Psychosomatic problems of the relationship between obstetrician-gynecologist and patient in modern conditions
Modern socio-economic and political conditions in our country greatly affect the psycho-emotional state of fertile aged women and their partners. Unfortunately, the concept of psychological security is not widespread in Ukraine today. The radical approaches to the formation of public opinions and approaches by opinion leaders, which are covered in the media and social networks, unfortunately, reduce the credibility of the doctor as a person who fulfills state guarantees of quality free medical care. Such features of changing attitudes towards doctors greatly affect the efficiency of the doctor’s contact with the patient, which affects the effectiveness of treatment. In women of reproductive age with impaired reproductive health the strength of stressors that induce reproductive health disorders decreases in time to a certain level and goes into prolonged distress. Functioning of the central nervous system supports the formation of a negative internal dialogue in the patient because of interneuron interaction and passage of brain impulses by the shortest route and through areas of high vascularization.
The article describes the main types of cognitive distortions that can interfere with the effective dialogue between doctor and patient. Cognitive distortions can be viewed as changes in the psycho-emotional state of women and as a result of the psycho-emotional pathology development, which is need parallel therapy or correction of the psycho-emotional state of such women addition to the treatment of reproductive disorders. The most common of cognitive distortions are mental filtering, positive deviations, maximization, minimization, dichotomous thinking, over-generalization, personalization, accusations, a sense of one’s own self-righteousness, emotional thinking. Timely detection of cognitive impairment in patients with reproductive health disorders allows establishing a trusting relationship between doctor and woman, increasing the effectiveness of treatment and reducing the time of conversation with patient.
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