Canadian family physician Médecin de famille canadien
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Review Case Reports
An approach to interpersonal psychotherapy for postpartum depression: focusing on interpersonal changes.
To review the principles of interpersonal psychotherapy (IPT)for the treatment of postpartum depression (PPD). ⋯ Postpartum depression is an important public health problem with pervasive effects on mothers, infants, and families. Interpersonal psychotherapy is a relevant and effective treatment for women suffering from PPD because it helps address the many interpersonal stressors that arise during the postpartum period. The principles of IPT can be integrated easily into primary care settings as IPT is pragmatic, specific, problem focused, short-term, and highly effective.
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To understand some of the cross-cultural issues in providing palliative care to aboriginal patients. ⋯ Cultural differences exist between medical caregivers and aboriginal patients. These include different assumptions and expectations about how communication should occur, who should be involved, and the pace of decision making. Aboriginal patients might value indirect communication, use of silence, and sharing information and decision making with family and community members.