Doctor–patient relationship - Wikipedia
The nature of the doctor-patient relationship as a keystone of care relief and truth-telling", and "body language" have received specific emphasis. .. into account the legal as well as juridical essence in addition to the three. (2) analysis of doctor-patient communication; (3) specific communicative behaviors; behavior, high vs low controlling behavior, and medical vs everyday language a good doctor-patient relationship is determined by .. ferred by visual cues, like eye contact, body position- .. primary bond that may act as a form of social. 3 body language tips to help physicians foster trust you cannot escape the laws of human nature and the signals that you may building trust and rapport with patients, here are 3 subtle body language tips that may help you. . doctor patient communication, doctor patient relationship, Dr Suneel Dhand.
These patterns work both for doctors and patients. Accordingly, they try to deceive others and take advantage. Domineering persons do not have the perspicuity and honesty necessary for earning their wishes. They express themselves in general terms and sometimes their voices shake.
Body Language and Doctor-Patient Communication
This behavioral pattern is often seen in doctors and sometimes among patients as well. Doctors who prefer patient satisfaction to authority thus create a false autonomy for the patients and will eventually be dominated by them, and patients with this behavioral pattern impair the healing process by inhibition and deception.
Their difference is that a domineering person achieves this aim by secrecy and cheating, while an aggressive person follows it frankly and openly.
Unlike the domineering type, aggressive people are honest and straightforward; they are horrible listeners, always accuse others, get angry soon, get confused by criticism, and are usually grim in appearance.
They have loud voices and look hostile, and in conflicts, they tend to destroy their opponents.
The doctor-patient relationship: toward a conceptual re-examination
This pattern is seen among both physicians and patients. Impatient physicians that do not listen, shout all the time and sometimes make irreparable mistakes during the healing process, or patients with lower anger thresholds who create tension in medical environments belong in the category of aggressive people.
Assertive people respect themselves and others, and observe the authority of all sides. They are both honest and frank, and do not accuse themselves or others. Their approach to matters is problem-oriented, that is, when dealing with a problem, instead of accusing themselves and others, they think of a solution.
They listen effectively and speak appropriately and understandably. During conflict they emphasize conversation. Their arguments are clear, specified, objective, fair and respectful, and eventually they are the most successful communicators. Issues such as breaking bad news, wasted treatments and medical mistakes are easy and solvable with this type of behavioral pattern.
While submissiveness, dominance and aggression lead to lose-lose situations in long term, assertiveness, is a helpful behavioral pattern and finally results in win-win solutions 9. Based on the above-mentioned notions, the following practical hints should be outlined: An important topic in aesthetics and artistic criticism that is also related to ethics is psychic distance.
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- Doctor–patient relationship
In aesthetics, this refers to the distance that should exist between a work of art and the viewer, so that aesthetic entente is created and art is not confused with reality. Omitting the psychic distance and forming deep sympathy and psychological identification with the work of art obstructs artistic judgment and aesthetic approach.
In medical ethics, the concept seems to be important while encountering patients. Reduction of psychic distance and excessive sympathy with patients prevent an effective doctor-patient relationship as a fundamental element of treatment. Nonverbal communication skills are referred to as body language. This type of communication is very important in the doctor-patient relationship due to factors such as the limited visiting time, and linguistic and discourse differences.
Truth-Telling versus Pain Relief: One of the oldest ethical challenges is the pain and suffering that can be caused by telling the truth. On the other hand, we can bring comfort and relief to patients by lying to them.
Physicians can employ various methods at their discretion, but it seems that health care systems are more inclined toward telling the truth, and doctors must try to maintain a balance between the two.
Unlike intelligence quotient that does not improve after the second decade of life, emotional quotient can continue to improve till the end.
Body Language and Doctor-Patient Communication | MD Magazine
Emotional quotient refers to the ability to control emotions, sentiments and unwanted desires. People with high intelligence quotient dealing with people with lower intelligence quotient are susceptible to reckless, impulsive behavior and may gradually lose their EQ In order to improve the doctor-patient relationship, health providers must be instructed in techniques to promote their emotional quotient.
C The Sociological Essence of the Doctor-Patient Relationship Unlike the psychological approach, the sociological approach to the doctor-patient relationship examines the essence of this individualistic relationship in a social context. In other words, the sociological approach regards the doctor-patient relationship beyond a merely mutual connection and therefore external elements are considered particularly important.
In order to investigate this relationship from the sociological perspective, communicative actions serve as a valid basis. They have been included among the most important sociological criteria in the last few decades as a set of social actions oriented towards reaching entente. The target of communication action theory is to subvert a single prophetic and patriarchal individualism in human interactions.
In this book Habermas distinguishes and characterizes his theory by drawing a distinction between instrumental action and communicative action. By contrast, I shall speak of communicative action whenever the actions of the agents involved are coordinated not through egocentric calculations of success but through acts aiming at reaching an understanding. In communicative action the participants are not primarily oriented to their own individual successes; they pursue their individual goals under the condition that they can harmonize their plans of action on the basis of common situation definitions.
Reducing an individual to only one of the functions of his or her integrity is called instrumentalism. The function of a ticket seller in a bus station is just like that of a machine and therefore his human dimension could easily be overlooked. In the doctor-patient relationship both sides especially the doctor are susceptible to perceive others as mere instruments. The power that is practiced over patients by "medical gazing" makes them abject by reducing them to bodies that are examined simply to locate illness.
Three fundamental concepts in sociology and philosophy have been purposed to deal with instrumentalism: In his works on the Golden Rule, Kant argues that instrumental action is inconsistent with socialization and human dignity, and proposes to regard others as an acme, not an instrument. The universal version of this rule is that you should like for others whatever you like for yourself and vice versa.
In the former, a human is a mystery that unfolds and in the latter, an issue that resolves Emmanuel Levinas states, "We are responsible for each other, and me more so…" This approach considers responsibility toward others as an unconditional matter, but does not require others to be equally responsible in return. Communicative Action Communicative action is allegedly an action focused on entente. Whoever wants to be successful in reaching entente should be prepared to bring up claims.
Habermas states that the communication between a speaker and a listener is constituted by the existence of three universally valid claims: The terms of these claims in the doctor-patient relationship accurately reveal the sociological essence of this relationship. Doctors should speak understandably and beware of ambiguity and opacity in their speech. On the other hand, they should make true statements and propositions, scientific and other. They should be honest and have faith in what they say, and ultimately they can use their discretion to determine the content of their relationship with patients.
Analysis To clarify the concept of relationship and connectedness, we used a hybrid concept analysis including: On the basis of the comparative concept analysis, the doctor-patient relationship is an interdisciplinary notion and a mono-disciplinary approach will reduce this relationship to communicative skills.
Discussion and Conclusion The doctor-patient relationship has greater impact on the health system than it may seem at first. In this paper, three novel dimensions of the doctor-patient relationship were deeply explored.
The philosophical approach emphasizes the importance of promoting moral sensitivity. Communicating with others entails considerations rooted in the human soul that provoke great philosophical concerns. The psychological approach emphasizes learning about behavioral patterns, enhancing the intelligence quotient, and creating a balance between truth-telling and pain relief.
3 body language tips to help physicians foster trust | Suneel Dhand
Finally, the sociological approach demonstrates that the doctor-patient relationship is part of a macro social relationship in a community and discovers various aspects beyond the two-person relationship.
The re-examination of the doctor-patient relationship in this paper can have several important implications. Attention to the philosophical, sociological and psychological dimensions provides a basis to evaluate the doctor-patient relationship both quantitatively and qualitatively. Two well-known examples of such qualitative and quantitative evaluations may be seen in the development of native questionnaires and conversion of random considerations to systemic approaches.
As a final word, a re-examination of the doctor-patient relationship requires an interdisciplinary approach that should take into account the legal as well as juridical essence in addition to the three approaches discussed in this paper. The non-verbal behaviour of doctors themselves is easily overlooked in communication research. Many instruments for measuring qualities such as patient centredness are designed to be applied to audio rather than video tapes, and questionnaires for patients may not be sufficiently detailed to seek their views on this area.
However, an increasing body of work over the last 20 years has demonstrated the relationship between doctors' non-verbal communication in the form of eye-contact, head nods and gestures, position and tone of voice with the following outcomes: Although more work needs to be done, there is now significant evidence that doctors need to pay considerable attention to their own non-verbal behaviour.
The difficulties of increased participation Changes in society as well as medical practice have encouraged the expectation of greater patient participation in consultations. Patients are encouraged to ask questions and expect to be more involved in decision making. One might expect this to lead to improved communication between doctor and patient.
However the outcomes of attempts to study the impact of increased patient participation in consultations are largely disappointing, 12 and there is some evidence that doctors respond to increased patient participation with non-verbal blocking behaviours. In the last two decades British general practice has become almost entirely computerised. Furthermore, computers are likely to have had an increased role since the introduction of financial rewards for GPs for recording multiple elements of data about their patients.
Bensing et al 14 observed that communication between Dutch GPs during the period to had become more task oriented, with the doctors less like to engage in building partnerships with their patients, less likely to express concern for their patients, and less likely to provide a structure to the consultation.
These findings should be surprising given the emphasis on patient-centred medicine and the focus on communication skills in undergraduate and postgraduate education. But the findings are supported by the evidence that patients still report little encouragement from doctors to manage their own long-term conditions.
In contrast, and perhaps more hopefully, Chan and colleagues in a small study from Ireland found that GPs were able to vary their use of the computer depending on the patient's presenting complaint. More research is needed to clarify these issues, but the concern is that the more we use the computer, the less we look at our patients, the less we say to our patients and, in particular, the less we ask about psychosocial aspects of the illness and respond to emotional aspects of their care.
We know that this behaviour decreases efficiency in the consultation by reducing patient fluency and increasing the chance of doctors missing or forgetting information. Firstly, the evidence underscores the need for video analysis in communication skills teaching so that non-verbal communication can be observed and discussed objectively and, in particular, so that learners themselves can observe their own non-verbal behaviour. Secondly, teachers may need to become braver about and more skilled at commenting on non-verbal behaviour.
Because non-verbal behaviour represents more about our attitudes and emotions, it can be more difficult to comment on sensitively without appearing to criticise the learner's personality and values. This is a particular problem with learners from different cultural backgrounds who may use very different non-verbal behaviour patterns themselves and be used to different doctor-patient relationships and hierarchies.