Doctor-Patient Negotiation and Other Social Science Strategies in Patient Care
Published 1 January 1981
Wayne Katon, Arthur Kleinman
Citations116
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TL;DR
The purpose of this chapter is to review certain clinical social science approaches that can be applied practically by physicians to assess and treat psychosocial problems in sickness, problems which are neither adequately conceptualized nor managed within the narrow, biomedical model that currently dominates clinical practice.
Abstract
The purpose of this chapter is to review certain clinical social science approaches that can be applied practically by physicians. They are designed to assess and treat psychosocial problems in sickness, problems which are neither adequately conceptualized nor managed within the narrow, biomedical model that currently dominates clinical practice. Eisenberg (1977, 1979), Engel (1977), Kleinman et al. (1978), among others, have explicated why the biomedical model is inadequate as a guide for patient care. The case for applying social science to clinical practice also has been well-made. We will describe several case examples which illustrate the importance of this perspective, and discuss specific concepts and strategies useful for clinical practice and teaching. In this way, we hope to contribute to the development of a "biopsychosocial" approach to patients (Engel 1979), one which integrates biomedical, psychiatric, and social science frameworks.
Keywords
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