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Transacting with Physicians

Fact and Fiction
  • Dennis Drotar

Abstract

Pediatric psychologists share the fact they transact with physicians in a variety of settings and endeavors including clinical services, consultation, and research. The importance of our interprofessional collaboration with physicians in medical settings centers around shared patient populations, financial resources, and administrative arrangements. Moreover, given the dominant administrative structures in medical schools and hospitals (Nathan, Lubin, Matarrazo, & Persely, 1979), physicians have a significant impact on the professional deployment and career development of psychologists. For this reason, psychologists’ ability to maintain professional resources and integrity in medical settings in an era of expanding technology and accountability may very well depend upon the efficacy of strategies that are developed to guide professional interactions with physicians. Unfortunately, psychologists in medical settings have not clearly formulated the premises on which their transactions with physicians are based, recognized the difficult realities of such interprofessional exchange, nor developed programmatic strategies to anticipate and/or remedy problematic collaboration.

Keywords

Psychosocial Problem Medical Setting Pediatric Setting Professional Psychology Interprofessional Collaboration 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Albee, G. W. Emerging concepts of mental illness and models of treatment: The psychological point of view. American Journal of Psychiatry, 1969, 125, 42–48.Google Scholar
  2. Bergman, A. B. Dassel, S. W., & Wedgewood, R. J. Time-motion study of practicing pediatricians. Pediatrics, 1966, 39, 254–263.Google Scholar
  3. Burnett, R. D., William, M. K., & Olmsted, R. W. Pediatrics manpower requirement. Pediatrics, 1978, 61, 438–445.PubMedGoogle Scholar
  4. Collins, B. E., Whalen, C. K., & Henker, B. In S. Salzinger, J. Antrobus, & J. Glick (Eds.), The ecosystem of the “sick child”. New York: Academic Press, 1980.Google Scholar
  5. Conrad, P. The discovery of hyperkinesis: Notes on the medicalization of deviant behavior. Social Problems, 1975, 23, 12–21.PubMedCrossRefGoogle Scholar
  6. Cousins, N. Human options. New York: W. W. Norton, 1981.Google Scholar
  7. Drotar, D. Psychological consultation in a pediatric hospital. Professional Psychology, 1976, 9, 77–83.CrossRefGoogle Scholar
  8. Drotar, D. Clinical psychological practice in the pediatric hospital. Professional Psychology, 1977, 8, 72–80.CrossRefGoogle Scholar
  9. Drotar, D. Psychological perspectives in chronic childhood illness. Journal of Psychology, 1981, 6, 211–228.Google Scholar
  10. Drotar, D., Benjamin, P., Chwast, R., Litt, C. L., & Vajner, P. The role of the psychologist in pediatric inpatient and outpatient facilities. In J. Tuma (Ed.), Handbook of pediatric psychology, New York: Wiley, 1981.Google Scholar
  11. Drotar, D., & Malone, C. A. Family-oriented intervention in failure to thrive. In M. Klaus & M. O. Robertson (Eds.), Birth interaction and attachment (Vol. 6). Skillman, N.J. Johnson & Johnson Pediatric Round Table, 1982.Google Scholar
  12. Drotar, D., Malone, C. A., & Negray, J. Psychosocial intervention with the families of children who fail to thrive. Child Abuse and Neglect: The International Journal, 1979, 3, 927–935.CrossRefGoogle Scholar
  13. Drotar, D., Malone, C. A., & Negray, J. Environmentally based failure to thrive and children’s intellectual development. Journal of Clinical Child Psychology, 1980, 9, 236–240.CrossRefGoogle Scholar
  14. Drotar, D., Malone, C. A. Negray, J., & Dennstedt, M. Psychosocial assessment and care of infants hospitalized for nonorganic failure to thrive. Journal of Clinical Child Psychology, 1981, 10, 63–66.CrossRefGoogle Scholar
  15. Dubos, R. Mirage of health, New York: Harper & Row, 1959.Google Scholar
  16. Duff, R. S., & Campbell, A. G. M. Moral and ethical dilemmas in the special care nursery. New England Journal of Medicine, 1973, 289, 890–894.PubMedCrossRefGoogle Scholar
  17. Engel, G. L. The need for a new medical model: A challenge for biomedicine. Science, 1977, 196, 127–136.CrossRefGoogle Scholar
  18. Foucault, M. The birth of the clinic. New York: Random House, 1975.Google Scholar
  19. Fox, R. Essays in medical sociology. New York: Wiley, 1979.Google Scholar
  20. Friedson, E. Profession of medicine. New York: Harper and Row, 1970.Google Scholar
  21. Gallagher, E. B. The health enterprise in modern society. Social Science and Medicine, 1972, 6, 619–623.CrossRefGoogle Scholar
  22. Georgeopoulous, B. S., & Mann, F. C. The hospital as an organization. In E. G. Jaco (Ed.), Patients, physicians, and illness. New York: Macmillan, 1979.Google Scholar
  23. Haggerty, R. J. The Task Force Report. Pediatrics, 1979, 63, 935–937.PubMedGoogle Scholar
  24. Hannaway, P. J. Failure to thrive—A study of 100 infants and children. Clinical Pediatrics, 1970, 9, 96–99.PubMedCrossRefGoogle Scholar
  25. Hauser, S. T. Physician patient relationships. In E. G. Mishler, L. Amarasingham, S. J. Hauser, R. Liem, S. D. Osherson, & N. E. Waxier (Eds.), Social contexts of health, illness, and patient care. New York: Cambridge University Press, 1981.Google Scholar
  26. Hobbs, N. The futures of children. San Francisco: Jossey-Bass, 1975.Google Scholar
  27. Illich, I. Medical nemesis. New York: Random House, 1975.Google Scholar
  28. Iscoe, I. Conceptual barriers to training for the primary prevention of psychopathology. In J. M. Joffe & G. W. Albee (Eds.), Prevention through political action and social change. Hanover, N.H.; University Press of New England, 1981.Google Scholar
  29. Katz, J., & Capron, A. M. Catastrophic diseases: Who decides what? New York: Russell Sage, 1975.Google Scholar
  30. Koch, S. The nature and limits of psychological knowledge. American Psychologist, 1981, 36, 257–269.CrossRefGoogle Scholar
  31. Knowles, J. H. Doing better and feeling worse: Health in the United States. Daedalus, 1977, 106, 1–7.Google Scholar
  32. Korsch, B. M., and Morris, M. Gaps in doctor-patient communication. Patients’ response to medical advice. New England Journal of Medicine, 1968, 280, 535–540.Google Scholar
  33. Laufer, M. W., & Denhoff, E. Hyperkinetic behavior syndrome in children. Journal of Pediatrics, 1957, 50, 463–474.PubMedCrossRefGoogle Scholar
  34. Magrab, P. R. (Ed.) Psychological management of pediatric problems (Vol. 1). Early life conditions and chronic disease. Baltimore: University Park Press, 1978.Google Scholar
  35. McNett, I. Psychologists in medical settings: APA Monitor, 1981, 12, 12–13.Google Scholar
  36. Mechanic, D. Public expectations and health care. New York: Wiley, 1972.Google Scholar
  37. Meyer, E., & Mendelson, M. Psychiatric consultations with patients on medical and surgical wards: Patterns and processes. Psychiatry, 1961, 24, 197–205.PubMedGoogle Scholar
  38. Millman, M. The ideology of self care: Blaming the victims of illness. In A. W. Johnson, O. Grusky, & B. H. Raven (Eds.), Contemporary health services: Social science perspectives. Boston: Auburn House, 1981.Google Scholar
  39. Nathan, R. G., Lubin, B., Matarazzo, J. D., & Persely, G. W. Psychologists in schools of medicine—1955, 1964, and 1977. American Psychologist, 1979, 34, 622–627.PubMedCrossRefGoogle Scholar
  40. Newberger, E. H., & Bourne, R. The medicalization and legalization of child abuse. American Journal of Orthopsychiatry, 1978, 48, 593–607.PubMedCrossRefGoogle Scholar
  41. Patton, R. G., & Gardner, L. I. Growth failure in maternal deprivation. Springfield, III: C. C Thomas, 1963.Google Scholar
  42. Raimbault, G., Cachin, O., Limal, J. M., Elincheff, C., & Rappaport, L. Aspects of communication between patients and doctors: An analysis of the discourse in medical interviews. Pediatrics, 1975, 55, 401–405.PubMedGoogle Scholar
  43. Reiser, S. J. Medicine and the reign of technology. New York: Cambridge University Press, 1978.Google Scholar
  44. Robinson, D. Politics of pediatrics. Pediatrics, 1979, 63, 273–275.Google Scholar
  45. Routh, D. K. Developmental and social aspects of hyperactivity. In C. K. Whalen & B. Henker (Eds.), Hyperactive children: The social ecology of identification and treatment. New York: Academic Press, 1980.Google Scholar
  46. Salk, L. Psychologist in a pediatric setting. Professional Psychology, 1970, 10, 395–396.CrossRefGoogle Scholar
  47. Sarason, S. B. An asocial psychology and a misdirected clinical psychology. American Psychologist, 1981, 36, 827–836.PubMedCrossRefGoogle Scholar
  48. Schofield, W. The role of psychology in the delivery of health services. American Psychologist, 1969, 24, 565–584.PubMedCrossRefGoogle Scholar
  49. Singer, L., Drotar, D., Fagan, J., Devost, L., & Lake, R. The cognitive development of failure to thrive infants: Methodological issues and new approaches. In T. Field (Ed.), Infants born at risk: Physiologic and sensorimotor processes. New York: Spectrum, in press.Google Scholar
  50. Stabler, B. Emerging models of psychologist-pediatrician liaison. Journal of Pediatric Psychology, 1979, 4, 307–313.CrossRefGoogle Scholar
  51. Task Force on Pediatric Education. The Future of Pediatric Education. Evanston, Ill.: American Academy of Pediatrics, 1978.Google Scholar
  52. Tefft, B. M., & Simeonsson, R. J. Psychology and the creation of health care settings. Professional Psychology, 1979, 10, 558–570.CrossRefGoogle Scholar
  53. Tuma, J. Handbook for the practice of pediatric psychology. New York: Wiley, 1981.Google Scholar
  54. Vaughn, V. C., McKay, R. J., & Behrman, R. E. (Eds.). Textbook of pediatrics. New York: Saunders, 1979.Google Scholar
  55. Wright, L. A comprehensive program for mental health and behavioral medicine in a large children’s hospital. Professional Psychology, 1979, 10, 458–466.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1993

Authors and Affiliations

  • Dennis Drotar
    • 1
  1. 1.Departments of Psychiatry and Pediatrics, School of MedicineCase Western Reserve UniversityUSA

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