Coping and Complaining: Attachment and the Language of Disease

by Wilkinson,Simon R.

• ISBN13: 9781583911693
• ISBN10: 1583911693
• Format: Hardcover
• Copyright: 2003-07-24
• Publisher: Routledge

Summary

Good clinical practice is impossible without an understanding of the ways in which patients present their complaints. Patients have their own styles of coping and of expressing their concerns, and without a clear understanding of these the clinician may find successful and swift diagnosis and treatment much harder to achieve.Coping and Complainingprovides essential guidance for clinicians on how to identify various coping styles, and how to improve the quality of discourse with people of different backgrounds and ages. Drawing on a diverse range of evidence from such areas as developmental psychology, and theories on learning and memory, this title provides essential information on identification of patients' coping styles, focusing on such areas as: the latest developments in attachment theory; the neurobiology of emotional development, and the biology of language development; primary processed in early development; communication, role play, the moral order of the consultation, and emotional firstaid; as well as consequences for preventive medicine. Coping and Complainingpresents stimulating new approaches to consultations with patients and creative new ways of looking at health promotion.

Author Biography

Simon Wilkinson leads the adolescent services at the Sogn Centre for Child and Adolescent Psychiatry, University Hospital, Oslo, Norway. A Yorkshireman by birth and inclination, educated and trained in Cambridge, London and Edinburgh, he now lives in Oslo

Table of Contents

List of boxes	xi
Preface	xiii
Acknowledgements	xvi
List of abbreviations	xvii
1 'I'm ill; you're sick'	1	(19)
Illness	5	(1)
Sickness	6	(1)
Disease and disorder	7	(2)
Predicament	9	(1)
Illness behaviour and strategic symptoms	10	(1)
Attachment paradigm	11	(2)
A psychosocial classification of disease	13	(3)
Why, how and what?	16	(2)
Notes	18	(2)
2 Genes, brain and the internal milieu: Our limits and resources	20	(32)
Genes	21	(2)
Family influences and brain growth	23	(5)
Emotions and neurotransmitters: the foundations for feeling ill	28	(9)
Brain localisation and the somato-sensory areas	37	(3)
Stress - tipping the balance	40	(4)
Attachment and the developing brain	44	(2)
Conclusion	46	(1)
Notes	47	(5)
3 Learning and memory: A basis for understanding development and change in the face of threat and danger	52	(37)
Memory	53	(14)
Information presentation to memory	67	(5)
Social development	72	(13)
Conclusion	85	(1)
Notes	86	(3)
4 The ideal patient: The 'balanced' type B attachment strategies	89	(29)
Attachment and the danger of disease	92	(6)
Adulthood and the balanced (secure) type B classification	98	(10)
Childhood and the balanced (secure) type B classification	108	(5)
The ideal illness language	113	(2)
Notes	115	(3)
5 'I'm OK; don't worry about me. The 'dismissing' type A attachment strategies	118	(46)
Adulthood, parenting and the dismissing type A classification	119	(17)
Childhood and the dismissing type A classification	136	(4)
Risk, danger and insecurity	140	(9)
The dismissing cognitive illness dialogue	149	(11)
Some provisional implications, for clinical practice and health promotion: compliance and collaboration	160	(3)
Notes	163	(1)
6 'My pain is really terrible. What are you going to do about it?': The 'preoccupied' type C attachment strategies, and other classifications	164	(48)
Adulthood, parenting and the preoccupied type C classification	166	(28)
Childhood and the preoccupied type C classification	194	(3)
Risk and preoccupation	197	(2)
The preoccupied affective illness dialogue	199	(6)
Some provisional implications for clinical practice and health promotion: collaboration and conflict	205	(4)
Notes	209	(3)
7 Ambiguous symptoms and the attachment strategies of health professionals	212	(34)
Ambiguous symptoms	216	(14)
The attachment strategies of health professionals	230	(11)
Notes	241	(5)
8 Goal-corrected partnerships for health	246	(37)
Healthcare systems	247	(5)
Goal corrected partnerships	252	(16)
Gender	268	(3)
Culture	271	(6)
Notes	277	(6)
Glossary	283	(4)
References	287	(26)
Index	313