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Empathy, Psychotherapy, Medicine
What passes for psychoanalysis in America these days is a far cry from the psychoanalysis Freud devised in the early years of the last century. A sea change began in the 1970s, when Heinz Kohut, a...
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“Doctor’s Office . . .”
Looking for a new primary care physician some time back, I received a referral from one of my specialists and called the office. “Doctor’s Office . . .” Thus began my nonconversation with the office...
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Caring Technology
The critique of contemporary medical treatment as impersonal, uncaring, and disease-focused usually invokes the dehumanizing perils of high technology. The problem is that high technology is a moving...
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Wanted: Primary Care Docs
“It will readily be seen that amid all these claimants for pathological territory there is scarcely standing-room left for the general practitioner.” – Andrew H. Smith, “The Family Physician” (1888)...
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Re-Visioning Primary Care
Existing approaches to the looming crisis of primary care are like Congressional approaches to our fiscal crisis. They have been, and will continue to be, unavailing because they shy away from...
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Procedural Rural Medicine
“Primary care practice in the future may be more akin to an Amish barn-raising than care delivered by the fictional Marcus Welby.” – Valerie E. Stone, et al., “Physician Education and Training in...
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What Do Nurse Practitioners Practice?
What should the nurse practitioner’s “scope of practice” be and how autonomously should she or he be allowed to practice within that scope? A half century after the first advanced training programs...
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Patient Ratings and ER Burnout
[You can now preorder Dr. Stepansky’s forthcoming book, In the Hands of Doctors: Touch and Trust in Medical Care,** at Amazon.com] The lot of ER physicians is not an easy one, and their tendency to...
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Remembering the Nurses of WWI (IV)
“Mustard gas burns. Terrific suffering.” [The fourth of a series of essays about the gallant nurses of World War I commemorating the centennial of America’s entry into the war on April 6, 1917] Now,...
View ArticleTelemedicine Rising
In a “Viewpoint” published in JAMA a month ago,[1] Michael Nochomovitz and Rahul Sharma suggest that the time has come to create a new medical specialty: virtual medicine. Extrapolating from the...
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