Three stages of medical dialogue

被引:15
作者
Abramovitch, H
Schwartz, E
机构
[1] Dept. of Behavioral Science, Sackler School of Medicine, Tel Aviv University, Ramat Aviv
来源
THEORETICAL MEDICINE | 1996年 / 17卷 / 02期
关键词
communication; compliance; doctor-patient relationship; medical dialogue; medical education; philosophy of medicine; satisfaction;
D O I
10.1007/BF00539739
中图分类号
DF [法律]; D9 [法律]; R [医药、卫生];
学科分类号
0301 ; 10 ;
摘要
The negative consequences of physicians' failure to establish and maintain personal relationships with patients are at the heart of the ''humanistic crisis'' in medicine. To resolve this crisis, a new model of doctor-patient interaction is proposed, based on the ideas of Martin Buber's philosophy of dialogue. This model shows how the physican may successfully combine the personal (I-Thou) and impersonal (I-It) aspects of medicine in three stages. These ''Three Stages of Medical Dialogue'' include: 1. An Initial Personal Meeting stage, which initiates the doctor-patient relationship and involves mutual confirmation; 2. An Examination stage, which requires a shift from a personal to an impersonal style of interaction; 3. An Integration Through Dialogue or ''Healing Through Meeting'' Stage, which involves the integration of the impersonal medical data into the ongoing dialogue between doctor and patient, as a basis for shared decision-making. The use of the model, as well as common failures of doctor-patient dialogue are discussed.
引用
收藏
页码:175 / 187
页数:13
相关论文
共 50 条
[1]   ANXIETY, INFORMATION, INTERPERSONAL IMPACTS, AND ADJUSTMENT TO A STRESSFUL HEALTH-CARE SITUATION [J].
AUERBACH, SM ;
MARTELLI, MF ;
MERCURI, LG .
JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1983, 44 (06) :1284-1296
[2]  
Balint M., 1964, DOCTOR PATIENT ILLNE
[3]   HIDDEN REASONS SOME PATIENTS VISIT DOCTORS [J].
BARSKY, AJ .
ANNALS OF INTERNAL MEDICINE, 1981, 94 (04) :492-498
[4]   THE EFFECT OF PHYSICIAN BEHAVIOR ON THE COLLECTION OF DATA [J].
BECKMAN, HB ;
FRANKEL, RM .
ANNALS OF INTERNAL MEDICINE, 1984, 101 (05) :692-696
[5]   FINDING MEANING AFTER THE FALL - INJURY NARRATIVES FROM ELDERLY HIP FRACTURE PATIENTS [J].
BORKAN, JM ;
QUIRK, M ;
SULLIVAN, M .
SOCIAL SCIENCE & MEDICINE, 1991, 33 (08) :947-957
[6]  
Buber M., 1965, KNOWLEDGE MAN PHILOS
[7]  
BUBER M, 1963, POINTING WAY
[8]  
Buber M, 1973, MEETINGS
[9]  
Buber Martin., 1958, I THOU
[10]  
Byrne PS., 1976, DOCTORS TALKING PATI