PubMed · 8364708
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V Schnieden. Violence against doctors.. https://pubmed.ncbi.nlm.nih.gov/8364708/
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From 1980 to 1993, the Danish Radio Medical Advice Service (RMAS) had 1136 contacts from overseas Danish merchant ships and 213 contacts from Danish territorial waters. The distribution of the diagnoses in the overseas contacts were: Diseases in the digestive and genitourinary system 30%, traumatic lesions 23%, infectious diseases 14%, diseases in the cardiovascular and respiratory system 9%. The only trend over the years was a significant (p = 0.01) decrease in psychiatric diagnoses. Evacuation was recommended in 53% and medicine was prescribed in 61% of the contacts. The medical speciality for doctors participating in RMAS should be general surgery or orthopaedic surgery but access to advice from all other medical specialities should be available. Experience as a naval medical officers would be beneficial. The education of the officers on the ships should include intravenous infusion. The communication should be by telephone and television would be an advantage.
This paper outlines five different forms of dialogue, which are often confused: A conversation is a conventional and not formalized dialogue between two persons on equal terms, both talking and listening to each other. An interview is a formalized (perhaps schematic) exploration with the specific aim of assessing the interviewee. A counselling and/or a consultation does not interfere with the traditional doctor-patient relationship. Counselling can be an independent profession focusing on delimited problem areas. Psychotherapy is- or should be-qualified, specific and systematic, i.e. the application of a psychological theory with the specific aim of treating a psychological disorder/disease. The therapist is in a well-defined professional role. The dialogue is subject to the primary therapeutic goal. Psychoanalysis is research of the unconscious in particular, as well as a special kind of psychological treatment. The dialogue is specifically accommodated to the psychoanalytic process.