Coping and Complaining: Attachment and the Language of Disease

by Wilkinson,Simon R.

• ISBN13: 9781583911709
• ISBN10: 1583911707
• Format: Nonspecific Binding
• Copyright: 2003-06-24
• 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	p. xi
Preface	p. xiii
Acknowledgements	p. xvi
List of abbreviations	p. xvii
'I'm ill; you're sick'	p. 1
Illness	p. 5
Sickness	p. 6
Disease and disorder	p. 7
Predicament	p. 9
Illness behaviour and strategic symptoms	p. 10
Attachment paradigm	p. 11
A psychosocial classification of disease	p. 13
Why, how and what?	p. 16
Notes	p. 18
Genes, brain and the internal milieu: Our limits and resources	p. 20
Genes	p. 21
Family influences and brain growth	p. 23
Emotions and neurotransmitters: the foundations for feeling ill	p. 28
Brain localisation and the somato-sensory areas	p. 37
Stress - tipping the balance	p. 40
Attachment and the developing brain	p. 44
Conclusion	p. 46
Notes	p. 47
Learning and memory: A basis for understanding development and change in the face of threat and danger	p. 52
Memory	p. 53
Information presentation to memory	p. 67
Social development	p. 72
Conclusion	p. 85
Notes	p. 86
The ideal patient: The 'balanced' type B attachment strategies	p. 89
Attachment and the danger of disease	p. 92
Adulthood and the balanced (secure) type B classification	p. 98
Childhood and the balanced (secure) type B classification	p. 108
The ideal illness language	p. 113
Notes	p. 115
'I'm OK; don't worry about me.' The 'dismissing' type A attachment strategies	p. 118
Adulthood, parenting and the dismissing type A classification	p. 119
Childhood and the dismissing type A classification	p. 136
Risk, danger and insecurity	p. 140
The dismissing cognitive illness dialogue	p. 149
Some provisional implications for clinical practice and health promotion: compliance and collaboration	p. 160
Notes	p. 163
'My pain is really terrible. What are you going to do about it?': The 'preoccupied' type C attachment strategies, and other classifications	p. 164
Adulthood, parenting and the preoccupied type C classification	p. 166
Childhood and the preoccupied type C classification	p. 194
Risk and preoccupation	p. 197
The preoccupied affective illness dialogue	p. 199
Some provisional implications for clinical practice and health promotion: collaboration and conflict	p. 205
Notes	p. 209
Ambiguous symptoms and the attachment strategies of health professionals	p. 212
Ambiguous symptoms	p. 216
The attachment strategies of health professionals	p. 230
Notes	p. 241
Goal-corrected partnerships for health	p. 246
Healthcare systems	p. 247
Goal corrected partnerships	p. 252
Gender	p. 268
Culture	p. 271
Notes	p. 277
Glossary	p. 283
References	p. 287
Index	p. 313
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