Unit for Social and Community Psychiatry, St Bartholomews and the Royal School of Medicine, Queen Mary, University of London, William Harvey House, West Smithfield, London EC1A 7BE
Unit for Social and Community Psychiatry, Newham Centre for Mental Health,
Unit for Social and Community Psychiatry, Newham Centre for Mental Health
This survey is part of a 3-year project funded by the special trustees of St Bartholomews Hospital, the Joint Research Board.
Correspondence: e-mail: r.a.mcguire{at}mds.qmul.ac.uk
AIMS AND METHOD
A positive therapeutic relationship is essential to psychiatry and should take into account patients preferences. Preferences of 133 community care patients were surveyed regarding dress and forms of address of six professions. Participants sex, age, ethnicity and diagnosis were recorded.
RESULTS
Ninety-eight per cent of participants expressed a preference. While most preferred to be called patients by general practitioners (75%) and psychiatrists (67%), there was no statistically significant difference in preference for the term patient or client when used by community psychiatric nurses, occupational therapists, psychologists or social workers. Participants over the age of 40 preferred the term client. Asymmetrical relationships were preferred with general practitioners and psychiatrists, evidenced by a preference to be addressed by first name (71% and 68%, respectively), to address the professional by title (81% and 80%, respectively), and the professional to be smartly dressed (67% and 66%, respectively).
CLINICAL IMPLICATIONS
A more differentiated approach may be suggested by taking professional background and some demographic characteristics into consideration.
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