Personality and Medec 2006 (Power Point Prof SW)
-
Upload
jody-felizio-chandra -
Category
Documents
-
view
25 -
download
1
description
Transcript of Personality and Medec 2006 (Power Point Prof SW)
![Page 1: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/1.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 1
ATTITUDE AND PERSONALITY ASPECTS IN MEDICAL EDUCATION
Sasanto Wibisono
Department of PsychiatryFaculty of Medicine - University of Indonesia
![Page 2: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/2.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 2
Introduction (1)
• If you have ever been a patient, than you know what to expect of the doctor’s attitude and behavior.
• That is how you should envision yourself of being a doctor!
• Patients/people will expect you to conduct your professional duty compassionately.
![Page 3: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/3.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 3
Introduction (2)
• That implies aspects of ‘attitude’: i.e. sincere, with honesty, empathetic, professional, etc.
• Confidentiality, trust, ethics and legal aspects, became so important in medical practice because we are dealing with personal privacy.
• Doctor-patient’s relationship become the central issue in medical practice.
• During the past, medical profession used to be very respected and adored in a sacred sense.
![Page 4: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/4.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 4
Introduction (3)
• More than just having the skill in diagnosing and treating diseases, medical doctors should have the ability for considerate interpersonal communication.
• It should took into account, the sacred mission in it’s objectives.
• It differs from other professions in the fact that in many ways it deals with the very delicate private/personal matters.
![Page 5: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/5.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 5
Attitude, behavior & personalty (1)
• Attitude – manner of carrying oneself; disposition (stood in a graceful attitude); a state of mind or feeling (hostile attitude) => a functional expression of behavior.
• Behavior – the specified way to conduct oneself, to perform – the actions or reactions of a person in response to external or internal stimuli.
• ‘Behavior’ is a more general term – ‘conduct’ applies to actions considered from the standpoint of morality and ethics.
![Page 6: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/6.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 6
Attitude, behavior & personalty (2)
• Behavior is a functional manifestation of personality - a reflection of personality.
• Personality – the totality of qualities and traits, collective character, behavioral, emotional, and mental traits, distinctive to a person. Developed throughout life, and more or less took it’s stable form during adolescence.
• Talking about ‘attitude formation’ is in essence talking about the whole process of personality development.
![Page 7: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/7.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 7
Doctor-Patients’ Relationship (1)
• Keywords: Acceptance - Empathy - Rapport• Acceptance: unpretentious acceptance.• Empathy: the ability to comprehend and feel
(empathize), not just cognitive understanding, but inclusive the affective quality as part of the interpersonal relation/communication.
• Rapport: an established empathic interpersonal relationship, with the sense of trust and understanding. An established meaningful humane quality of communication.
![Page 8: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/8.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 8
Doctor-Patients’ Relationship (2)
• How could we attained such qualification?• In fact, not all MDs could perform such
qualification in interpersonal/doctor-patient relationship. It is is not just a matter of intellectual / academic performance.
• It depends much on the basic personality, developmental and cultural background.
![Page 9: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/9.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 9
Human Behavior• To understand attitude and personality, we should
understand the essential part of human behavior.• Unlike the more primitive species, human behavior is
a learned behavior (not much of an instinctual behavior).
• Human instinct - as the basic driving power• Biological constitution, psycho-educational process
and socio-environmental experiences (bio-psycho-social) constitute the basis for personality development.
![Page 10: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/10.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 10
Attitude/Behavior and Personality Change (1)
• Personality is a unique individual traits which reaches it’s stable form after adolescence.
• Attitude/behavior is the reflection of personality.
• Some of the personality traits were very rigid and difficult to change or modified. Such as: the obsessive-compulsive personality, antisocial personality, schizoid personality, etc.
![Page 11: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/11.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 11
Attitude/Behavior and Personality Change (2)
• Every profession with high responsibility required to be supported by those with conducive aspects of personality pattern.
• The same principle applied to Medical profession. Not all personality pattern is suitable for medical profession.
• Personality is the basic ground for behavioral manifestations and professional conducts.
![Page 12: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/12.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 12
Attitude/Behavior and Personality Change (3)
Possibility of behavioral/personality change:• If the person is well motivated & sustained
by a favorable environment (unfortunately it is not always on the positive direction).
• Backed up by a conducive personality pattern.
• Behavior and attitude are more susceptible for change.
• Long enough to sustain a meaningful lasting behavioral change
![Page 13: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/13.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 13
Attitude/Behavior and Personality Change (4)
• Attitude formation is not as simple as building personal characters by giving advise or lecture – it is a complex years of delvelopmental learning process involving various factors.
• Attitude & behavior are the observable manifestations of personality aspects in social communication – in normal as well as illness.
• Some conditions might need special behavior modification techniques to change.
![Page 14: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/14.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 14
ATTITUDE (1)
• Is a part of the behavioral manifestations: manner of carrying oneself in relation to others - the way to talk and express oneself, a position of the body, a state of mind or feeling, disposition.
• Attitude formation might be an artificial and temporary one, but if compatible, it may also serve the personality or behavioral disposition in a more predictable pattern. People could learn a genuine way of communication, an artificial or symbolic way.
![Page 15: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/15.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 15
ATTITUDE (2)
• With regard to the objectives of medical education, assessment of the personality and behavior of medical students are more meaningful than assessment of the attitudes.
• Observation of ‘attitudes’ may serve as indicator for monitoring qualification.
![Page 16: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/16.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 16
ATTITUDE (3)
Various behavioral aspects relevant to medical profession:
• Moral • Ethics • Social norms and valuesOther aspect to be considered: • Legal aspect / consequences
![Page 17: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/17.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 17
Moral, Ethics, Norms & Values (1)
• Attitude/behavioral guidance towards a more organized & civilized community-life.
• Assumed to aspire good reasons for a better social-life. Unfortunately there are no infallible standard measures.
• Everything will revert to conscience - a subjective judgmental conjunction with respects to humanitarian consideration.
• Refer back to the baseline: personality, behavior and attitude.
![Page 18: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/18.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 18
Moral. Ethics, Norms & Values (2)
• Moral: the quality of behavior or attitudes as seen from the judgmental presumption, based on social conformity of good & bad standards. It depends much on the individual insight.
• Ethics: the philosophical revelation of moral in terms of rules or standards governing the conduct of members of a specific group or profession.
• Ethic: a set of principles of right conduct*)
*) American Heritage College Dictionary
![Page 19: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/19.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 19
Moral. Ethics, Norms & Values (3)
• Social Norms & Values: an unwritten set of standards for behavioral conduct, built up as part of social or cultural way of life => the measuring codes of conduct in a particular social environment. Developed alongside history of the society by the influence of traditional, cultural and religious values.
• Codes or aphorism? In a chaotic community, these norms & values became futile. Inconsistency, inconsequence and double standards, became the guiding principles.
![Page 20: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/20.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 20
Significant Issues Relevant to Medical Education (1)
• Student’s perspectives:– personal/potential compatibility (cognitive/
affective, personality profile, etc.)– adjustment capability related to cultural and
educational background (coping mechanism)– inherent adjustment problems attributed to
philosophical/ historical background– degree of insight in personality function and
development.
![Page 21: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/21.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 21
Significant Issues Relevant to Medical Education (2)
• Institutional perspectives:– Enrollment screening requirements– Clarity, efficiency, consistency and
consequence in the institutional rules– Clarity in educational objectives– Institutional environment / identification figure– Availability of guidance & counseling service
![Page 22: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/22.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 22
CLOSING REMARKS (1)
Conducive personality & behavior are essential assets for medical students / medical doctors. Its significance precedes attitude formation.
Even though it’s difficult to assess (except on its extreme manifestations), it should be part of qualification assessment.
Complex developmental background (bio-psycho-social) should be considered in the assessment.
Medical students should be knowledgeable about personality and its developmental process.
![Page 23: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/23.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 23
CLOSING REMARKS (2)
Attitudes could be directed to a certain pattern through learning process, exercise, experiences, and other behavioral approach.
Change in attitude does not assure a long-lasting behavioral & personality change. Subject to individual variation rooted in the basic personality.
Needs enduring insight and strong motivation for behavioral & personality change.
![Page 24: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/24.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 24
CLOSING REMARKS (3)
Try to be open minded and understanding in self assessment & criticism. Be receptive for posibility of positive personality development.
Some personality traits are not amenable to behavioral change, and in fact are not conducive for medical education.
Moral, ethics, social norms & values, legal aspects, etc., are only guidelines. The more important individual controlling power is the conscience.
![Page 25: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/25.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 25
Organo-Biologic Psycho-educative
Social environment,& culture (including
beliefs, religion)
Nature &environment
SupernaturalReligiousness/Spiritualism
Scientific BaseBIO-PSYCHO-SOCIAL
Sasanto Wibisono, 1992
![Page 26: Personality and Medec 2006 (Power Point Prof SW)](https://reader033.fdocuments.net/reader033/viewer/2022051608/545ad0e7b1af9fc0638b5dd9/html5/thumbnails/26.jpg)
11 Desember 2000 Prof dr Sasanto Wibisono, SpKJ 26
That’s all
Thank you