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Communicating with patients who have psychiatric problems
1University of Iowa College of Medicine, Iowa City.
American Family Physician
|January 1, 1988
Summary
Psychiatric issues can hinder patient-physician communication. Overcoming these barriers, whether external or internal, is crucial for improving patient care and outcomes.
Area of Science:
- Medical Communication
- Psychiatry
- Patient Care
Background:
- Psychiatric and emotional problems present significant barriers to effective physician-patient communication.
- These communication barriers can arise from factors beyond the physician's control, controllable factors, and psychopathology itself.
Purpose of the Study:
- To identify and categorize barriers to effective physician-patient communication.
- To emphasize the necessity of overcoming these barriers for enhanced patient care.
Main Methods:
- Categorization of communication barriers into external, internal, and psychopathology-related factors.
- Analysis of the impact of these barriers on patient care.
Main Results:
- External barriers include language differences and hearing impairment.
- Internal barriers stem from physician prejudices, maladaptive attitudes, or misinformation.
- Psychopathology-related factors directly impede communication.
Conclusions:
- Effective patient care necessitates surmounting all identified communication barriers.
- Addressing both external and internal factors is vital for improving the physician-patient relationship and communication efficacy.