Three stages of medical dialogue |
| |
Authors: | Henry Abramovitch Eliezer Schwartz |
| |
Institution: | 1. Dept. of Behavioral Science, Dept. of Internal Medicine, Sackler School of Medicine, Tel Aviv University, Ramat Aviv, Israel
|
| |
Abstract: | 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: - An Initial Personal Meeting stage, which initiates the doctor-patient relationship and involves mutual confirmation;
- An Examination stage, which requires a shift from a personal to an impersonal style of interaction;
- 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. |
| |
Keywords: | |
本文献已被 SpringerLink 等数据库收录! |
|