Embedded counselling in medicine

Czech version

Authors: D. Skorunka
Authors‘ workplace: Univerzita Karlova v Praze, Lékařská fakulta v Hradci Králové, Ústav sociálního lékařství, Přednosta: doc. MUDr. Svatopluk Býma, CSc.
Published in: Prakt. Lék. 2011; 91(12): 718-722
Category: Of different specialties

Overview

The article is the first within a series that is aimed at reviewing some findings from the field of psychotherapy that are relevant for clinical medicine. In the first article, the concept of embedded counselling in medicine is introduced with its main principles. A common factors model in psychotherapy is then discussed, as it is presumably applicable in medical practice with regard to both process and outcome of collaboration between patient and doctor. Most attention is given to the therapeutic relationship – an essential factor in embedded counselling. Recent findings from psychotherapy research on the therapeutic relationship are included.

Key words:
psychotherapy, embedded counselling, common factors, therapeutic relationship.

Sources

1. Engel, G. The need for a new medical model: a challenge for biomedicine. Science 196(4286), p. 129-136.

2, Honzák, R. Komunikační pasti v medicíně. Praha: Galén 1999.

3. Tate, P. Příručka komunikace pro lékaře; jak získat důvěru pacienta. Praha: Grada, 2003.

4. Vymětal, J. Lékařská psychologie. 3. aktualizované vydání, Praha: Portál 2003.

5. Wampold, B. The great psychotherapy debate; Models, methods and findings. Mahwah: Lawrence Erlbaum Ass 2001.

6. Šavlík, J. Systémové pojetí v medicíně; in Poněšický, J. Neurózy, psychosomatická onemocnění a psychoterapie. Praha: Triton 1999.

7. McLeod, J. Counselling Skill. Maidenshead: Open University Press, 2007.

8. Branch, W.T., Malik, T.K. Using windows of opportunities in brief interviews to understand patients’concerns. JAMA 1993, 269, p. 1667-1668.

9. Frank, J.D., Frank, J.B. Persuasion and healing: A comparative study of psychotherapy. (3rd edition) Baltimore: John Hopkins University 1993.

10. Chromý, K. , Honzák, R. Somatizace a funkční poruchy. Praha: Grada 2005.

11. Skorunka, D. Somatizace v dětství a dospívání. Prakt. Lék. 2007, 87, 5. s. 261-316.

12. Horwath, A.0., Bedi, R.P. The alliance. In J. C. Norcross /Ed./ Psychotherapy relationship that work; Therapist contribution and responsiveness to patients. NY: Oxford University Press 2002, p. 37-77.

13. Hill, C.E. Therapist techniques, client involvement and the therapeutic relationship: Inextricably intertwined in the therapy process. Psychotherapy 2005, 42, p. 431-442.

14. Bachelor, A. Clients perception of the therapeutic alliance; a qualitative analysis. J. Couns. Psychol. 1999, 42, p. 323-327.

15. Orlinski, D.E., Ronnestad, M.H., Wilutzki, U. Fifty years of psychotherapy process-outcome research: continuity and change. In M. J. Lambert (Ed.) Bergin and Garfield’s Handbook of psychotherapy and behavioral change (5th edition). New York: Wiley 2004, p. 307-389.

16. Orlinski, D., Ronnestad, M.H. How psychotherapists develop: A study of therapeutic work and professional growth. Washington DC: American Psychological Association, 2005.

17. Bohart, A.C., Tallman, K. How clients make therapy work: the process of active self-healing. Washington, DC: American Psychological Association, 1999.

18. Gelso, C.J., Carter, J.A. Components of the psychotherapeutic relationship: their interaction and unfolding during treatment. J. Couns. Psychol. 1994, 41, p. 296-306.

19. Hill, C.E. Helping skill: Facilitation Exploration, Insight and Action. 3rd Edition, Washington, DC: American Psychological Association 2009.

20. Fonagy, P., Steeele, H., Steele, M. et al. The capacity for understanding mental states; The reflective self in parent and child and its significance for security of attachment. Infant. Ment. Health J. 1991, 12( 3), p. 201-218.