STRIKING BALANCES - DETACHMENT OR EMPATHY IN THE MANAGEMENT OF PARKINSONS-DISEASE

被引：5

作者：

PINDER, R

机构：

[1] Centre for the Study of Health, Sickness and Disablement, Brunei University, Uxbridge

来源：

FAMILY PRACTICE | 1992年 / 9卷 / 03期

关键词：

D O I：

10.1093/fampra/9.3.274

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

This paper, based on in-depth interviews with a group of 18 GPs, was part of a wider study of what and patients thought about communication between them in the case of Parkinson's disease. Four areas where GPs experienced anxiety and uncertainty in responding to their Parkinson's disease patients were examined: that of sustaining care over time; accepting that patients cannot be cured; managing the task of 'just being there' with patients; and responding to patients with communication impairments. Such uncertainties have to be managed if doctors are to accomplish their work lives. The paper goes on to examine how GPs struck balances for themselves between detachment and empathy to keep uncertainty at bay, enabling some GPs to be responsive to patients' needs and others less so. An understanding of these difficulties and strategies has important implications for doctor-patient communication. Some suggestions for change are discussed.

引用

页码：274 / 278

页数：5

共 13 条

[1] Burstajn H.J., Feinbloom R.I., Hamm R.M., Brodsky A., Medical Choice, Medical Chances: How Patients, Families and Physicians Can Cope with Uncertainty, (1991)
[2] Tuckett D., Boulton M., Olson C., Williams A., Meetings between Experts: An Approach to Sharing Ideas in Medical Consultations, (1985)
[3] Maguire P., Faulkner A., Improve the counselling skills of doctors and nurses in cancer care, Br Med J, pp. 847-849, (1988)
[4] Walker M., Training the trainers: Socialisation and change in general practice, Sociol Health Illness, 10, pp. 282-302, (1988)
[5] Ridsdale L., Communicating with our patients: Helping the helpers, Practitioner, 231, pp. 1167-1168, (1987)
[6] Silbert M.V., Basic communication and counselling skills in the training of doctors, SA Fam Pract, 8, pp. 183-185, (1987)
[7] Weston W.W., Lipkin M., Doctors learning communication skills: Developmental issues, Communicating with Medical Patients, (1989)
[8] Hilbourne J., On disabling the normal: The implications of physical disability for other people, Br J Soc Work, 3, pp. 497-507, (1973)
[9] Pinder R., The Management of Chronic Illness: Patients’ and Doctors’ Perspectives on Parkinson’s Disease, (1990)
[10] Pinder R., Coherence and incoherence: Doctors’ and patients’ perceptions of the diagnosis of Parkinson’s disease, Socio Health Illness, 4, 1, pp. 1-22, (1992)

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