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reviews

Communication Skills that Heal:

A practical approach
to a new professionalism in medicine 

by Barry Bub, M.D.

Radcliffe Publishing
Oxford UK 2006


View Reviews by

1. Sheldon M. Feldman M.D., FACS 
as published in Healthcare Communication Review

2. Thomas P. Guck, Ph.D.
as published in Doody's Book Review Service

3. Clare Bennett, RN
as published in Nursing Standard

4.
John Launer, MD
London Department of Postgraduate GP Education

 
5.
Dr Susan J. Hawken
Faculty of Medical and Health Sciences
University of Auckland

6. Dr. Joane Wilkins
Journal of Psychiatric and Mental Health Nursing

-------------------------------------------------------------

1. Sheldon M. Feldman M.D., FACS 
as published in Healthcare Communication Review


Dr. Bub well defines the growing challenges involved in providing high quality care to patients today. Despite significant scientific and technological advances, both patients and health care workers frequently experience extreme dissatisfaction. The frenetic pace of modern living including many who strive to be more efficient through multitasking and aids such as laptops and Dictaphones can significantly obstruct human connection.

As a medical student I was taught that 90% of diagnoses can be made by taking a careful history . This skill has been largely lost by many younger colleagues who often rely primarily on lab tests and scans. The value of really " listening" to our patients is stressed.

This book provides an excellent guide to work toward a new health care paradigm with a hopeful and visionary tone. It stresses humanism, compassion and reclaiming healing modalities. This work is concise, well written in clinical context providing specific practice points for immediate use.

Common misconceptions about good communication being too time consuming and frustrations about not knowing what to say are clearly dispelled.  Better communication rather than longer communication is highlighted. The art of careful, mindful listening is well illuminated.

He clearly shows how very often saying less can be much more. Words can be very powerful and once spoken cannot be erased. Words can easily wound rather than heal. Focusing techniques to avoid careless language are described.

The context for healing and the importance of self care are stressed. We cannot help others if our own emotional state is tenuous.

This book illustrates how embracing healing principles can greatly improve our daily experience both in the health care environment and in the world at large. Chapters providing useful information about learning to detect depression, trauma, shame and suffering are very helpful.

The tools and techniques of metaphor, simile, rituals and setting boundaries are well elaborated. Brief insights into Gestalt psychotherapy are presented.

In spite of having been a student of physician/patient communication skills for many years my consciousness in this area is significantly expanded by this book. It will become required reading for our medical students and residents. Dr. Bub has made an important contribution through this important work.

Sheldon M. Feldman M.D., FACS 
as published in Healthcare Communication Review

 
2. Thomas P. Guck, Ph.D., Doody's Book Review Service

"This is a highly personal and practical account of the importance of communication skills in the practice of medicine. It emphasizes the reciprocal benefit to patient and physician of listening on a deeper level.

The author's purpose is to raise awareness and stimulate, provoke, and offer alternative perspectives that help physicians communicate effectively. The author accomplishes this worthy objective by addressing patient/physician communication from a personal rather than academic perspective. 

The book is intended primarily for physicians, but all healthcare practitioners and students would find it valuable. Practical communication perspectives and suggestions based on years of clinical experience are offered by a seasoned physician.

The author does a wonderful job of emphasizing listening as the cornerstone to effective communication. Clinical vignettes help illustrate how to listen to patients on a deeper level. The practice points provided at the end of each chapter are especially helpful. The book is experiential and practical; it is not intended as a review of the communication literature.

This book is a highly personal yet very useful and practical presentation of communication skills for physicians. It is a valuable complement that provides clinical flesh to the basic structure of the patient and physician relationship offered by other books on this topic."

3. Reviewed by Clare Bennett, associate lecturer, the Open University, and tutor for the RCN Institute.

"This thought-provoking book is of value to all healthcare professionals interested in enhancing their daily practice. It had me gripped from the moment I picked it up.

Barry Bub uses an exceptionally engaging style of writing and makes use of case studies and scenarios to powerfully illustrate the impact that communication can have on patients' experiences and outcomes.

Bub's philosophy is holistic in its fullest sense and this comes across in his discussions. While the emphasis is on the patient's experience, the experiences of the healthcare professional as listener are also considered. Well presented, this book is user-friendly and stimulating."

4. Dr John Launer, Associate Director
London Department of Postgraduate GP Education
Author of: Narrative-Based Primary Care A practical guide

“Barry Bub has a real gift for bringing encounters with patients and colleagues to life.  He manages to make stories about people more telling and more educational than any pure theorist ever could.  His ideas about identifying laments and how to respond to them are a powerful and original contribution to family medicine.”

5. Dr Susan J. Hawken, Faculty of Medical and Health Sciences
University of Auckland, New Zealand

"Bub’s book speaks to the heart of medical practice – the relationship between doctor and patient. He vividly describes how doctors can better care for patients with the use of enhanced communication skills and more awareness of themselves. It is easy to read and has helpful practice points at the end of each chapter which can be applied to current medical practice. One of the most enjoyable aspects of the book are the powerful, illustrative stories. I would recommend this book to any doctor feeling dissatisfied or disempowered as it shows a way to be revitalised by approaching the more challenging patient in a different way."

6. Dr. Joanne Wilkins, Journal of Psychiatric and Mental Health Nursing

"I began to read Communication Skills that Heal with a degree of cynicism and weariness just about balance by curiosity and diligence: much as I might start some consultations after 15 years in general practice. I was rapidly hooked and the conclusion moved me to tears. (full review pdf)

View Sample Chapter

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barrybub@gmail.com                © Barry Bub, M.D.


914-500-5698