Doctor-Patient Communication: Breaking the Cycle

Welcome to the website for the book "Breaking the Cycle: How to Turn Conflict Into Collaboration When You and Your Patients Disagree."

Breaking the Cycle explains how physicians can understand, approach, and resolve doctor-patient conflict in a way that breaks down barriers and builds stronger, more gratifying relationships.

As seen in the Wall Street Journal.

Breaking the Cycle Features:

  • A wealth of real-life experiences and case studies that show how impasses arise and how best to respond
  • A systematic approach that shows physicians how to create and maintain viable patient relationships
  • Practical advice based on the experiences of an internist, health psychologist, and a family therapist

Learn more about the book.


  • A practical approach that actually helps physicians, patients, and families reduce conflict ... Speaking as one of the frustrated physicians who has tried to resolve these issues in practice, I am delighted to report that this book by Blackall, Simms, and Green is just what I've been waiting for!
    — Mark Siegler, MD, Lindy Bergman Professor of Medicine and Surgery; Director, MacLean Center for Clinical Medical Ethics; Author of Clinical Ethics: A Practical Approach to Ethical Decisions in Clinical Medicine
  • Blackall, Simms, and Green provide a valuable map for those of us striving to navigate the murky waters of challenging physician–patient interactions. Their model is clearly presented, lucid, and practical.
    — Dan Shapiro, PhD, author of Delivering Doctor Amelia
  • Breaking the Cycle will be of enormous help to physicians of every stripe. The cases beautifully show us something fundamental about caring for patients- namely, effective care begins with genuine interest in building relationships with patients and is sustained by genuine curiosity about the patient's perspective.
    — Jodi Halpern, MD, PhD, author of From Detached Concern to Empathy: Humanizing Medical Practice
  • Overall I found this to be a practical and useful book. I think it would be especially helpful to medical students and residents who are working toward establishing their own clinical identity for the provision of care and their models for physician/patient interactions.
    — J. LeBron McBride, PhD, MPH

Breaking the Cycle Book

Publisher: American College of Physicians
Pub. Date: April 2009
ISBN-13: 9781934465189
Format: Paperback, 154 pages
Edition Number: 1