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La necesidad de este documento surgió de la docencia. Hay poca literatura ecuatoriana que refleje análisis y lecciones aprendidas en diálogos de relación médico-paciente. Particularmente, el ícono que motivó este trabajo fue el libro Conversation Repair (1995) de Frederic Platt, así como fueron también inspiradores los trabajos de Francesc Borrell, quien ha analizado diálogos en consultas clínicas, en especial, sus textos Entrevista clínica. Manual de Estrategias Prácticas y Práctica Clínica Centrada en el Paciente. Este es un texto construido por docentes y alumnos de Medicina. Un trabajo articulado con un interés común: resaltar la importancia de qué y cómo se comunica en una relación médico-paciente.
This book provides an important contribution to the new and growing field of ‘narrative-based medicine’. It specifically addresses the largest area of medical activity, primary care. It provides both a theoretical framework and practical skills for dealing with individual consultations, family work, clinical supervision and teamwork, and offers a comprehensive approach to the whole range of work in primary care. Using a wide range of clinical examples, it shows how professionals in primary care can help clarify patients’ existing stories, and elucidate new stories. It can be used as a training resource and includes exercises and summaries of key points to consider. It is based on, and describes, an established evaluated training method, and is of immediate and significant practical use to readers. It is essential reading for general practitioners, practice nurses and others in the primary care team, psychologists, family therapists, counsellors and other professionals attached to primary care. GP trainers, tutors and course organisers will find it a valuable educational tool. Professionals elsewhere in primary care such as pharmacists, dentists and optometrists, and academics in medical sociology and medical anthropology will also find it very useful.
This handbook is a comprehensive text on social work education based on the narratives of social work educators, practitioners, and researchers from Asia and the Pacific, North and South America, Australia and Oceania, and Europe. It discusses innovations, challenges, pedagogy, and tested methods of social work teaching at various levels of educational programmes. The volume: Examines key concepts that underpin debates concerning social work teaching, research, and practice Brings out key concerns, debates, and narratives concerning various teaching, learning, and pedagogical methods from different countries Documents principal perspectives of different stakeholders involved in social work education – from educators and practitioners to novice social workers The Routledge International Handbook of Social Work Teaching will be an effective instrument in informing policy decisions related to social work teaching and pedagogy at the global and local levels. It will be essential for educators, researchers, and practitioners within social work institutions and for professional associations around the world.
This book will be an invaluable resource for GPs, counsellors, managers and others in primary care who seek to understand the debates about counselling and play a part in its future as part of health care. Its authors discuss the nature of counselling in this setting and the contribution itcan make in improving the care of patients with a variety of health problems. The authors include practitioners and academics, service providers and counselling clients, supporters and sceptics. Overall they offer a comprehensive and thought provoking guide to those responsible for commissioning,working with and providing counselling services in a health service that seeks to be increasingly primary care led and evidence based.This book discusses the establishment and evaluation of counselling services in primary care and the need to consider the most appropriate forms of service for different groups. It describes the specialist counselling services that are available to back up what can be provided as part of primarycare and the variety of organisations that can be approached for information and advice, and assesses the research evidence on the efficacy and cost effectiveness of counselling.A GP writes:'If ever there was a subject guaranteed to generate debate, often heated, it's counselling. Does it work? Who's it for? What does it cost? How can we set up a service? Well, this book has the answers. And not just the positive ones - in the spirit of true balance, it even gives the sceptical view.A bit like turkeys voting for Christmas you might think? Nothing of the kind. The chapters cover just about everything GPs or Primary Care Organisations (PCO) might want to know about counselling in a primary care setting. In amongst the practical pointers on how to deal with thorny clinicalcounselling problems in specific situations, it even covers cost-effectiveness. Even the most sceptic, hard-hearted PCO clinical director will find the arguments in this book persuasive. The chapters on managed counselling, services for young people, substance misuse, trauma and sexual abuse couldeasily stand alone. But they don't. They are all in this little gem of a book. If not one for your doctor's bag, it's definitely one for your shelf!'
In this reappraisal of public health and health promotion in contemporary societies, Deborah Lupton explores public health and health promotion using contemporary sociocultural and political theory, particularly that building on Foucault′s writings on subjectivity, embodiment and power relations. The author examines the implications of the new social theories for the study of health promotion and health communication to analyze the symbolic nature of public health practices, and explores their underlying meanings and assumptions.