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Professionals’ Characteristics and Health Behavior

  • Zeev Ben-Sira

Abstract

This chapter addresses the trends in interprofessional relations among three health professions—medicine (with the focus on primary care), nursing, and social work—and their effect on health behavior in relation to the role of stress in the onset, severity, and outcome of disease. It begins with a brief review of approaches to the stress-health relationship, underscoring the importance to the treatment process of coping with patients’ emotional problems. The trends toward medical specialization and the dehumanizing potential of such specialization are then reviewed with a specific focus on the reluctance of general practitioners to demonstrate affective behavior. Affective behavior refers to acts aimed at establishing a physician-patient relationship such that the physician accepts the patient as a human being who may have anxiety-arousing problems frequently over and above the identifiable somatic disturbance—problems that can hardly be alleviated by mere technical-medical procedures.

Keywords

Social Work Patient Participation Collaborative Practice Affective Behavior Primary Medical Care 
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. Allen, J. (1994). From both sides of the stethoscope: The physician. Los Angeles Times, May 10, E3.Google Scholar
  2. Antonovsky, A. (1979). Health, stress and coping. San Francisco: Jossey-Bass.Google Scholar
  3. Ben-David, J. (1958). The professional role of the physician in bureaucratized medicine. Human Relations, 11, 261–266.CrossRefGoogle Scholar
  4. Benner, P., & Wrubel, J. (1989). The primacy of caring: Stress and coping in health and illness. Menlo Park, CA: Addison-Wesley.Google Scholar
  5. Ben-Sira, Z. (1976). The function of the professional’s affective behavior in client satisfaction: A revised approach to interaction theory. Journal of Health and Social Behavior, 12, 3–11.CrossRefGoogle Scholar
  6. Ben-Sira, Z. (1980). Affective and instrumental components in the physician-patient relationship: An additional dimension in interaction theory. Journal of Health and Social Behavior, 21, 170–180.PubMedCrossRefGoogle Scholar
  7. Ben-Sira, Z. (1982a). life change and health: An additional perspective on the structure of coping. Stress, 3, 18–28.Google Scholar
  8. Ben-Sira, Z. (1982b). Stress potential and esotericity of health problems: The significance of the physician’s affective behavior. Medical Care, 20, 414–424.PubMedCrossRefGoogle Scholar
  9. Ben-Sira, Z. (1982c). Lay evaluation of medical treatment and competence: Development of a model of the function of the physician’s affective behavior. Social Science and Medicine, 17, 1013–1018.Google Scholar
  10. Ben-Sira, Z. (1985). Primary medical care and coping with stress and disease: The inclination of primary care practitioners to demonstrate affective behavior. Social Science and Medicine, 21, 485–498.PubMedCrossRefGoogle Scholar
  11. Ben-Sira, Z. (1986a). The stress-resolving component in primary medical care. Stress Medicine, 2, 339–348.CrossRefGoogle Scholar
  12. Ben-Sira, Z. (1986b). The plight of primary medical care: The problematics of committedness to practice. Social Science and Medicine, 22, 699–712.PubMedCrossRefGoogle Scholar
  13. Ben-Sira, Z. (1987a). The stress bounding capacity of the physician’s affective behavior: An additional dimension of health promotion. In J.H. Humphrey (Ed.), Human stress: Current selected research. Vol. II (pp. 15–36). New York: AMS Press.Google Scholar
  14. Ben-Sira, Z. (1987b). Social work in health care: Needs, challenges and implications for structuring practice. Social Work in Health Care, 13, 79–100.PubMedCrossRefGoogle Scholar
  15. Ben-Sira, Z. (1988a). Politics and primary medical care: Dehumanization and overutilization. Aldershot, England: Gower.Google Scholar
  16. Ben-Sira, Z. (1988b). Affective behavior and perceptions of health professionals. In D.S. Gochman (Ed.), Health behavior: Emerging research perspectives (pp. 305–317). New York: Plenum Press.Google Scholar
  17. Ben-Sira, Z. (1990a). Universal entitlement for health care and its implications on the doctor-patient relationship. In G.L. Albrecht (Ed.), Advances in medical sociology (pp. 99–128). Greenwich, CT: JAI Press.Google Scholar
  18. Ben-Sira, Z. (1990b). Primary care physicians and the patients’ stress: Professional centered vs. patient centered orientation. In J.H. Humphrey (Ed.), Human stress: Current selected research, Vol. IV (pp. 1–10). New York: AMS Press.Google Scholar
  19. Ben-Sira, Z. (1991). Regression, stress, and readjustment in aging. New York: Praeger.Google Scholar
  20. Ben-Sira, Z. (1993). Physicians’ predisposition to stereotype patients: A stress-buffering mechanism Paper presented at the Interim Conference of the Sociology of Mental Health Working Group of the ISA. Rome, Italy, June.Google Scholar
  21. Ben-Sira, Z. (1994). Immigration, integration and readjustment. Jerusalem: Louis Guttman Israel Institute of Applied Social Research.Google Scholar
  22. Ben-Sira, Z., & Duchin, R. (1981). Ambulatory medical service in Israel: Utilization patterns and image. Jerusalem: Louis Guttman Israel Institute of Applied Social Research.Google Scholar
  23. Burnham, J.C. (1982). American medicine’s golden age: What happened to it? Science, 215, 1474–1479.PubMedCrossRefGoogle Scholar
  24. Carlton, T.O. (1984). Clinical social work in health settings. New York: Springer.Google Scholar
  25. Cohen, J., & Cordoba, C. (Eds.). (1982). Psychological factors in cancer. New York: Raven Press.Google Scholar
  26. Connery, M. (1953). The client of effective teamwork. Journal of Psychiatric Social Work, 22, 59–60.PubMedGoogle Scholar
  27. Cooper, C.L. (1983). Stress research: Issues for the eighties. New York: Wiley.Google Scholar
  28. Cooper, C.L. (Ed.). (1984). Psychosocial stress and cancer. New York: Wiley.Google Scholar
  29. Cousins, N. (1983). The healing heart. New York: Norton.Google Scholar
  30. Engel, G.L. (1977). The need for a new medical model: A challenge for bio-medicine. Science, 196, 129–136.PubMedCrossRefGoogle Scholar
  31. Estes, H.E. (1981). The team context. In M.R. Haug (Ed.), Elderly patients and their doctors (pp. 132–136). New York: Springer.Google Scholar
  32. Estes, R.J. (1984). Social workers in health care. In R.J. Estes (Ed.), Health care and the social services (pp. 3–22). St. Louis, MO: Green.Google Scholar
  33. Falck, H.S. (1984). Social work in health settings. In A. Lurie & G. Rosenberg (Eds.), Social work administration in health care (pp. 7–15). New York: Haworth.Google Scholar
  34. Freidson, E. (1986). The medical profession in transition. In L.H. Aiken & D. Mechanic (Eds.), Applications of social science to clinical medicine and health policy (pp. 63–79). New Brunswick, NJ: Rutgers University Press.Google Scholar
  35. Gerbert, B. (1984). Perceived liability and competence of simulated patients: Influence on physicians’ management plans. Social Science and Medicine, 12, 341–346.Google Scholar
  36. Haug, M.R. (1976). Erosion of professional authority: A cross-cultural inquiry in the case of the physician. Milbank Memorial Fund Quarterly: Health and Society, 54, 83–105.CrossRefGoogle Scholar
  37. Haug, M.R. (1994). Elderly patients, caregivers, and physicians: Theory and research on health care triads. Journal of Health and Social Behavior, 35, 1–12.PubMedCrossRefGoogle Scholar
  38. Haug, M.R., & Lavin, B. (1981). Practitioner or patient—Who is in charge? Journal of Health and Social Behavior, 22, 212–229.PubMedCrossRefGoogle Scholar
  39. Haug, M.R., & Sussman, M.B. (1969). Professional authority and the revolt of the client. Social Problems, 17, 153–161.CrossRefGoogle Scholar
  40. Henao, S. (1985). A system’s approach to family medicine. In S. Henao (Ed.), Principles of family medicine (pp. 24–40). New York: Brunner/Mazel.Google Scholar
  41. Illich, I. (1986). The epidemics of modern medicine. In N. Black, D. Bosswell, A. Gray, S. Murphy, & J. Popay (Eds.), Health and disease (pp. 24–40). Philadelphia: Open University Press.Google Scholar
  42. Johnston, B.D. (1994). The bureaucrat will see you now. Los Angeles Times, February 7, B7.Google Scholar
  43. Lamb, G.S., & Stempel, J.E. (1994). Nurse case management from the clients’ view: Growing as insider expert. Nursing Outlook, 42, 7–13.PubMedCrossRefGoogle Scholar
  44. Lambertson, E.C. (1971). Not quite M.D., more than P.A. Hospitals, 45, 70–71.Google Scholar
  45. Lundberg, U., Thorell, T., & Lind, E. (1975). life changes and myocardial infarction: Individual differences in life change scaling. Journal of Psychosomatic Research, 19, 27–32.PubMedCrossRefGoogle Scholar
  46. Lysaught, J.P. (1986). Retrospect and prospect in joint practice. In J. Steel (Ed.), Issues in collaborative practice (pp. 15–33). Orlando, FL: Grune & Stratton.Google Scholar
  47. Margalith, I. (1993). Disclosure of information, participation in clinical decision-making, and patient well-being: The case of patients with ureteral calculi. Unpublished doctoral dissertation [in Hebrew, English abstract]. Jerusalem: Hebrew University.Google Scholar
  48. Monat, A., & Lazarus, R.S. (1991). Introduction: Stress and coping—current issues and controversies. In A. Monat & R.S. Lazarus (Eds.), Stress and coping (3rd ed.) (pp. 1–15). New York: Columbia University Press.Google Scholar
  49. Neugeboren, B. (1985). Organization, policy, and practice in the human services. New York: Longman.Google Scholar
  50. Norbeck, J.S., & Peterson-Tilden, V. (1983). life stress, social support and emotional disequilibrium in complications of pregnancy: A prospective multivariate study. Journal of Health and Social Behavior, 24, 30–46.PubMedCrossRefGoogle Scholar
  51. Papper, S. (1970). The undesirable patient. Journal of Chronic Disease, 22, 777.CrossRefGoogle Scholar
  52. Pattison, E.M., & Anderson, R.C. (1978). Family health care. Public Health Reviews, 7, 83–134.PubMedGoogle Scholar
  53. Pearlin, L.I. (1991). The study of coping: An overview of problems and directions. In J. Eckenrode (Ed.), The social context of coping (pp. 261–276). New York: Plenum Press.Google Scholar
  54. Philips, J.R. (1994). A vision of nursing research priorities. Nursing Science Quarterly, 7, 52.CrossRefGoogle Scholar
  55. Pollin, I.S., & McKinney-Cashion, M. (1984). Community based social work with the chronically ill. In R.J. Estes (Ed.), Health care and the social services. St. Louis, MO: Green.Google Scholar
  56. Roth, J.A. (1986). Some contingencies of the moral evaluation and control of clientele: The case of the hospital emergency service. In P. Conrad & R. Kern (Eds.), The sociology of health and illness: Critical perspectives (2nd ed.) (pp. 327–333). New York: St. Martin’s Press.Google Scholar
  57. Schlesinger, E.G. (1985). Health care and social work practice. St. Louis, MO: Times Mirror/Mosby.Google Scholar
  58. Second Meeting on Conceptual Frameworks. (1981). Working statements on the purpose of social work. Social Work, 26, 6.Google Scholar
  59. Sheppard, M. (1991). Mental health work in the community: Theory and practice in social work and community psychiatric nursing. London: Falmer.Google Scholar
  60. Smith, M.C. (1994). Beyond the threshold: Nursing practice in the next millennium. Nursing Science Quarterly, 7, 6–7.PubMedCrossRefGoogle Scholar
  61. Smoyak, S.A. (1986). Problems in interprofessional relations. In J. Steel (Ed.), Issues in collaborative practice (pp. 77–85). Orlando, FL: Grune & Stratton.Google Scholar
  62. Starr, P. (1978). Medicine and the waning of professional sovereignty. Daedalus, 197, 175–193.Google Scholar
  63. Steel, J.E. (1986). An overview. In J. Steel (Ed.), Issues in collaborative practice (pp. 3–14). Orlando, FL: Grune & Stratton.Google Scholar
  64. Yedidia, M. (1986). Nurse practitioner-physician collaboration in primary care: Survival of an innovation. In J. Steel (Ed.), Issues in collaborative practice (pp. 87–104). Orlando, FL: Grune & Stratton.Google Scholar
  65. Zola, I.K. (1966). Culture and symptoms: An analysis of patients’ presenting complaints. American Sociological Review, 31, 615–630.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1997

Authors and Affiliations

  • Zeev Ben-Sira
    • 1
  1. 1.Late of School of Social WorkHebrew University of Jerusalem, and Louis Gutmann Israel Institute of Applied Social ResearchJerusalemIsrael

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