Skin in Psychoanalysis by Ulnik Jorge;

Author:Ulnik, Jorge;
Language: eng
Format: epub
Publisher: Routledge

Attachment and its clinical implications within the doctor-patient relationship

The considerations that follow are the result of more than ten years of interdisciplinary work with dermatologists in the field of psychodermatology; however, they can be extended to the doctor-patient relationship in any medical field.

PATTERNS OF BEHAVIOUR IN THE DOCTOR-PATIENT RELATIONSHIP

If we take the patterns of behaviour that emerge from research on attachment as a basis, we can categorise patterns of behaviour in the doctor-patient relationship which are very common in dermatology and which can certainly be applied to other medical fields.

We must remember that according to Marrone, “a child who has enjoyed a secure attachment is happier, easier to look after and less problematic than an anxious child. In contrast, an anxious and ambivalent child will show a tendency to cling to his attachment figure and will be emotionally more demanding. An avoidant child will be prone to being distant. The behaviour of insecure children provokes negative responses in both their parents, and with this a vicious circle is developed.” (Marrone, 2001, p. 87)

The doctor-patient relationship in a certain way reproduces the relationship between the child and his parents. For this reason we will describe for each kind of attachment a particular kind of relationship with the doctor. Following the ideas of Mary Ainsworth (1969, 1985 and 1978), Fonagy (1999) describes the following patterns of behaviour:

Secure children

Anxious/avoidant children

Anxious/resistant children

Disorganised/disoriented children

Download

Copyright Disclaimer:
This site does not store any files on its server. We only index and link to content provided by other sites. Please contact the content providers to delete copyright contents if any and email us, we'll remove relevant links or contents immediately.