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2008-2-27 16:02

Families, Systems, & Health Editors:  
Susan H. McDaniel, PhD
Thomas L. Campbell, MD
ISSN: 1091-7527
Published Quarterly, beginning in March

Journal Description

Families, Systems, & Health is the leading peer-reviewed international journal in the field of collaborative family healthcare, family systems medicine, and medical family therapy.

This publication promotes the biopsychosocial approach and its holistic, systemic evaluation of health, illness, and healthcare delivery.

The journal publishes articles about clinical research, practice, education, and policy regarding integrated care, with particular interest in new models of collaboration between families and health and mental health professionals in different community and healthcare settings.

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Title

The Possible Dream: A Commentary on the Don Quixote Effect.

Abstract

Medical students may experience a short-lived "spurt" of cognitive and emotional idealism upon watching films that display compelling images of suffering and healing. According to J. Shapiro and L. Rucker (see record 2004-21890-006), repeated doses of this Don Quixote effect may contribute to character development. Students enter medical school with an idealistic but inchoate commitment to professional virtue. However, in medical training they experience a disconnect between the virtue-based narrative medicine commonly avowed by their teachers and the detached, reductionistic medicine actually practiced by their teachers. This conflict often leads to confusion and, later, to adoption of nonreflective practice. Alternatively, strong positive role models--usually clinical teachers, but also characters from film and literary works--may result in the Don Quixote effect becoming life altering, as it did in the case of Sancho Panza. (PsycINFO Database Record (c) 2007 APA, all rights reserved)

Authors

Coulehan, Jack

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Title

The Don Quixote Effect: Why Going to the Movies Can Help Develop Empathy and Altruism in Medical Students and Residents.  

Abstract

Physicians at all levels of training sometimes feel more emotionally moved when viewing a movie about a patient than when treating a similar patient in an actual clinical encounter. The authors consider the relationship of mainstream movies to medicine in general, then explore factors that might differentially influence emotional responses in each setting. They posit a conceptual model, the Don Quixote effect, to explain the aforementioned phenomenon. Specifically, they argue that going to the movies can produce an emotional idealism that may help physician viewers achieve more positive attitudes of empathy and altruism. Finally, the authors discuss ways that the Don Quixote effect can be transferred into clinical practice, providing a much needed stimulus for nourishing and revitalizing physician intentions and motivations.

Authors

Shapiro, Johanna; Rucker, Lloyd

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Title

Shared Mental Health Care: The Calgary Model--A Commentary.  

Abstract

Mental health problems are common in primary care, representing 30%-50% of visits. Family physicians are often frustrated by their lack of training and by the difficulties of obtaining a timely referral for this group of patients. A collaborative approach to mental health care has been developed by a group, Calgary (McElheran et al; see record 2004-21890-004), in a traditional fee-for-service system for physician payment. Consultation can be obtained quickly, and the primary care physician can be involved in the assessment by the specialist so that he or she will learn by observing the interview process and the subsequent discussion, thus facilitating ongoing care by the family physician. This approach is a model for similar collaborative arrangements that could be developed between primary care physicians and specialists in many medical disciplines. (PsycINFO Database Record (c) 2007 APA, all rights reserved)

Authors

Weston, Wayne

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Title

Family-Oriented Health Care in Finland: Background and Some Innovative Projects.  

Abstract

Significant regional, population structure, and social changes that have taken place in Finland since World War II have affected well-being and health among the population in many ways. From the 1960s onward, family orientation started to gain ground, first in psychiatry, and about two decades later it began to be applied in the work of family doctors as well. This article describes this development process and presents some innovative new projects promoting family therapy and systemic family medicine. In the opinion of the authors, the problems of individuals and families that health care professionals are faced with are often so complex that an interprofessional approach supporting the clients' own resources is beneficial. (PsycINFO Database Record (c) 2007 APA, all rights reserved)

Authors

Larivaara, Pekka; Taanila, Anja; Aaltonen, Jukka; Lindroos, Sirpa; Väisänen, Erikki; Väisänen, Leena

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Title

A Collaborative Needs Assessment and Work Plan in Behavioral Medicine Curriculum Development in Vietnam.  

Abstract

An important aspect of family medicine education in the United States and abroad is behavioral medicine. Interpersonal and communication skills, mental health assessment, and sensitivity to diverse patient populations are areas of curricular importance. This article describes the behavioral medicine portion of a family medicine consultation with Vietnam, in progress since 1999. The needs assessment for behavioral medicine reveals few monetary or personnel resources available for training family physicians or caring for patients with mental health problems. Challenges of conducting cross-cultural consultations are many and include confronting language barriers, agreeing on a mutual agenda, and understanding the biopsychosocial paradigm. The consultation work plan involves developing knowledge and teaching skills of Vietnamese family medicine faculty members in behavioral medicine. (PsycINFO Database Record (c) 2007 APA, all rights reserved)

Authors

Schirmer, Julie M.; Cartwright, Cynthia; Montegut, Alain J.; Dreher, George K.; Stovall, Jeffrey

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Title

Cross-Cultural Strategies: A View Through the International Lens.  

Abstract

Two articles contrasting efforts in Vietnam and Finland to promote family and systemic approaches to health care are reviewed (J. M. Schirmer, C. Cartwright, A. J. Montegut, G. K. Dreher, & J. Stovall, see record 2004-21890-002; P. Larivaara et al., see record 2004-21890-001). Considering them together permits a deeper understanding of the consultation process in differing cultural and historical conditions. Analogies with systemic treatment can be noted as well. (PsycINFO Database Record (c) 2007 APA, all rights reserved)

Authors

Bloch, Donald A.

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Families, Systems, & Health - Vol 22, Iss 4
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1. Family-Oriented Health Care in Finland: Background and Some Innovative Projects.
By Larivaara, Pekka; Taanila, Anja; Aaltonen, Jukka; Lindroos, Sirpa; Väisänen, Erikki; Väisänen, Leena
Families, Systems, & Health. 2004 Win Vol 22(4) 395-409

2. A Collaborative Needs Assessment and Work Plan in Behavioral Medicine Curriculum Development in Vietnam.
By Schirmer, Julie M.; Cartwright, Cynthia; Montegut, Alain J.; Dreher, George K.; Stovall, Jeffrey
Families, Systems, & Health. 2004 Win Vol 22(4) 410-418

3. Cross-Cultural Strategies: A View Through the International Lens.
By Bloch, Donald A.
Families, Systems, & Health. 2004 Win Vol 22(4) 419-423

4. Shared Mental Health Care: The Calgary Model.
By McElheran, William; Eaton, Philip; Rupcich, Carol; Basinger, Marilyn; Johnston, David
Families, Systems, & Health. 2004 Win Vol 22(4) 424-438

5. Shared Mental Health Care: The Calgary Model--A Commentary.
By Weston, Wayne
Families, Systems, & Health. 2004 Win Vol 22(4) 439-444

6. The Don Quixote Effect: Why Going to the Movies Can Help Develop Empathy and Altruism in Medical Students and Residents.
By Shapiro, Johanna; Rucker, Lloyd
Families, Systems, & Health. 2004 Win Vol 22(4) 445-452

7. The Possible Dream: A Commentary on the Don Quixote Effect.
By Coulehan, Jack
Families, Systems, & Health. 2004 Win Vol 22(4) 453-456

8. Physicians' Intergenerational Family Relationships and Patients' Perceptions of Working Alliance.
By van Walsum, Kimberly L.; Lawson, David M.; Bramson, Rachel
Families, Systems, & Health. 2004 Win Vol 22(4) 457-473

9. Knowing What the Doctor Brings to the Table: Commentary on van Walsum, Lawson, and Bramson (2004).
By Hargrove, David S.
Families, Systems, & Health. 2004 Win Vol 22(4) 474-476

10. A New Triangle Participant: Commentary on van Walsum, Lawson, and Bramson (2004).
By Crouch, Michael A.
Families, Systems, & Health. 2004 Win Vol 22(4) 477-480

11. Book Reviews.
By Goodrich, Thelma Jean
Families, Systems, & Health. 2004 Win Vol 22(4) 481

12. Review of Ten Minutes for the Family: Systemic Interventions in Primary Care.
By Cushman, Robert A.
Families, Systems, & Health. 2004 Win Vol 22(4) 481-483

13. Heartmates: A Guide for the Spouse and Family of the Heart Patient (3rd ed.)/The Heartmates Journal: A Companion for Partners of People With Serious Illness (2nd ed.).
By Crouch, Michael
Families, Systems, & Health. 2004 Win Vol 22(4) 483-485

14. Review of Normal Development in the First Ten Years of Life (complete version, seven VHS tapes or four DVDs; Greatest Hits, VHS, DVD, or CD-ROM; Zero to Three Version, Tapes 1-3 of the complete version, VHS).
By Grauf-Grounds, Claudia
Families, Systems, & Health. 2004 Win Vol 22(4) 485-486

15. Pills at Bedtime.
By Holloway, Richard L.
Families, Systems, & Health. 2004 Win Vol 22(4) 487-489

16. An Interdisciplinary Student-Run Diabetes Clinic: Reflections on the Collaborative Training Process.
By Robinson, W. D.; Barnacle, R. E. S.; Pretorius, R.; Paulman, A.
Families, Systems, & Health. 2004 Win Vol 22(4) 490-496
   
17. Group Visits for Diabetic Patients: One Physician's Experience.
By Munshower, John C.
Families, Systems, & Health. 2004 Win Vol 22(4) 497-500

18. For Josh on His Fortieth Birthday.
By Goldman, Jan
Families, Systems, & Health. 2004 Win Vol 22(4) 501-502