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Patient-centered care requires different approaches depending on the clinical situation. Motivational interviewing and shared decision making provide practical and well-described methods to accomplish patient-centered care in the context of situations where medical evidence supports specific behavior changes and the most appropriate action is dependent on the patient's preferences. Many clinical consultations may require elements of both approaches, however. This article describes these 2 approaches—one to address ambivalence to medically indicated behavior change and the other to support patients in making health care decisions in cases where there is more than one reasonable option—and discusses how clinicians can draw on these approaches alone and in combination to achieve patient-centered care across the range of health care problems. [ABSTRACT FROM AUTHOR]

The article focuses on a study conducted to determine the association of self-rated mindfulness of a physician with patient care quality and how it can improve health outcomes. The study includes an analysis of audio-recorded patient-clinician communication using the Roter Interaction Analysis System (RIAS). The participants of the study were HIV-infected patients and their clinicians.

The article discusses the significance of shared mind in the decision making in clinical practice in the context of serious illness. It explores how shared mind, which involve sharing of information, thoughts, feelings, perceptions, meanings, and intentions, can be shared through communication and its implication for decision making and patient autonomy. Moreover, patient-centered approaches to patient-clinician interactions have been considered to promote relational autonomy.

The article presents a study which examines the reasons of individuals not to disclose depression to their primary care physician. The study conducted a follow-up telephone survey which asked about reasons for nondisclosure of depressive symptoms in 1,054 adults in California. Results reveal that concern that physician would recommend antidepressants is the most frequent reason for not disclosing depression in which an intervention should be developed to encourage patient to disclose symptoms.

Examines the significance of biopsychosocial model of clinical care. Importance of the model as a way of understanding how suffering, disease, and illness are affected by multiple levels of organization; Proposal of a biopsychosocial-oriented clinical practice; Aim of George Engel to offer a dynamic, interactional, but dualistic view of human experience in which there is mutual influence of mind and body. INSET: Engel's Critique of Biomedicine.