• Med. Clin. North Am. · Jul 2022

    Review

    When Communication Breaks Down: Handling Hostile Patients.

    • Martha Ward and Sarah Cook.
    • Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, 100 Woodruff Circle, Atlanta, GA 30322; Department of Medicine, Emory University School of Medicine, 100 Woodruff Circle, Atlanta, GA 30322. Electronic address: mcraig@emory.edu.
    • Med. Clin. North Am. 2022 Jul 1; 106 (4): 689-703.

    AbstractDifficult patient encounters are common in clinical practice, with many arising from patient hostility owing to a breakdown in communication and the health care alliance. Patient anger may be a manifestation of fear, grief, or discontent with prior experiences in the health care system, but there may also be contributions from specific patient, physician, or situational factors. Physicians may intervene with specific actions based on these individual factors, while focusing on self-reflection to better understand their part in creating a hostile physician-patient dyad.Copyright © 2022 Elsevier Inc. All rights reserved.

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