Using conversation analyses of 32 consultations, McCabe and colleagues (p 1148) found that psychiatrists were reluctant to engage when patients with schizophrenic conditions asked direct questions and repeated utterances about their symptoms.
In response to these attempts doctors hesitated, asked questions rather than providing answers, and smiled or laughed.
This was associated with noticeable tension in the patient. Addressing patients’ concerns about their psychotic symptoms and their ideas about their illness might lead to more satisfactory consultations and better outcomes.
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