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Approaching the adolescent patient. Pitfalls and solutions.

T J Silber

    Journal of Adolescent Health Care : Official Publication of the Society for Adolescent Medicine
    |November 1, 1986
    PubMed
    Summary

    Physician attitudes significantly impact adolescent healthcare. Addressing physician biases like stereotypes and countertransference improves patient care through structured approaches and communication techniques.

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    Area of Science:

    • Medical Education
    • Adolescent Medicine
    • Psychiatry

    Background:

    • Growing interest in adolescent healthcare over three decades.
    • Increased understanding of adolescent development and pathology.
    • Neglect of physician's attitudes in adolescent patient treatment.

    Observation:

    • Physician attitudes can negatively influence adolescent patient care.
    • Four key pitfalls identified: cultural stereotypes, generalization of expertise, countertransference, and professional narcissism.
    • Case studies illustrate the practical challenges posed by these attitudes.

    Findings:

    • Physician biases can create barriers in effective adolescent healthcare.
    • Systematic approaches are needed to mitigate negative influences.
    • Interviewing techniques, questionnaires, and figure drawings offer practical solutions.

    Implications:

    • Improved physician self-awareness and training are crucial for adolescent health.
    • Implementing structured office visit protocols can enhance patient-provider interactions.
    • Addressing physician attitudes can lead to more effective and empathetic adolescent healthcare outcomes.

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