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Patients’ influence on doctors’ behavior: a case study of patient strategies in somatization

Salmon, Peter and May, Carl R. (1995) Patients’ influence on doctors’ behavior: a case study of patient strategies in somatization The International Journal of Psychiatry in Medicine, 25, (4), pp. 309-319.

Record type: Article

Abstract

Objective: Extensive empirical data and theory describe the inequality of power in relations between doctors and their patients. However, the focus has been on the ways in which doctors control the doctor-patient relationship. This has meant that the extent to which patients influence the consultation, and the ways in which they do this, have been neglected. Methods: In this article, we use a single case to identify and illustrate distinct ways in which patients exert power to determine the outcome of consultations. Conclusion: This analysis leads to a more powerful explanation than is presently available to understand the somatization of psychological needs. According to this, the patient organizes strategies, which include the presentation of emotional and social distress, around a biomedical model. Because of their prior decisions as to their role, doctors permit themselves to be trapped in this model.

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More information

Published date: 1995
Keywords: doctor-patient relationship, biopsychosocial model of health, communication skills, professional power, somatization
Organisations: Health Sciences

Identifiers

Local EPrints ID: 163711
URI: http://eprints.soton.ac.uk/id/eprint/163711
ISSN: 0091-2174
PURE UUID: 72e24c5e-9b69-4b25-be5f-28331a743c2f
ORCID for Carl R. May: ORCID iD orcid.org/0000-0002-0451-2690

Catalogue record

Date deposited: 23 Sep 2010 14:53
Last modified: 18 Jul 2017 12:30

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Contributors

Author: Peter Salmon
Author: Carl R. May ORCID iD

University divisions

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