By Niklaus Wirth
One of many vintage texts on facts buildings and algorithms! Examples are in Pascal.
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An effective partnership requires that trust and rapport be established. Patients must feel comfortable telling their stories and revealing intimate information and significant events. In the twentieth century, contemporary medicine, traditionally considered a healing profession, evolved away from the role of healing the sick to that of curing disease through modern science. Research into this transition revealed that healing was traditionally associated with themes of wholeness, narrative, and spirituality.
Next, conveying to the patient in the simplest terms possible that to achieve lasting solutions to the problem(s) for which he and/or she has come seeking help, a few fundamental questions must be asked and answered to understand the problem in the context of the patient’s personal life. This framing of the interview process moves the endeavor from a left-brain compilation to a narrative that encourages insight—based on complex pattern recognition—about the root causes of the problem. 4. At this stage, control is shared with the patient: “Without your help, we cannot understand your medical problem in the *Research focused on the therapeutic encounter has repeatedly found that clinicians interrupt the patient’s flow of conversation within the first 18 seconds or less, often denying the patient an opportunity to finish.
2000;17(1): 53-68. 9. Vink R, Nimmo AJ, Cernak I. An overview of new and novel pharmacotherapies for use in traumatic brain injury. Clin Exp Pharmacol Physiol. 2001;28(11): 919-921. 10. Yu SL, Ho LM, Lim BC, Sim ML. Urinary deoxypyridinoline is a useful biochemical bone marker for the management of postmenopausal osteoporosis. Ann Acad Med Singapore. 1998;27(4):527-529. 11. Palomba S, Orio F, Colao A, et al. Effect of estrogen replacement plus low-dose alendronate treatment on bone density in surgically postmenopausal women with osteoporosis.