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A contribution to the understanding of healthcare relationships in long term health conditions
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Pooley, Hannah (2013) A contribution to the understanding of healthcare relationships in long term health conditions. DClinPsych thesis, University of Warwick.
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Official URL: http://webcat.warwick.ac.uk/record=b2692850~S1
Abstract
Chronic illnesses are the leading cause of death worldwide and are also expected to be the leading cause of disability by 2020 (World Health Organization [WHO], 2003). They are changing the experience of healthcare for both patients and healthcare professionals. In particular, they are changing the roles of patients and doctors, with patients expected to be more involved in their disease management and doctors shifting their focus away from curing pathology to regulating and palliating symptoms (May, 2005).
Chapter one presents a systematic review of the role of patients'
relationship styles on healthcare outcomes in diabetes. Outcomes of the review highlight the impact of attachment styles that are characterised by having a 'negative model of other' on health outcomes. Despite methodological limitations, the review finds evidence to support the use of attachment theory for understanding healthcare outcomes in the diabetes population and describes the clinical utility of using attachment theory in the development of interventions with this patient group. Chapter two examines the experiences of healthcare professionals in chronic illness in an empirical study investigating the lived experiences of
the long term doctor-patient relationship in male Consultant
Nephrologists. The experiences of seven Consultant Nephrologists were explored using a phenomenological approach. Findings revealed three superordinate themes: 'Defining my professional identity', 'Relating to the patient' and 'Coping with the job'. Clinical implications of the findings and recommendations for future research are discussed. Chapter three continues the theme of healthcare relationships in a reflective paper based on a journal kept by the author throughout the research process. This paper considers the challenges of conducting psychological research in medical settings, in particular, the researcher’s own initial reservations about these challenges and how the researcher feels now the study is complete. Such reflections may be beneficial for
psychologists conducting future research in this area.
Item Type: | Thesis (DClinPsych) |
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Subjects: | B Philosophy. Psychology. Religion > BF Psychology R Medicine > RA Public aspects of medicine |
Library of Congress Subject Headings (LCSH): | Chronic diseases -- Psychological aspects, Physician and patient, Medical cooperation -- Research |
Official Date: | May 2013 |
Institution: | University of Warwick |
Theses Department: | Department of Psychology |
Thesis Type: | DClinPsych |
Publication Status: | Unpublished |
Supervisor(s)/Advisor: | Neal, Adrian; Highfield, Julie |
Description: | Completed in conjunction with Coventry University. School of Health and Social Sciences |
Extent: | 1 volume (various pagings). |
Language: | eng |
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