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IL RICONOSCIMENTO DEI DISTURBI EMOTIVI NELLA MEDICINA DI BASE:IL RUOLO DELLA COMUNICAZIONE MEDICO-PAZIENTE

Anna Saltini

Servizio di Psicologia Medica

Istituto di Psichiatria

Università di Verona - Ospedale Policlinico

INTRODUZIONE
L'INTERLOCUTORE DEL MEDICO DI BASE
L'APPROCCIO AL PAZIENTE E ALLA MALATTIA
L'INTERVISTA MEDICA
IL MEDICO DI BASE E L'IDENTIFICAZIONE DEI DISTURBI EMOTIVI: EVIDENZE DEL RUOLO DELL'INTERVISTA MEDICA
LA FORMAZIONE DEL MEDICO DI BASE. QUALI BENEFICI?
CONCLUSIONI
BIBLIOGRAFIA

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TABELLA I

Comportamenti desiderabili durante l'intervista medica

- riconoscere e cogliere i segnali verbali di disagio emotivo (Mi sento giù di morale per...)

- rispondere ai segnali verbali di disagio emotivo con:

- domande aperte (Mi dica qualcosa di più a proposito di...)

- interventi di chiarificazione (Cosa intende con "sentirsi giù di morale"?)

- richiesta di esempi (Mi dica dell'ultima volta in cui si è sentito giù di morale)

- cogliere i segnali non verbali di disagio emotivo

- commentare e rispondere ai segnali non verbali di disagio emotivo (Mi sembra un po' inquieto...)

- rispondere con commenti empatici (Mi rendo conto che questo deve proprio essere un brutto periodo per lei)

- indagare le opinioni del paziente sulla propria salute

Adattato da: Gask et al., 1991


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