If medicine is so great, why are more people getting sick? Why don't people turn up for follow-up checks or take their pills properly? And why do patients sometimes seem to come from another planet?Medicine doesn't happen in a vacuum. It happens between doctors and patients, who seem to inhabit very different worlds. It's not enough to think about medicine. We need to think more about patients. Thinking About Patients promotes a multidimensional model of medicine. It offers a practical guide to the psychological and social processes involved in practising medicine and in being a patient. It will help us to return to what medicine is all about - using our skills to serve patients.

The Nature of Suffering underscores the change that is taking place in medicine from a basic concern with disease to a greater focus on the sick person. Cassell centers his discussion on the problem of suffering because, he says, its recognition and relief are a test of the adequacy of any system of medicine. He describes what suffering is and its relationship to the sick person: bodies do not suffer, people do. An exclusive concern with scientific knowledge of the body and disease, therefore, impedes an understanding of suffering and diminishes the care of the suffering patient. The growing criticism that medicine is not sufficiently humanistic does not go deep enough to provide a basis for a new understanding of medicine. New concepts in medicine must have their basis in its history and in the development of ideas about disease and treatment. Cassell uses many stories about patients to demonstrate that, despite the current dominance of science and technology, there can be no diagnosis, search for the cause of the patient's disease, prognostication, or treatment without consideration of the individual sick person. Recent trends in medicine and society, Cassell believes, show that it is time for the sick person to be not merely an important concern for physicians but the central focus of medicine. He addresses the exciting problems involved in such a shift. In this new medicine, doctors would have to know the person as well as they know the disease. What are persons, however, and how are doctors to comprehend them? The kinds of knowledge involved are varied, including values and aesthetics as well as science. In the process of knowing the experience of patient and doctor move to center stage. He believes that the exploration of the person will engage medicine in the 21st century just as understanding the body has occupied the last hundred years.

For many doctors, their role as powerful healer precludes thoughts of ever getting sick themselves. When they do, it initiates a profound shift of awareness-- not only in their sense of their selves, which is invariably bound up with the "invincible doctor" role, but in the way that they view their patients and the doctor-patient relationship. While some books have been written from first-person perspectives on doctors who get sick-- by Oliver Sacks among them-- and TV shows like "House" touch on the topic, never has there been a "systematic, integrated look" at what the experience is like for doctors who get sick, and what it can teach us about our current health care system and more broadly, the experience of becoming ill.The psychiatrist Robert Klitzman here weaves together gripping first-person accounts of the experience of doctors who fall ill and see the other side of the coin, as a patient. The accounts reveal how dramatic this transformation can be-- a spiritual journey for some, a radical change of identity for others, and for some a new way of looking at the risks and benefits of treatment options. For most however it forever changes the way they treat their own patients. These questions are important not just on a human interest level, but for what they teach us about medicine in America today. While medical technology advances, the health care system itself has become more complex and frustrating, and physician-patient trust is at an all-time low. The experiences offered here are unique resource that point the way to a more humane future.

Patients have personal strategies in solving the problems concerning their illness. Doctors have personal and professional strategies in solving the problems with their patients. This book explores the problematic triangle between doctors, patients and the illness, using illustrations from internal medicine, nephrology, cardiology, oncology and neurology. Enhancement of the doctor-patient interaction is an important contribution to the mutual reduction of stress and therefore the improvement of the course of (long-term) illness. The first part of the book describes reasons why the partnership between doctor and patient should be improved. The second part offers concrete and practical options to achieve that improvement.

This book explores the psychosocial impact of serious illness - its effect on a person's identity and relationships - and the doctor's role in counseling patients. Even the most seasoned physician often feels inadequate when it comes to discussing the personal impact of disability and serious illness with patients. It takes time, attention, and skill. Most physicians who are good at this learn what to say from observations of physicians they respect and the conversations they share with patients over many years of practice. Like everything else in medicine, there is a continuous learning curve. This book offers a beginning. It includes first-hand experiences and reflections on serious illness by physicians and patients, concrete advice on how to initiate discussions of difficult psychosocial issues, topics for organising discussion, suggested readings, and guides for patient interviews.'Much is written about patient-centered care and the patient experience.What sets this book apart is, first, Lenore Buckley's ability to tell stories about her own medical experience. These teaching tales give young physicians a sense of the task that their profession requires of them, while keeping that task within human proportions. Second and complementing that is her excellent compilation of quotations and stories from the memoirs of patients and physicians, especially physicians as patients. 'I hope this empathic, useful collection of materials for teaching and reflection finds its way into medical school curricula, and I hope it is one of those books that physicians return to during years of practice, especially when they sense that the treatment expert is crowding the witness out of the room. Patients need both doctors. Lenore Buckley shows how doctors are able to expect nothing less of themselves' - Arthur W Frank in the Foreword.

Anatomy of an Illness was the first book by a patient that spoke to our current interest in taking charge of our own health. It started the revolution in patients working with their doctors and using humor to boost their bodies' capacity for healing. When Norman Cousins was diagnosed with a crippling and irreversible disease, he forged an unusual collaboration with his physician, and together they were able to beat the odds. The doctor's genius was in helping his patient to use his own powers: laughter, courage, and tenacity. The patient's talent was in mobilizing his body's own natural resources, proving what an effective healing tool the mind can be.