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Title: A contribution to the understanding of healthcare relationships in long term health conditions
Author: Pooley, Hannah
Awarding Body: University of Warwick
Current Institution: University of Warwick
Date of Award: 2013
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Chronic illnesses are the leading cause of death worldwide and are also expected to be the leading cause of disability by 2020 (World Health Organization [WHO], 2003). They are changing the experience of healthcare for both patients and healthcare professionals. In particular, they are changing the roles of patients and doctors, with patients expected to be more involved in their disease management and doctors shifting their focus away from curing pathology to regulating and palliating symptoms (May, 2005). Chapter one presents a systematic review of the role of patients' relationship styles on healthcare outcomes in diabetes. Outcomes of the review highlight the impact of attachment styles that are characterised by having a 'negative model of other' on health outcomes. Despite methodological limitations, the review finds evidence to support the use of attachment theory for understanding healthcare outcomes in the diabetes population and describes the clinical utility of using attachment theory in the development of interventions with this patient group. Chapter two examines the experiences of healthcare professionals in chronic illness in an empirical study investigating the lived experiences of the long term doctor-patient relationship in male Consultant Nephrologists. The experiences of seven Consultant Nephrologists were explored using a phenomenological approach. Findings revealed three superordinate themes: 'Defining my professional identity', 'Relating to the patient' and 'Coping with the job'. Clinical implications of the findings and recommendations for future research are discussed. Chapter three continues the theme of healthcare relationships in a reflective paper based on a journal kept by the author throughout the research process. This paper considers the challenges of conducting psychological research in medical settings, in particular, the researcher’s own initial reservations about these challenges and how the researcher feels now the study is complete. Such reflections may be beneficial for psychologists conducting future research in this area.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: BF Psychology ; RA Public aspects of medicine