CARE OF THE YOUNGER PATIENT – THE NEED FOR CHOICE (OFFERING CONTRACEPTIVE)
From time to time any doctor offering a contraceptive service, whether in a clinic or in a general practice, will meet patients transferring from other sources of care. The reason usually given is that of convenience, either of time or place, although some young people will express dissatisfaction with their previous care. The dissatisfaction is almost always about attitudes: ‘She was very abrupt’; and about not being listened to: ‘Surely I should have some say in the matter?’ One of the reasons why patients may evoke such responses in those who are genuinely trying to offer care is the unconscious aggression with which they may approach adults whom they see as being in a position of authority. It must be remembered that one of the overriding emotional tasks at this age is to break away from parental authority and to develop personal standards and ideals (Hinshelwood, 1983).
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