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This is http://www.essayz.com/a9212251.htm Previous-Essay <== This-Essay ==> Following-Essay Click HERE on this line to find essays via Your-Key-Words. {Most frequent wordstarts of each essay will be put here.} ========================================================== %DOCTOR PATIENT MEDICAL MODEL ROLE CONTROL HEAL 921225 A significant aspect of any doctor/patient relationship is the importance which the participants place upon the question of control of the healing process. Who does each participant think, believe, and feel should be in control; if control is an issue? Is the question of control a central issue to either the doctor or the patient? Do the doctor and the patient see their relationship and their roles in terms such that the issue of control of the healing process is not (or is) a central issue? Some patients may want to surrender control to an expert who is expected will fix the disease. Some doctors may want codependent patients who want them, the doctors, to be in control of fixing the disease. The form of treatment which the doctor considers as likely to be effective may be biased by the doctor's sense of how well the form of treatment will assure the doctors of continuing to be in control, to satisfy the needs of the doctors. Some patients may resist surrendering any sense of being in control of the healing process to any expert who has essential technical skills to offer to the healing process. Such patients may be more concerned with maintaining a false sense of being in control, than they are concerned with taking advantage of all possible means to promote their own healing process through their own participation in cooperation with available technical experts. Some patients may be dis-eased because they have been without ease; and they may not want to face any sense of responsibility for having lived a life style which has made them more insecure, tense, anxious, and vulnerable to diseases than was necessary. Such patients may want to deny the role which their attitudes, beliefs, emotional life, and unresolved conflicts may have played in leading them to be dis-eased; and so sick. Doctors who want to be in control of healing processes may be willing to try to take control; and so they may help such patients in their denial process, and absolve the patients of any key role in their own healing process. Some doctors may feel a deep need to be able to be in control of their patients' healing processes, and so be unable to acknowledge the importance to their patients' healing process of those aspects of the patients' reflexive lives over which the doctors cannot have any control. Such doctors will be unable to recognize and deal with those reflexive aspects of their patients' lives which play an important role in the onset, development, course, and possible recovery from their diseases. They as doctors will not be likely to have the freedom, security, or competency to deal with the reflexive aspects of their relationships with their patients; for they are likely to be exclusively preoccupied with the demands of the objective paradigm which dominated their own early lives and training. We are unlikely to be able to deal wisely with all the medical dilemmas and the increasingly high costs of expert medical service; unless we become free, able and inclined to deal with questions such as these, in ways which are open, honest and reflexive; rather than being trapped in exclusively objective research efforts which help maintain collusive games of mutual self deception, addictions and codependencies. (c) 2005 by Paul A. Smith in (On Being Yourself, Whole and Healthy) ==========================================================