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Desirable to conduct the first interview with the patient in a private room, where his "confession" did not hear anyone except a doctor. Certain position (patient is asked to take a comfortable position in an easy chair or on the couch and relax muscles) helps alleviate the so-called defensive emotions (anxiety, anxiety, anger). Patient possessed "a thirst to express" should be allowed to pour out - to describe the course and nature of his suffering as he wants and is able to tell about his frightening phenomena in the body's own views and concerns on this matter. Only a free presentation not interrupted by impatient questions and skepticism doctor gives, as a rule, a clear idea about the background of physical condition of the patient, and above all its emotional mood.
The ability to listen intently, even the most absurd claims without showing impatience and even more indifferent to these "symptoms" is essential, if not the only condition for establishing a proper mental patient contact. Only at the end of the story the patient, very tactfully, gently and carefully guided by your doctor interest topics (in particular the problem of emotional stress), it is usually possible to actively question the patient, to clarify, to ascertain the true face of individual symptoms. A single, unified scheme with no issues and cannot be. A certain tone of the conversation, usually determines with the patient, and a form of communication must comply, first of all, the level of his intellect. |
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