Examines advice on infant nutrition given to mothers by health professionals since the 1940s and looks at ways that mathematics has been used to position women and health professionals and influence their behavior. Argues that a particular kind of mathematics and an authoritarian, transmission mode of learning are used by health…

A man who has lived with Type 1 "juvenile" diabetes since age 4 reflects on medical professionals' insistence on a vocabulary of "control," although diabetes is not really controllable, and suggests that diabetes education would be more effective if it employed a language of self-care rather than a language of control. (SV)

The role of primary care physicians in coronary heart disease prevention is explored, and a model for patient education by physicians is offered. A qualitative study in Nova Scotia examines physicians' expectations about their role in prevention, obstacles to providing preventive care, and mechanisms by which preventive care occurs. (Author/EMK)

Context: Although clinical guidelines recommend routine screening and treatment for obesity in primary care, lack of agreement between physicians and patients about the need for obesity treatment in the primary care setting may be an unexplored factor contributing to the obesity epidemic. Purpose and Methods: To better understand this dynamic, we…

Objective: To study whether psychiatry residents' personal variables (such as age, gender, level of training, previous experience with patient suicide, or lawsuits) and their temperamental predispositions have an impact on their decisions to seek involuntary commitment. Method: In a prospective pilot study, all psychiatry residents in…

Employing conversation analysis as a research technique, this study investigates the ways that unintelligibility is accounted for and overcome within a therapeutic encounter between an individual with aphasia and dysarthria and his clinician. The results emphasize the collaborative nature of intelligibility negotiation and demonstrate how both the…

Based on Beisecker's earlier finding that patients over age 60 brought companions to their medical appointments more often than did patients aged 25-59, a study was conducted to examine the role of the companion. Eleven of 21 patients aged 60-85 brought companions. Companions were either spouses or adult children of the patients. Within this…

The fact that many states have passed elder abuse reporting laws has left care providers with a dilemma. If suspected abuse is reported, the relationship between caregiver and patient may change and the family's difficulties may increase. Indicators of abuse are not easy to differentiate from health problems, especially in the frail elderly. An…

Discusses literature on the physician-elderly patient-companion triad and proposes conceptual framework and methodological approach for understanding the companion's presence during the geriatric visit. Suggests agenda for both clinical and social science research. (Author)

Compared women who had sexual contact with their therapists with women who had sexual contact with other health care practitioners and with women who have not had sexual contact with their therapists. Participants who had sexual contact revealed greater mistrust of and anger toward men and therapists. (BH)

This paper describes a Patient Satisfaction survey and database used to measure and report on physician performance at the Ohio State University Health System (OSUHS). The OSUHS averages 6,000 inpatients in any given month, and more than 7,000 emergency patients and 70,000 outpatient encounters. Data from the Patient Satisfaction measures are…

Discusses how a movement aimed at teaching medical students to be more sensitive to patients is being criticized as emphasizing a soft-science approach over knowledgeable practice. (EV)

A successful seven-day course offered to third-year medical students is an integrated program for teaching them how to deal with terminal illness. The course uses lectures, audiovisual aids, and group and individual sessions to enhance self-awareness and practical application of the material in a clinical setting. (Author/MSE)

With the shift in Americans' beliefs regarding legalizing physician-assisted suicide for the terminally ill, counselors must be prepared to counsel clients who have decided to end their lives. For counselors to avoid violating the ethical guidelines established by the American Counseling Association (ACA) regarding these clients, a reevaluation of…

Modern medical practice tends to enable patients to evade responsibility for their own care, and the traditional model robs patients of control and self-esteem. Radical health care reform must include patient empowerment and education. (SK)