Spark [Robert_Klitzman]_When_Doctors_Become_Patients(Boo | Page 341

330 Index Nancy, an endocrinologist (continued) role conflicts, 78 self-doctoring behaviors, 49, 57, 60 spirituality, 249 strength from patients, 224–225 time conflicts, 122–123 Nancy, an endocrinologist, post-interview, 309 Neil, a neurologist (comments on) adherence challenges, 99 communication problems, 114, 289 limit setting, 224 patient role acceptance, 39 peripheralization, 131 preventive health behavior, 55 workaholism, 214 nurses, as medical error prevention, 92–93 odds interpretation attitude, double-lens experience, 198–203 overidentification risks, post-illness, 265–268 pain, 94–95, 104, 111 palliative care, 290–291 Parsons, Talcott, 6, 9, 260, 266 Pascal, an internist (comments on) disclosure conflicts, 152, 156, 161, 167, 174, 176 discrimination management, 139 medical knowledge disadvantages, 189 mild symptom dismissals, 93–94, 97, 206 physician arrogance, 111 physician selection, 76, 79 retirement decision-making, 230 self-doctoring behaviors, 46, 51, 79 waiting experience, 119 patient relationships, post-illness overview, 271–272, 291–292, 294–295 adherence issues, 284–286 communication skills, 276–280, 282–284, 287–290 confidentiality, 287 empathy levels, 273–276 equalization issues, 257–259, 265–271 hierarchy benefits, 259–265 non-medical issues, 286 tests, 281 patient role. See specific topics, e.g., denial strategies; disclosure conflicts; self-doctoring behaviors Paul, an internist (comments on) adherence problems, 284–285 communication, 288 denial strategies, 31–32 disclosure conflicts, 150–151, 170 discrimination, 128 invulnerability beliefs, 260 medical uncertainty, 184 mild symptoms, 96, 98 overidentification risks, 265 physician selection, 75, 76–77, 100 retirement decision-making, 232 peripheralization, 130–133, 141–142. See also discrimination personality changes, 217–218, 298–299 personal life uncertainty, coping challenges, 182–184 Peter, a medical student (comments on) disclosure, 150, 161 discrimination, 133, 138 physician arrogance, 112 risk-benefit assessment, 187 spirituality, 246 physician selection overview, 82–84 boundary conflicts, 74–81 factors in, 61–70, 100 Pinner, Max, 13–14 placebo effect of doctors, 260–263, 292 ‘‘pleasing’’ approach, as communication barrier, 112–115 post-residency disease, 27–28, 125 prayer, 250 prescribing, as self-doctoring, 44–48 The Presentation of Self in Everyday Life (Goffman), 11, 146