The Patient

1. Front Matter

   Pages i-xxvi

   PDF

2. On Becoming a Patient

   1. Front Matter

      Pages 1-1

      PDF

   2. Illness and Help-Seeking Behavior

      • Hoyle Leigh, Morton F. Reiser

      Pages 3-14

   3. The Sick Role

      • Hoyle Leigh, Morton F. Reiser

      Pages 15-22

   4. Expectations in the Consulting Room

      • Hoyle Leigh, Morton F. Reiser

      Pages 23-35

3. On Being a Patient

   1. Front Matter

      Pages 37-37

      PDF

   2. Anxiety

      • Hoyle Leigh, Morton F. Reiser

      Pages 39-69

   3. Psychological Defense Mechanisms

      • Hoyle Leigh, Morton F. Reiser

      Pages 71-89

   4. Depression

      • Hoyle Leigh, Morton F. Reiser

      Pages 91-127

   5. Pain

      • Hoyle Leigh, Morton F. Reiser

      Pages 129-156

   6. Sleep and Dreaming

      • Hoyle Leigh, Morton F. Reiser

      Pages 157-182

4. On Assessing a Patient

   1. Front Matter

      Pages 183-183

      PDF

   2. Approach to Patients: The Systems-Contextual Framework and the Patient Evaluation Grid

      • Hoyle Leigh, Morton F. Reiser

      Pages 185-200

   3. The Current Context of Help-Seeking Behavior

      • Hoyle Leigh, Morton F. Reiser

      Pages 201-217

   4. The Recent Context of Help-Seeking Behavior

      • Hoyle Leigh, Morton F. Reiser

      Pages 219-226

   5. The Background Context of Help-Seeking Behavior

      • Hoyle Leigh, Morton F. Reiser

      Pages 227-240

5. On Managing a Patient

   1. Front Matter

      Pages 241-241

      PDF

   2. The Case of the “Sick Tarzan”: A Challenging Case History

      • Hoyle Leigh, Morton F. Reiser

      Pages 243-246

   3. The Doctor-Patient Relationship

      • Hoyle Leigh, Morton F. Reiser

      Pages 247-252

   4. The Patient’s Personality

      • Hoyle Leigh, Morton F. Reiser

      Pages 253-269

The old-fashioned doctor, whose departure from the modem medical scene is so greatly lamented, was amply aware of each patient's personality, family, work, and way of life. Today, we often blame a doctor's absence of that awareness on moral or ethical deficiency either in medical education or in the character of people who become physicians. An alternative explanation, however, is that doctors are just as moral, ethical, and concerned as ever before, but that a vast amount of additional new information has won the competition for attention. The data available to the old-fashioned doctor were a patient's history, physical examination, and "per­ sonal profile," together with a limited number of generally ineffectual therapeu­ tic agents. A doctor today deals with an enormous array of additional new information, which comes from X rays, biopsies, cytology, electrographic tracings, and the phantasmagoria of contemporary laboratory tests; and the doctor must also be aware of a list of therapeutic possibilities that are both far more effective and far more extensive than ever before.

• Syndrom
• Tranquilizer
• attention
• brain
• depression
• diagnosis
• emotion
• learning theory
• memory
• neurophysiology
• pharmacology
• physiology
• psychotherapy
• stress
• syndromes

• Yale University School of Medicine, New Haven, USA

  Hoyle Leigh

• Psychiatric Consultation-Liaison and Outpatient Services, Yale-New Haven Hospital, New Haven, USA

  Hoyle Leigh

• Department of Psychiatry, Yale University School of Medicine, New Haven, USA

  Morton F. Reiser

Policies and ethics