Psychology 2036A/B Lecture Notes - Lecture 4: Diabetes Mellitus Type 2, Migraine, Brain Injury

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Guidance-cooperation model: communication in which the patient seeks advice from the physician and answers the questions that are asked, but the physician is responsible for determining the diagnosis and treatment. Narrowly biomedical communication: mainly biomedical talk, closed ended medical questions, very little discussion of psychosocial issues, eg. Migraine discussion, really focus convo on biological questions, yes or no questions: no psychosocial questions asked. Expanded biomedical communication: also includes numerous close-ended medical questions, moderate levels of biomedical and psychosocial exchange between physician and patient, eg. Type 2 diabetes, ask questions about diets and interpersonal relations, work-home life balance. Biopsychological communication: balance of psychosocial and biomedical communication. Psychosocial communication: substantial psychosocial exchange between physician and patient, talk about struggles like emotional stuff and personal stuff. Consumerist communication: the use of a physician as a consult who answers questions rather than asking them.

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