TY - CHAP M1 - Book, Section TI - A Synopsis of the Neurologic Investigation and a Formulary of Neurodiagnosis A1 - Biller, José A1 - Gruener, Gregory A1 - Brazis, Paul W. Y1 - 2011 N1 - T2 - DeMyer's The Neurologic Examination: A Programmed Text, Sixth Edition AB - In clinical situations there are three principal factors that can legitimately influence the decision making process. These are:The scientific evidenceThe practitioner's clinical experienceThe practical situation, including the patient's wishes, other people's concerns, the patient's lifestyle and culture, the social environment, and realistic observations to the delivery of technically ideal interventionsThese can be thought of as a triangle of forces.There are some problems with each of these factors as a primary guide to treatment. Consequently, they should remain metaphorically in a state of balance in the clinician's mind, so that he is able to establish treatment plans that are evidence based (but not mechanistic), patient centered and contextualized (but not irrational), and informed by experience (rather than by a faith in idiosyncratic ideas). Treatment frequently goes wrong because one or more of these factors have been neglected.Rob Poole & Robert Hisso.(Clinical Skills in Psychiatric Treatment. Cambridge University Press, 2008.) SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/10 UR - neurology.mhmedical.com/content.aspx?aid=1102735372 ER -