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Biomedical subjects

K Malterud

Publications and source records attributed to K Malterud.

At least 91 records · Page 5Linked to original sources
PubMed1990

[Gynecologic examination and sexual preference].

The majority of gynaecological patients who consulted a female general practitioner had a clear preference concerning the sex of the doctor. One third would go to the neighbouring municipality for a gynaecological examination if this was necessary in order to consult a female doctor. One out of ten would fail to attend for gynaecological examination if no female doctor were available. This is serious, especially for a) young women in need of contraception, b) women with severe non-symptomatic gynaecological disease. Steps must be taken to ensure that every woman has an opportunity to consult a female doctor. We need more female general practitioners in Norway.

Attitude↗
PubMed1990

Discourse analysis in general practice: a sociolinguistic approach.

It is a simple but important fact that as general practitioners we talk to our patients. The quality of the conversation is of vital importance for the outcome of the consultation. The purpose of this article is to discuss a methodological tool borrowed from sociolinguistics--discourse analysis. To assess the suitability of this method for analysis of general practice consultations, the authors have performed a discourse analysis of one single consultation. Our experiences are presented here.

Communication↗
PubMed1990

[Can prevention be hazardous to health?].

Health-promotion/disease-prevention may--despite the best intentions--have mischievous effects and overlooked ethical implications. This article describes some consequences of health promotion when initiated by the medical profession as medicalization of the modern human being, problems with false test-results, iatrogenic disease, and the risk of "victim blaming". The responsibility of the medical profession includes the well-being of healthy people as well as the actually or future sick. Therefore, health promotion has to be based on the values and informed consent of the healthy part of the population.

Attitude to Health↗
PubMed1990

[Medicine's helplessness. 1. All-powerful ambitions].

This article identifies and describes the helplessness of modern medicine. Helplessness arises when ambitions significantly embedded in identity and dignity exceeds the options of reality--whether persons or academic subjects are concerned. Medical helplessness will continue as long as the medical profession claims miraculous aims of diagnostic or therapeutic success. Another important source of medical helplessness is the obsession that subjective matters belonging to patients, are irrelevant and disturbing issues in medical science and practice. Medicine must acknowledge its own helplessness by listening to the needs of the patients. The helplessness of medicine may be treated by a medical reorientation provided by general practice, knowledge and science.

Family Practice↗
PubMed1990

[The helplessness of medicine. 2. A challenge for general medicine].

In a first article the helplessness of modern medicine was presented and analyzed. This article discusses the role of general practice in preventing this helplessness as a medical and scientific discipline. The key to prevention is to analyze 1) which medical needs are relevant for the patients, and 2) what are the options of fulfilling these needs within the medical reality of today. General practice is a medical area where real life knowledge is estimated and available. General practitioners have experienced the inadequacy of the medical model where objectivity is superior, and therefore are developing new medical theories better suited for medical everyday problem solving. Medicine may be helped away from its present helplessness by general practice knowledge, provided that such knowledge is refined and developed and made scientifically reliable. Subjective knowledge may be transformed into science within new medical paradigms and by means of methodological tools borrowed from neighbouring human sciences. If medicine acknowledges its own helplessness, it may be treated by general practice contributions to a medical and scientific reorientation.

Family Practice↗
PubMed1987

Illness and disease in female patients. I. Pitfalls and inadequacies of primary health care classification systems--a theoretical review.

Causal understanding is looked upon as fundamental for scientific medical management. Classification systems for symptoms as well as for diagnoses are describing disease--not illness. Several conditions--most often problems presented by female patients--cannot be given an adequate classification within these systems. Reasons for this are discussed as regards communication and context of the encounter between female patients and male doctors. Medical consequences of suffering from problems with no diagnostic name are described. Several ways of relieving the doctor's inadequacy by improving the communication are suggested.

Disease↗
PubMed1987

Illness and disease in female patients. II. A study of consultation techniques designed to improve the exploration of illness in general practice.

Health problems in female patients often confuse the general practitioner. Many of them are classified as "unspecific" or "various". Psychiatric, psychosomatic or musculosceletal diagnoses may imply a diagnostic level inadequate for proper solution of the problems. This study of middle-aged female patients assumes that such conceptual inadequacies are related to the communication and the context of the consultation. A consultation technique designed to improve the exploration of illness based on the women's own "medical" language is described. The results indicate that this may be an effective tool in the consultation. Mobilizing the women's own resources seems to improve the doctor's insight in her illness and the outcome of the consultation.

Adult↗