Bien que ce livre contienne, pour le médecin du xxie siècle, de précieuses leçons qui portent à la réflexion, il présente aussi un intérêt majeur pour le patient lui-même. Dans cette perspective, ...donner comme recevoir des soins de santé de qualité dépend d’une relation médecin-patient fondée sur l’humanisme.Si le récit de l’expérience professionnelle du Dr Hadler se passe en territoire américain, l’humanisme de celui-ci veut transcender les frontières en ajoutant aux valeurs morales de toute société humaine.Il faut saluer le courage de l’auteur qui aborde des questions dérangeantes. Avec une ferme conviction et une grande éloquence, il multiplie ses efforts afin de mieux nous inciter à saisir l’importance de la relation médecin-patient dans le processus de guérison.Nortin M. Hadler, M.D., M.A.C.P., M.C.R., F.A.C.O.E.M., est diplômé du collège de Yale et de l’École de médecine de Harvard. Professeur émérite de médecine et de microbiologie à l’École de médecine de l’Université de Caroline du Nord, il est l’auteur de 200 articles et de 12 ouvrages. Sur le plan international, il se distingue par ses positions très critiques contre le surdiagnostic et le surtraitement en prônant une approche thérapeutique plus humaniste.
Physicians recognize the importance of patients' emotions in healing yet believe their own emotional responses represent lapses in objectivity. Patients complain that physicians are too detached. The ...book argues that by empathizing with patients, rather than detaching, physicians can best help them. Yet there is no consistent view of what, precisely, clinical empathy involves. This book challenges the traditional assumption that empathy is either purely intellectual or an expression of sympathy. Sympathy, according to many physicians, involves over-identifying with patients, threatening objectivity and respect for patient autonomy. How can doctors use empathy in diagnosing and treating patients without jeopardizing objectivity or projecting their values onto patients? The book develops an account of emotional reasoning as the core of clinical empathy. It argues that empathy cannot be based on detached reasoning because it involves emotional skills, including associating with another person's images and spontaneously following another's mood shifts. Yet it argues that these emotional links need not lead to over-identifying with patients or other lapses in rationality but rather can inform medical judgement in ways that detached reasoning cannot. For reflective physicians and discerning patients, this book provides a road map for cultivating empathy in medical practice. For a more general audience, it addresses a basic human question: how can one person's emotions lead to an understanding of how another person is feeling?
We will all be patients sooner or later. And when we go to the doctor, when we're hurting, we tend to think in terms of cause and condemnation. We often look for relief not only from physical ...symptoms but also from our self-blame. We want from our doctors kindness under any of its many names: empathy, caring, compassion, humanity. We look for safety and forgiveness. But we forget that doctors, too, are often in need of forgiveness-from their patients and from themselves. No doctor enters the medical profession expecting to be unkind or to make mistakes, but because of the complexity of our current medical system and because doctors are human, they often find themselves acting much less kindly than they would like to. Drawing on his work as a primary care physician and a behavioral scientist, Michael Stein artfully examines the often conflicting goals of patients and their doctors. In those differences, Stein recognizes that kindness should not be a patient's forbidden or unrealistic expectation. This book leaves us with new knowledge of and insights into what we might hope for, and what might go wrong, or right, in the most intimate clinical moments.
Autism has attracted a great deal of attention in recent years, thanks to dramatically increasing rates of diagnosis, extensive organizational mobilization, journalistic coverage, biomedical ...research, and clinical innovation. Understanding Autism, a social history of the expanding diagnostic category of this contested illness, takes a close look at the role of emotion--specifically, of parental love--in the intense and passionate work of biomedical communities investigating autism.
This book presents a comprehensive analysis of the use of patient-/person- centred communication in providing healthcare for ageing populations through an ethnographic approach to physician in-home ...medical consultations in Tokyo, Japan, alongside interviews with physicians. It focuses on illustrating how linguistic dimensions of person-centred communication work by citing examples of case studies, as well as the sociocultural differences between the US, the UK, Japan and other societies in which person-centred communication models are employed. The author uses her own framework, which takes into account face and politeness theory, and makes recommendations for future training.
After Harm Berlinger, Nancy
2005, 2007-10-22, 20050101
eBook
Medical error is a leading problem of health care in the United States. Each year, more patients die as a result of medical mistakes than are killed by motor vehicle accidents, breast cancer, or ...AIDS.
While most government and regulatory efforts are directed toward reducing and preventing errors, the actions that should follow the injury or death of a patient are still hotly debated. According to Nancy Berlinger, conversations on patient safety are missing several important components: religious voices, traditions, and models.
In After Harm, Berlinger draws on sources in theology, ethics, religion, and culture to create a practical and comprehensive approach to addressing the needs of patients, families, and clinicians affected by medical error. She emphasizes the importance of acknowledging fallibility, telling the truth, confronting feelings of guilt and shame, and providing just compensation. After Harm adds important human dimensions to an issue that has profound consequences for patients and health care providers.
In the second half of the eighteenth century, celebrated Swiss physician Samuel Auguste Tissot (1728-1797) received over 1,200 medical consultation letters from across Europe and beyond. Written by ...individuals seeking respite from a range of ailments, these letters offer valuable insight into the nature of physical suffering. Plaintive, desperate, querulous, fearful, frustrated, and sometimes arrogant and self-interested in tone, the letters to Tissot not only express the struggle of individuals to understand the body and its workings, but also reveal the close connections between embodiment and politics. Through the process of writing letters to describe their ailments, the correspondents created textual versions of themselves, articulating identities shaped by their physical experiences. Using these identities and experiences as examples, Sonja Boon argues that the complaints voiced in the letters were intimately linked to broader social and political discourses of citizenship in the late eighteenth century, a period beset with concerns about depopulation, moral depravity, and corporeal excess, and organized around intricate rules of propriety. Contributing to the fields of literary criticism, history, gender and sexuality studies, and history of medicine, Telling the Flesh establishes a compelling argument about the connections between health, politics, and identity.
The troubling increase in treatment resistance in psychiatry has many culprits: the rise of biomedical psychiatry and corresponding sidelining of psychodynamic and psychosocial factors; the increased ...emphasis on treating the symptoms rather than the person; and a greater focus on the electronic medical record rather than the patient, all of which point to a breakdown in the person-centered prescriber-patient relationship. Psychodynamic Psychopharmacology illuminates a new path forward. It examines the psychological and interpersonal mechanisms of pharmacological treatment resistance, integrating research on evidence-based prescribing processes with psychodynamic insights and skills to enhance treatment outcomes for patients who are difficult to treat. The first part of the book explores the evidence base that guides how, rather than simply what, to prescribe. It describes precisely what psychodynamic psychopharmacology is and why its emphasis on combining the often-neglected psychosocial aspects of medication with biomedical considerations provides a more optimized approach to addressing treatment resistance. Part II delves into the psychodynamics that contribute to pharmacological treatment resistance, both when patients' ambivalence about their illness, the medication itself, or their prescriber manifests in nonadherence and when medications support a negative identity or are used as replacements for healthy capacities. Readers will gain basic skills for addressing the psychological and interpersonal dynamics that underpin both scenarios and will be better positioned to ameliorate interferences with the healthy use of medications. The final section of the book offers detailed technical recommendations for addressing pharmacological treatment resistance. It tackles issues that include countertransference-driven irrational prescribing; primitive dynamics, such as splitting and projective identification; and the overlap between psychopharmacological treatment resistance and the dynamics of treatment nonadherence and nonresponse in integrated and collaborative medical care settings. By putting the individual patient back at the center of the therapeutic equation, psychodynamic psychopharmacology, as outlined in this book, offers a model that moves beyond compliance and emphasizes instead the alliance between patient and prescriber. In doing so, it empowers patients to become more active contributors in their own recovery.
Winner of the NCA Health Communication 2021 Distinguished Book Award.
This book examines interpreter-mediated medical encounters and focuses primarily on the phenomenon of bilingual health care. It ...highlights the interactive and coordinated nature of interpreter-mediated interactions. Elaine Hsieh has put together over 15 hours of interpreter-mediated medical encounters, interview data with 26 interpreters from 17 different cultures/languages, 39 health care providers from 5 clinical specialties, and surveys of 293 providers from 5 clinical specialties. The depth and richness of the data allows for the presentation of a theoretical framework that is not restricted by language combination or clinical contexts. This will be the first book of its kind that includes not only interpreters' perspectives but also the needs and perspectives of providers from various clinical specialties.
Bilingual Health Communication presents an opportunity to lay out a new theoretical framework related to bilingual health care and connects the latest findings from multiple disciplines. This volume presents future research directions that promise development for both theory and practice in the field.
