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A conversation with the patient as an objective method of investigation.
A conversation with the patient as a leading method of rational inquiry is only a sick person individually and in no way replaced the engine cannot be. Only a good contact with the patient can recognize his true affective state and to identify the contours of desperate for a vicious circle of fear and expectation of painful sensations, escape from which he can only through careful and friendly doctor, played a major role, no doubt, first contact your doctor and patient. From
first encounter with a patient depends, usually a general idea of the doctor's clinical picture and the possible genesis of suffering, a leading diagnostic line (mounted on a detailed analysis of the somatic state of a body and the "threat" of a thorough psychopathological study) and more or less successful treatment. That psychological contact the doctor and patient is crucial not only for the most responsible, obviously, stage of diagnosis, but also for the future of the patient. My first impression of the patient's behavior and manner of speaking could give for the diagnosis of psychosomatic disorders is much more than the rest of the study. The experience of the doctor, critically ill and guide the story, allows him to lay an adequate diagnosis of the course. The more attention is paid to the suffering of anamnesis at the first interview, the more likely the doctor to win the trust of the patient, the greater the impact of psychotherapy is most of the diagnostic procedure.
Professionally conducted interview with the patient eliminates the first "dry questioning" when the patient (almost always emotionally tense and distrustful at the beginning of the conversation) is literally thrown a number of specific issues to be as clear and unambiguous answers "in essence", which immediately puts it in extreme environments and makes enough formal information obtained in this way. Recommended often clearly established pattern of direct questions asked in a standard form and once and for all set sequence is admissible only if the already sturdy enough contact with the patient (which is usually achieved in the process is not too formal conversation), but with the apparent willingness to cooperate actively with the patient's physician search for possible causes of their abnormal sensations, and adequate treatment. |
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