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Narrative aspects of a doctor-patient encounter
Authors:J Wesley Boyd MD  PhD
Institution:1. Cambridge Hospital, 1493 Cambridge Street, 02139, Cambridge, MA
Abstract:In this essay I want to examine the ways that doctors communicate with their patients, in particular the stories that doctors tell their patients. I contend that the kinds of stories that physicians tell patients have a direct bearing on the nature of their relationship as a whole. Specifically, I shall argue that physicians who tell their patients the most complete stories possible about their illnesses, acknowledging uncertainties wherever they exist (to the extent that this is possible), show the greatest amount of respect for their patients as persons. This quest for completeness must be supplemented by an attempt on the part of the physician to explore the patient's understanding and beliefs so as to formulate not only a more complete narrative, but also to formulate one that better serves the needs of the patient.
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