Truth Disclosure

Publication Title: 
International Journal of Rheumatic Diseases

AIM: To identify the psychological interventions for which there is consistent, high quality evidence of efficacy in the treatment of patients with rheumatoid arthritis (RA). METHOD: A computer-aided search and manual screening of identified papers was conducted. Randomised controlled trials published in English in peer-reviewed journals, assessing the use of psychological interventions in adult patients with RA were included. RESULTS: Thirty-four papers published between 1981 and 2009 encompassing 31 studies with 2021 patients were included.

Author(s): 
Dissanayake, Rukmal Kumari
Bertouch, James V.
Publication Title: 
Tumori

AIMS AND BACKGROUND: Research on the topic of hope began a long time ago but, more recently, interest in this construct has focused mainly on the development of psychometric tools for its assessment. The 2 steps of the present article are defining the construct of hope by completing a preliminary review of the literature and analyzing the tools used to assess hope in the setting of oncologic medicine, conducting a systematic review of the existing scientific literature. METHODS AND STUDY DESIGN: Our study was conducted in 2 stages.

Author(s): 
Piccinelli, Claudia
Clerici, Carlo Alfredo
Veneroni, Laura
Ferrari, Andrea
Proserpio, Tullio
Publication Title: 
Journal of Behavioral Medicine

Many variants that could be returned from genome sequencing may be perceived as ambiguous-lacking reliability, credibility, or adequacy. Little is known about how perceived ambiguity influences thoughts about sequencing results. Participants (n†=†494) in an NIH genome sequencing study completed a baseline survey before sequencing results were available. We examined how perceived ambiguity regarding sequencing results and individual differences in medical ambiguity aversion and tolerance for uncertainty were associated with cognitions and intentions concerning sequencing results.

Author(s): 
Taber, Jennifer M.
Klein, William M. P.
Ferrer, Rebecca A.
Han, Paul K. J.
Lewis, Katie L.
Biesecker, Leslie G.
Biesecker, Barbara B.
Publication Title: 
The Journal of Social Psychology

The author examined whether the level of self-disclosure would differ across four types of relationships--passionate love relationships, companionate love relationships, same-sex friendships, and cross-sex friendships--and across cultures: American culture and Japanese culture. Participants were 145 college students (64 Americans and 81 Japanese).

Author(s): 
Kito, Mie
Publication Title: 
Personality & Social Psychology Bulletin

Testing predictions derived from attachment theory, this research investigated how adult attachment orientations are associated with selective exposure to information about the self, one's partner, and one's relationship.

Author(s): 
Rholes, W. Steven
Simpson, Jeffry A.
Tran, Sisi
Martin, A. McLeish
Friedman, Mike
Publication Title: 
The Journal of Clinical Ethics

How might clinicians best try to retain the trust of patients and family members after clinicians oppose giving a treatment? If clinicians can maintain the trust of patients and families in these situations, this may soften what may be the greatest possible loss--the death of a loved one. I discuss what clinicians seeking to retain trust should not do--namely impose their values and reason wrongly--and introduce strategies that clinicians may use to reduce both. I present five principles that clinicians can follow to try to retain trust, with examples that illustrate each.

Author(s): 
Howe, Edmund G.
Publication Title: 
Primary Care

The ability to discuss bad news with a patient and family is one clinical skill that is essential to providing effective end-of-life care. Patients and families value direct, nontechnical explanations that are given by a physician with compassion and kindness. Patients and families also value time to talk, express their feelings and ask questions.

Author(s): 
Ambuel, B.
Mazzone, M. F.
Publication Title: 
Primary Care

The ability to discuss bad news with a patient and family is one clinical skill that is essential to providing effective end-of-life care. Patients and families value direct, nontechnical explanations that are given by a physician with compassion and kindness. Patients and families also value time to talk, express their feelings and ask questions.

Author(s): 
Ambuel, B.
Mazzone, M. F.
Publication Title: 
Perspectives in Biology and Medicine

Humility is the medical virtue most difficult to understand and practice. This is especially true in contemporary medicine, which has developed a culture more characterized by arrogance and entitlement than by self-effacement and moderation. In such a culture, humility suggests weakness, indecisiveness, or even deception, as in false modesty.

Author(s): 
Coulehan, Jack
Publication Title: 
Modern Healthcare

Who are these healthcare whistleblowers, and what motivates them? Some observers say it's a resolve to do the right thing when no one else will act, while others say greed and revenge are the driving forces. We profile three whistleblowers and show how their actions have affected their lives and the healthcare industry.

Author(s): 
Taylor, M.

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