format
- e-Book
- Location
- Online
