This book introduces a unique model of medical discourse that identifies the forms of talk – voices – that doctors and patients use during the consultation, and studies the dynamic interaction as it unfolds particularly in follow-up visits. Natural recordings, semi-structured interviews, questionnaires and ethnographic observations provide the data for the research, which was carried out in an Outpatient Clinic in Santiago, Chile. Using an interactional sociolinguistic approach, analysis of the data identifies doctor–patient communication as a micro-performance of broader socio-cultural realities, in which social status, power, knowledge and personal beliefs and values all find expression in the consultative setting. Importantly, while both doctor and patient voices are shown to contribute to an essentially asymmetrical exchange, the study also identifies the holistic and empathic Fellow Human voice, which places doctors and patients on a more equal footing. In connection with this voice, the Spanish concept of simpatía is also discussed.While the model in this study was developed within a specific socio-cultural framework, it is hoped that it will be adapted and modified more widely and contribute to a better understanding between doctors and their patients.

Unique resource detailing the day-to-day activity of doctors who work on “the coal face” of psychiatry in an acute setting Dynamic Consultations With Psychiatrists is the outcome of a collaboration between the psychiatrists of a certain hospital and the author, which has continued successfully for more than ten years, containing a number of patient consultations and cases where psychiatry was used successfully to solve a patient’s problem. The presentation of each case, and particularly of the consultation, is meant to demonstrate the process by which insights were gained. Each consultation is written in plain English with the deliberate avoidance of terminology and especially psychoanalytic jargon. Naturally, all identified features of the patients have been deleted or changed so that the patients’ privacy is not compromised. The format is near to a transcript so that the work demonstrates how the understanding evolves and emerges from the process. The structure of the book is not according to a diagnosis but according to “presenting problem” (in other words, the most prominent feature), allowing for easy and efficient accessibility. Sample concepts and learning resources covered and included in Dynamic Consultations With Psychiatrists are as follows: How a doctor is faced with a patient who is suffering in their own particular way and how the clinician gets to develop a deeper understanding of their predicament Difficulties the “coal face” doctors encounter and the challenges they will face in their personal emotional wellbeing Relationships with the other professionals both within their hospital and other agencies Curtailed histories so that there is a seamless exposition of how the conclusions of the consultation have been reached Psychiatrists, psychotherapists, and students/instructors in related programs of study can use Dynamic Consultations With Psychiatrists to gain valuable insight into the thought process of practicing psychiatrists in relation to a myriad of patient problems, allowing them to learn vicariously and become better at dealing with their own patients’ problems.

This book illustrates clinical, psychoanalytic approaches to understanding people in depth, even when breadth of understanding is severely constricted by the brevity of a consultation. It considers the changing times in which psychoanalytic psychotherapists carry on consulting.

English Language and the Medical Profession: Instructing and Assessing the Communication Skills of International Physicians is designed for a new context for English language teaching: the emerging, worldwide interest in English for medicine. The book offers a program for an English language curriculum that is specifically designed for the important and growing group of international medical professionals, with a focus on both instruction and assessment. International physicians in the United States now total more than 25 per cent of the physician workforce. Even subsequent to their passage of the clinical skills exam required for licensing and practice as physicians in U.S. hospitals, international physicians face communication challenges as first-year residents and may be referred to specialists for language and cultural issues. Advanced residents may face additional issues when they begin work as independent practitioners. This volume goes beyond existing texts in collecting the expertise of English language teaching and testing experts, medical residency supervisors, medical licensing, and exchange agencies in examining issues related to international physicians' performance as graduate students and doctors in hospitals and other settings. The contributors include specialists at the Educational Commission for Foreign Medical Graduates and doctors who supervise international medical residents as well as recognized ESP practitioners.

In recent years, a growing literature has focused on how to create more effective and democratic global governance mechanisms to better tackle global challenges such as health epidemics, global hunger, Internet surveillance or the consequences of climate change. Yet there is a gap in accessible published material to reflect contributions of democratic states from the global South. Among these democracies from the global South, Brazil is a popular case for teachers and researchers looking to study global governance mechanisms. This book provides students with a framework that challenges the Western-centred views on questions of how to democratise global governance processes, arguing that developing democracies from the global South have developed serious and sustainable approaches to a more democratic global system. With chapters on Brazil’s responses to global food security, the purchase of drugs, open government initiatives and internet governance, this book opens up contemporary and novel practices of democracy for examination.

The science of mind has been plagued by intractable philosophical puzzles, chief among them the distortions of memory and the relation between mind and body. Sigmund Freud's clinical practice forced him to grapple with these problems, and out of that struggle psychoanalysis emerged. From Freud's Consulting Room charts the development of his ideas through his clinical work, the successes and failures of his most dramatic and significant case histories, and the creation of a discipline recognizably distinct from its neighbors. In Freud's encounters with hysterical patients, the mind-body problem could not be set aside. Through the cases of Anna O., Emmy von N., Elisabeth von R., Dora, and Little Hans, he rethought that problem, as Hughes demonstrates, in terms of psychosexuality. When he tried to sort out the value of memories, with Dora and Little Hans as well as with the Rat Man and the Wolf Man, Freud reintroduced psychosexuality and elaborated the Oedipus complex. Hughes also traces the evolution of Freud's conception of the analytic situation and of the centrality of transference, again through the clinical material, including the case of Freud himself, who at one point figured as his own "chief patient". Moving from case to case, Hughes has coaxed them into telling a coherent story. Her book has the texture of intellectual history and the compelling quality of a fascinating tale. It leads us to see the origins and development of psychoanalysis in a new way.

This book is intended to accomplish several goals. First, it is designed to provide a broad overview of the major areas of application of theory and research relating to nonverbal behavior. Second, individual chapters emphasize how the applications have been drawn from underlying theories and empirical bases, thereby making the link between theory, research, and applications apparent. Finally, the volume links individual chapter contributions, demonstrating how theoretical progress over the last few decades has led to important applied advances. The contributors to this book consider a wide variety of settings and topics. Their common thread, however, is a shared conviction that an understanding of nonverbal behavior can bring about an improvement in the human condition. Each of the authors has made suggestions regarding future directions for both research and practice -- and their ideas offer real promise.