Health ministry of republic of moldova the university of medicine and pharmacy nicolae testemiţanu

 
Bibliography
1.
MENNINGER K. and HOLZMAN P.S. 
Theory of Psychoanalytic 
Technique. 
New York: Basic Book. 1973. 
2.
PLANTE Thomas G. 
Contemporary clinical psychology.
Second 
Edition Santa Clara University. 2005. 
3.
MAYOU R., SHARPE M. CARSON A. 
ABC of medical psychology
First published in 2003 by BMJ Books, BMA House, Tavistock 
Square. London. 
4.
WILSON C. P. and MINTZ I. L. 
Psychosomatic Symptoms.
1989. 
5.
http://www.answers.com/topic/psychosomatic-medicine. 

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56 
Lecture VI 
 
 
 
 
THE DOCTOR – PATIENT RELATIONSHIP 
 
Structure: 
1.
The doctor-patient relationship. Models of the doctor-patient re-
lationship. 
2.
Medical consultation.
3.
Strategies for therapeutic act optimization. 
4.
Iatrogenesis in medical practice.
Key terms:
 
doctor-patient relationship; doctor-centered consultati-
on; patient-centered consultation; functions of the medical consultation; 
strategies for therapeutic act optimization; iatrogenesis; incidence of 
iatrogenesis; 
 
1. The doctor-patient relationship. Models of the doctor-patient 
relationship. 
The doctor-patient relationship is the frame in which the medical 
practice takes place. As any dual correlation, the relation D-P has as 
well as two participants: the doctor and the patient. The patient needs 
qualified help and consultation. The doctor who possesses special study 
- gives this help. 
By Piaget, this relation is developed in three main aspects: 
–
intellectual (informational); 
–
emotional; 
–
moral. 
Both, the doctor and the patient posses a special status (a sum of 
rights and responsibilities). 
The social status is realized throughout the social role which im-
plies any special behavioral complex shown (manifested) by somebody 
to others. 
A major determinant of the nature of the doctor–patient relationship 
and the extent and forms of communication within the consultation is 
the doctor’s clinical practice style. Two polar types of consultation style 

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57 
have been identified, based on video-recordings of consultations; these 
have been designated 
‘doctor-centered’ 
and