Abstract
Case: Amy is a second year pediatric resident who just had a difficult night covering the NICU. She has continuity clinic this morning and expects a full schedule of patients. Her first patient is Henry, a 9-year-old, slightly pudgy boy with a history of encoporesis. Henry makes no eye contact with Amy. Amy tries to appear friendly and attempts to join with Henry. Henry grunts several one word responses, never looking at Amy. Amy quickly recognizes a shut-down interview in this opening phase. Fortunately, Amy is curious. What is going on with Henry?
I think people respond to joy and work and love and achievement and learning and appreciation and gratitude-and a sense of a job well done. I think that it feels good to be a good doctor and better to be a better doctor.
Don Berwick
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References
Shea SC (1998) Psychiatric interviewing: the art of understanding: a practical guide for psychiatrists, psychologists, nurses and other health professionals, 2nd edn. WB Saunders, Philadelphia
Joines V (1997) Accessing the natural child as the key to redecision therapy. In: Lennox C (ed) Redecision therapy: a brief, action-oriented approach. Jason Aronson, Northvale, NJ
Roter DL, Hall JA (2006) Doctors talking with patients/patients talking with doctors: improving communication in medical visits, 2nd edn. Praeger, Westport, CT
Anderson CM, Stewart S (1983) Mastering resistance: a practical guide to family therapy. Guilford, New York
Interviewing tip of the month. Training Institute for Suicide Assessment and Clinical Interviewing. No. 60, February 2005. http://www.testflight.net/suicideassessment/catalog/archives.php. Accessed 8 Oct 2007
Kohlberg I, Rothenberg MB (1970) Comprehensive care following multiple life-threatening injuries. Am J Dis Child 119:449-451
Glasser H, Easley J (1998) Transforming the difficult child: the nurtured heart approach. Vaughan, Nashville, TN
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Binder, J. (2010). The Shut-Down Interview and Relationships. In: Pediatric Interviewing. Current Clinical Practice. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-256-8_1
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DOI: https://doi.org/10.1007/978-1-60761-256-8_1
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