0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
A Piece of My Mind |

A Piece of My Mind—Actually

Herbert M. Adler, MD, PhD1
[+] Author Affiliations
1Departments of Family Medicine and Psychiatry and Human Behavior, Jefferson Medical College, Philadelphia, Pennsylvania
JAMA. 2015;314(16):1693-1694. doi:10.1001/jama.2015.8429.
Text Size: A A A
Published online

Extract

I finally gave Tom (not his real name) a piece of my mind, but it’s not what you think. I didn’t “dump on him,” in the colloquial use of the phrase. Rather, I provided his mind with a part of my mind that I hoped would be therapeutic. For better or worse, this happens in every clinical encounter and should be recognized to be as intrinsic to clinical practice as gathering the history of the present illness—where it usually begins.

Background: During my psychiatry residency, I moonlighted by covering the practices of several primary care physicians. I now have a dual academic appointment in the departments of psychiatry and family medicine and teach primary care physicians how to conduct short-term psychotherapy. Tom’s primary care physician had asked me to treat his pathological mourning for his cat, and Tom agreed to see me once a week in a room with a one-way mirror that would permit family medicine residents and students to view our interaction. By the eighth week, we both agreed that Tom had achieved a satisfactory outcome, and he continued to see his primary care physician for his usual medical problems.

Topics

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

2,795 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Related Collections
Jobs
brightcove.createExperiences();