| Authors | |
| Publisher | Springer, Berlin |
| Year | |
| Pages | 272 |
| Version | paperback |
| Language | English |
| ISBN | 9783031149481 |
| Categories |
This book addresses the principle that successful treatment incorporates a remarkably broad range of clinical variables. Clinicians must identify the extent to which each factor contributes to the success of the treatment process, and how to utilize this information strategically so that their combination enhances outcome.
Complex clinical situations involve numerous macroscopic and microscopic components and their interactions. This book describes clinical practices and variables, that should be weighted according to their relevance for achieving treatment precision and improved results.
The book is divided into sections, each containing topically organized chapters. Sections build from identifying discrete components of the clinical field to combined variables as they impact treatment progression. The clinical narratives that make up the latter part of the book elaborate on the course of care and the challenges involved in managing complex clinical situations. Cases range from primary care patients with systemic medical and psychiatric co-morbidity to more complex cases requiring the involvement of medical specialists, allied health professionals, and multiple health care systems.
Scholarly, practical, and comprehensive, Complexity in Health Care enables clinicians to incorporate previously underappreciated health-related factors into their thinking and practice.
Complexity in Health Care: A Paradigm Shift for Clinical Practice
Chapter 1 - Introduction
SECTION 2 - THE CLINICAL SITUATION
Chapter 2 - The "Clinical Situation," an Introduction to its Structure and Complexity
Chapter 3 - Variables
SECTION 3 - TECHNICAL CONSIDERATIONS
Chapter 4 - Technical Principles of the Paradigm Shift We Adopt
SECTION 4 - NATURE VS NURTURE AND THE EPIGENOME
Chapter 5 - Nature-Nurture and the Epigenome
Chapter 6 - Awe
Chapter 7 - Clinical Decision-Making
SECTION 5 - FURTHER TECHNICAL CONSIDERATIONS
Chapter 8 - Introduction to Clinical Complexity
Chapter 9 - Our Clinical Model: The Place of Underrepresented Factors
Clinical Illustration: Erin
Chapter 10 - The Complexity of the Clinical "Field" Illustrated
Three Clinical Illustrations: A Woman with Chronic Schizophrenia, A Diabetic man, Two Men with Heart Disease
Chapter 11 - Formalizing the Clinical Field
Clinical Illustrations: Seth and Mr. G.
SECTION 6 - SUBJECTIVITY AND INTERSUBJECTIVITY
Chapter 12 - Subjectivity
Clinical Illustrations: Seth and Mr. G. (#2)
Chapter 13 - Complexity in the Clinical Field, Revisited
Clinical Illustration: Mark: Self-Created Complexity
SECTION 7 - WORKING WITH CLINICAL COMPLEXITY, THE EMPIRICAL-COLLABORATIVE METHOD
Chapter 14 - Information Gathering and Integration
Chapter 15 - Clinical Reasoning
SECTION 8 - CREATING AND MAINTAINING A THERAPEUTIC RELATIONSHIP
Chapter 16 - Failure to form a Collaborative Relationship with the Patient
Clinical Illustration: Herb: A Patient with Secrets
Chapter 17 - Our Clinical Approach (taken from SAF's clinical experience), Continued
Steps in a Clinician's Contributions to Patient Change
Chapter 18 - Engaging the Clinical Field: Our Interpersonal Model for Change
Clinical Illustrations: Otto (developmentally disabled) and Matthew (17 year old boxer)
Chapter 19 - Inexplicable Reversals that Facilitate Change
Clinical Illustrations: (1) Seth and Juliana, (2) Nafi
SECTION 9 - TREATMENT, INCLUDING REVIEW OF CASES
Chapter 20 - Complexity in Treatment of Complex Versus Routine Clinical Situations
Chapter 21 -Treatment, Clinical Details
Clinical Illustration: Maggie an Elderly Woman with Vaginal Cancer
Chapter 22 - Interdisciplinary Team Management
Clinical Illustration: Maggie (#2)
SECTION 10 - ASSESSMENT IN CLINICALLY COMPLEX SITUATIONS
Chapter 23 - Introduction to The Role of Assessment in Developing a New Clinical Paradigm
Clinical Illustrations: Two highly accomplished people each with significant depression: (1) A Despondent Woman Who Commits Suicide and (2) Ben, Depression Leading to Paralysis
Chapter 24 - Formal Complexity Inventories, Complexity Assessment Tools
Chapter 25 - Case Detail Presented in Narrative Form Versus Categorical
Assessments: What is Lost? What is Retained?
Clinical Illustrations: Ben (#2) and Thomas
Chapter 26 - Limitations of Complexity Assessment Tools
SECTION 11 - REMAINING GROUPS OF VARIABLES
Chapter 27 - Elusive Variables (#2 Variables):
Anxiety, Mood, Excitement (Sexual and Otherwise), Motivation, and Judgement
Clinical Illustration: Ben, Crohn's Disease (#3)
Chapter 28 - Elusive Variables (#2 Variables), Continued:
Anxiety, Mood, Excitement (Sexual and Otherwise), Motivation, and Judgement
Chapter 29 - Clinical Work with #2 Variables
Clinical Illustrations, Martin and His Problem with Motivation and the Meaning of "Making Love"
Chapter 30 - Detecting, Organizing, and Prioritizing #2 Variables
Clinical Illustration: Jess
Chapter 31 - Creation of a New Model for Clinical Practice
Clinical Illustration: Herb and Jess
Chapter 32 - Random Variables and How They Organize
Chapter 33 - Clinical Judgment
Clinical Illustration: Herb and Jess (#2)
SECTION 12 - CLINICAL JUDGEMENT
Chapter 34 - Clinical Judgment, Continued
Clinical Illustration: Jess (#2)
Chapter 35 - Clinical Judgment, Illustrated
Clinical Examples: SAF and Others
Chapter 36 - Cultural Values, i.e., Mores, Ethics, Standards, and Habits
Clinical Illustration: Kamile
SECTION 13 - #3 VARIABLES
Chapter 37 - A New Category: #3 Variables, Beyond the Elusiveness of #2 Variables
Clinical Illustration: Londyn
Chapter 38 - Toward a Comprehensive Discussion of #3 Variables
Clinical Illustration: Kamile (#2)
SECTION 14 - THE EMPIRICAL-COLLABORATIVE (E-C) METHOD
Chapter 39 - The Empirical-Collaborative Method
Our Method for Using Clinical Data to Arrive at a Paradigm Shift for Clinical Practice
Chapter 40 - The Empirical-Collaborative Method Illustrated
Clinical Illustration: Ben (#4)
Chapter 41 - The Empirical-Collaborative Method and Its Fit with Clinical Complexity
Clinical Illustrations: Seth (#3) and Mark
Chapter 42 - Using the Empirical-Collaborative Method to Arrive at a Paradigm Shift
Clinical Illustrations: Kamile (#3) and Erin
Chapter 43 - The Empirical-Collaborative Method and the Paradigm Shift, Further Illustrated
Clinical Illustration: Kamile (#4)
SECTION 15 - UNDERSTANDING AND WORKING WITH CLINICAL COMPLEXITY
Chapter 44 - Excessive Certainty by the Clinician
Clinical Illustration: Carol
Chapter 45 - Achieving a "Real-life" Understanding of a Case
Clinical Illustrations: Jennifer and Carol
SECTION 16 - SYNTHESIS, PATH ANALYSIS
Chapter 46 - Use of Path Analysis to Map out Complex Clinical Situations
Chapter 47 - Mapping Out Jennifer's Case Using a Path Diagram to Schematically Represent a Complex Case
SECTION 17 - CONCLUSION, CLINCHING THE PARADIGM SHIFT
Chapter 48 - Slowly Emerging Details
Clinical Illustration: Michael
Chapter 49 - Giving Up One's Assumptions in Pursuit of a Paradigm Shift
Chapter 50 - Concluding Thoughts
801 777 223
Your basket
