The Activity-Passivity Model
- correct answer This model closely parallels the asymmetrical relationship described by Parsons. the
physician represents medial expertise, controls the communication flow between the two parties, and
makes all important decisions. The patient is the supplicant, regarded as lacking in important
information and necessarily relying on the knowledge and judgement of the physician. (Parent-Infant
Model) Occurs during ER trauma like heart attack.
The Guidance-Cooperation Model
- correct answer Typical of most medical encounters. The patient is acknowledged to have feelings, may
be alarmed by the medical problem, and has certain hopes and aspirations for the outcome of the
medical encounter. Compared to the activity-passivity model, the patient has increased involvement in
providing information and making decisions with regard to treatment. While the physician is still in
charge and has responsibility for guiding the encounter, the cooperation of the patient is sought. The
physician is less autocratic in the sense that some explanation is provided to the patient and the
patient's assent to decisions is desired, but the physician retains the dominant position. (Parent-child
(teen) Model). Acute
The Mutual Participation Model
- correct answer In this case, both physician and patient acknowledge that the patient must be a central
player for the medical encounter to be successful. The patient knows more about her or his own
situation—medical history, symptoms, other relevant events—than does the physician. While the
physician attempts to ask the proper questions to elicit key information, it is assumed that the patient
also has an obligation to ensure that relevant information is disclosed. Must have about equal power, a
feeling of mutual interdependence, and must engage in interaction that will be satisfying for both
parties. (Adult-Adult Model)
Negotiation Model
- correct answer Includes both Patient and Physician Negotiation Strategies. Patient Negotiation
Strategies include: selective verbal presentation, ordering and emphasizing information, using
"appropriate" combination of lay and medical language that gives incomplete information. Physician
Negotiation Strategies include: with holding information—facts about the patient's illness; evaluations
of competence of other doctors;— ignoring patient narratives and the infantilization of patient.
, Aggravated directives
- correct answer Males use aggravated directives or a communication style that implies a right to be
issuing a command and asymmetrical relationship between individuals
Mitigated directives
- correct answer Females use mitigated directives or a communication style with proposals and
suggestions that minimizes distinctions between individuals.
Complementary and Alternative Medicine (CAM)
- correct answer "A group of diverse medical and health care system's practices, and products that are
not presently considered to be part of conventional medicine" has flourished and is today more popular
than ever before.
Relevant Dates for CAMs
- correct answer 1960s-Increased interest among middle class and educated. 1970s-Radical movement
of CAM. 1980-Accreditation of CAM practices; revised radical claims. 1990 and beyond-incorporated
biomedical knowledge into education and practice.
Consumer Reaction to CAM
- correct answer 25-36% use a form of CAM in western world. Consumers rarely abandon biomedicine;
they use CAM as a complement. Chronically ill and terminally ill use CAM because: fewer side effects,
more time with practitioner, holistic approach, and patient participation.
Medical Society Reaction to CAM
- correct answer Biomedicine resists CAM. HAve tolerated CAM with clear jurisdictions and modest
claims. Increasing inclusion of CAM modules in medical school. Maintains the lack of scientific proof that
CAM works.
Governmental Response to CAM
- correct answer Healing in non-allopathic ways is illegal and requires strict licensure legislation to be
able to practice. Many of the acupuncture and chiropractic treatments are an available medium for CAM
treatment.
Causes of the Decline of Medical Sovereignty
- correct answer Faith in tech being questions. Crisis in access to health care. State intervention in health
care. 1972 discovery of Tuskegee = decline in trust. Internet & patient rights movement