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A deeply concerned physician reflects on today's doctor-patient relationships and offers a compelling vision of a better way to practice medicine Patients and doctors alike are keenly aware that the medical world is in the midst of great change. We live in an era of continuous healthcare reforms, many of which focus on high volume, efficiency, and cost-effectiveness. This compelling, thoughtful book is the response of a practicing psychiatrist who explains how population-based reforms have diminished the relationship between doctors and patients, to the detriment of both. As an antidote to failed reforms and an alternative to stubbornly held traditions, Dr. Abraham M. Nussbaum suggests ways that doctors and patients can learn what it means to be ill and to seek medical assistance. Using a variety of riveting stories from his own and others' experiences, the author develops a series of metaphors to explore a doctor's role in different healthcare reform scenarios: scientist, technician, author, gardener, teacher, servant, and witness. Each role influences what a physician sees when examining a person as a patient. Dr. Nussbaum cautions that true healthcare reform can happen only when those who practice medicine can see, and be seen by, their patients as fellow creatures. His memoir makes a hopeful appeal for change, and his insights reveal the direction that change must take.

Physician and patient. --- Doctor and patient --- Doctor-patient relationships --- Patient and doctor --- Patient and physician --- Patient-doctor relationships --- Patient-physician relationships --- Patients and doctors --- Patients and physicians --- Physician-patient relationships --- Physicians and patients --- Interpersonal relations --- Fear of doctors --- Narrative medicine --- Nussbaum, Abraham M., --- United States.

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While many other books have focused on what to prescribe for given conditions, this volume is more concerned with how to prescribe: how to talk to patients about medications, how to understand the cultural and social factors that affect how both clinicians and patients relate to medication, and how to build trust in the relationship.

Mental Disorders --- Therapeutic Alliance --- Drug Prescriptions --- Psychotropic Drugs --- drug therapy --- Medicine --- Mental illness --- Psychotropic drugs. --- Psychopharmacology. --- Treatment.

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Flying in the face of the perceived wisdom that special expertise is required to treat mental health issues in older adults, this guide offers the thoughtful, real-world advice that primary care practitioners, clinical psychiatrists, psychiatric nurses, psychiatric residents, and resident fellows need to work effectively with this patient population.

Mental illness --- Diagnosis. --- Diagnostic and statistical manual of mental disorders.