a) This gynecologist adapted the active-passive relationship, in which the patient's role is completely passive. In this model the doctor wants to lead all the treatment process without taking into consideration the patient's rights to choose her treatment plan and to decide what's best for her.
b) I think this model isn't appropriate in this situation as the patient is able to make her own decision and she has the right to participate in choosing the treatment plan that's best fits her life style. I also think that doctors shouldn't ignore the patient's opinion and willingness. The best doctor-patient relation ship is the rapport model, in which patient and doctor are cooperative to approach the best for the patient. This model is based on acceptance, care, empathy, understanding the patient's feelings and problems within a professional context.
c) Bad news is a relative concept that depends on the patient's interpretation of the information given and their reaction to it, therefore what's considered bad news for someone might not be bad news for others. It depends on the patient's personality, situation and emotions. That's why doctors should consider the individual patient's needs and circumstances. Doctor needs to be open, honest and provide reassurance and emotional support to his patients.