Abstract:
:Diagnostic communication between doctors and patients is thought to differ radically between Japan and Western countries. To understand diagnostic disclosure to psychiatric patients, a questionnaire with six case vignettes was sent to practising psychiatrists in Japan (N = 166) and North America (N = 112). While over 90% of both groups would inform patients with affective and anxiety disorders of their diagnoses, only 70% of North Americans and less than 30% of Japanese would similarly inform patients with schizophrenia or schizophreniform disorders. The Japanese preferred alternative was to give a vague alternative diagnosis such as neurasthenia. North Americans would discuss differential diagnoses with the patient instead. Nearly all in both groups would inform the family, but North Americans would do so only with patient consent. For disorders for which there are effective treatments, diagnostic disclosure is common to both cultures; when prognosis is uncertain or the diagnosis is feared, as in schizophrenia, culturally constructed views of patienthood govern disclosure practice.
journal_name
Psychol Medjournal_title
Psychological medicineauthors
McDonald-Scott P,Machizawa S,Satoh Hdoi
10.1017/s0033291700032803subject
Has Abstractpub_date
1992-02-01 00:00:00pages
147-57issue
1eissn
0033-2917issn
1469-8978journal_volume
22pub_type
杂志文章abstract:BACKGROUND:The aims of this study were to examine the associations between exposure to unemployment following school leaving and rates of psychiatric disorder using data gathered on a birth cohort of New Zealand young people studied up to the age of 18. METHODS:At age 18 cohort members were assessed on: (a) duration o...
journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291796004412
更新日期:1997-03-01 00:00:00
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doi:10.1017/s003329170005501x
更新日期:1980-11-01 00:00:00
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doi:10.1017/S0033291715001245
更新日期:2015-11-01 00:00:00
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doi:10.1017/s0033291701003105
更新日期:2001-02-01 00:00:00
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更新日期:1986-11-01 00:00:00
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doi:10.1017/S0033291706007203
更新日期:2006-06-01 00:00:00
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更新日期:2016-01-01 00:00:00
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更新日期:2015-04-01 00:00:00
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journal_title:Psychological medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1017/S0033291705006975
更新日期:2006-06-01 00:00:00
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doi:10.1017/S0033291713000603
更新日期:2013-12-01 00:00:00
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更新日期:2020-12-04 00:00:00
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journal_title:Psychological medicine
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更新日期:1998-03-01 00:00:00
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doi:10.1017/s0033291701003993
更新日期:2001-07-01 00:00:00
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更新日期:2020-04-08 00:00:00
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journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291717002409
更新日期:2018-04-01 00:00:00
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journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291796004023
更新日期:1997-01-01 00:00:00
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journal_title:Psychological medicine
pub_type: 杂志文章,meta分析
doi:10.1017/S0033291719000813
更新日期:2019-07-01 00:00:00
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journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291714000191
更新日期:2014-09-01 00:00:00
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journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/S0033291714001202
更新日期:2015-01-01 00:00:00
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journal_title:Psychological medicine
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doi:10.1017/S0033291710002400
更新日期:2011-08-01 00:00:00
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更新日期:2006-04-01 00:00:00
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更新日期:2019-05-01 00:00:00
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更新日期:1996-09-01 00:00:00
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更新日期:2020-03-06 00:00:00
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journal_title:Psychological medicine
pub_type: 杂志文章
doi:10.1017/s0033291798007375
更新日期:1999-03-01 00:00:00
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更新日期:2016-10-01 00:00:00
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journal_title:Psychological medicine
pub_type: 历史文章,杂志文章,评审
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更新日期:1987-08-01 00:00:00
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journal_title:Psychological medicine
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更新日期:2018-06-01 00:00:00
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journal_title:Psychological medicine
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更新日期:1991-11-01 00:00:00
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更新日期:2020-04-01 00:00:00