scholarly journals Healing in a Social Context: The Importance of Clinician and Patient Relationship

2021 ◽  
Vol 2 ◽  
Author(s):  
Bruce E. Wampold
Keyword(s):  
Health Care ◽  
Social Context ◽  
Contextual Effects ◽  
Contextual Effect ◽  
Health Provider ◽  
Patient Relationship ◽  
Specific Effects ◽  
The Relationship ◽  
Eusocial Species ◽  
Social Healing

When a patient presents to a health provider, the course of the disorder is composed of three effects: natural effects, specific effects, and contextual effects. Part of the contextual effect is due to the relationship between the healer and the patient. Social healing appears to be present in eusocial species and particularly well-developed in humans. Evidence for the importance of the relationship in healing is found in placebo studies, including placebo analgesics, medicine, and psychotherapy. Although the theory for how the relationship is therapeutic is not well-developed, four possible mechanisms are discussed. The implications for health care and the treatment of pain are discussed.

Reflection Over Doctor Patient Relationship: A Promise of Trust

2014 ◽  
Vol 8 (2) ◽  
pp. 104-108 ◽  
Author(s):  
S Prasad ◽  
C Dhingra ◽  
R Anand
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Social Setting ◽  
Quality Service ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Care Delivery Model ◽  
Provision Of Care ◽  
The Relationship ◽  
Unique Relationship

ABSTRACT The doctor patient relationship is of primary importance in the overall health care delivery model. It is a unique relationship which depends on trust and confidence between the parties for the provision of care. Establishing a doctor/patient relationship may take place formally in the office setting or informally, such as by giving verbal advice in a social setting. Doctors enter into a doctor-patient relationship with a commitment to provide their patients with quality service. Patients are entitled to be treated with respect and without discrimination during all stages of the doctor patient relationship, even if the relationship faces termination. However, when circumstances affect the doctors ability to achieve this, the doctors may decide to end the doctors patient relationship.

Beyond Medicine: Healing Power in the Doctor-Patient Relationship

1985 ◽  
Vol 57 (2) ◽  
pp. 399-427 ◽  
Author(s):  
Lucille Hollander Blum
Keyword(s):  
Health Care ◽  
Physical Health ◽  
Physical Symptoms ◽  
Health Improvement ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Equal Importance ◽  
Healing Power ◽  
Physical Health Care ◽  
The Relationship

Healing power in the doctor-patient relationship is addressed to physicians in physical health care and to medical students but is of equal importance to dentists, social workers, nurses, and teachers in the field of physical health care. The presentation points up that in the relationship between physician and patient certain phenomena occur that are comparable to responses in the relationship between the psychoanalyst and analysand, such as transference and countertransference. This indicates that the physician in physical health care in effect is involved in some kind of psychotherapy. Aspects of the art of medicine are described. Emphasis is on the potential for patients' physical health improvement—placebo effect—when the providers' perception extends beyond focus on physical symptoms and disorders and includes attention to the patients' psychological and emotional needs.

scholarly journals The doctor-patient relationship

2017 ◽  
Vol 3 (2) ◽  
pp. 104
Author(s):  
Maria Vargiami ◽  
Maria Goula
Keyword(s):  
Health Care ◽  
Research Field ◽  
Human Relation ◽  
The Other ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
New Era ◽  
Different Types ◽  
The Relationship ◽  
Online Sources

The relationship between the doctor and the patient is a particular type of human relation. On one hand, the word «patient» states that a person is at a disadvantage, because of his/her illness, and therefore is automatically at a disadvantageous position compared to the doctor. On the other hand, the patient has the opportunity to inform him/herself from online sources, to communicate with other patients, to participate as equal and to choose consciously his/her treatment plan.There are many different types of patients depending on their personality and interaction with their doctor. These types constituted a research field in the 80’s which lead to the analysis of patients’ psychology. After an historical flashback, patients are put in categories according to their reaction to their illness. In addition, the verbal way of approaching patients by their doctor, the patients’ expectations and their encouragement by professionals to participate more actively concerning their health care is underlined. As a result, this is the beginning of a new era, where the patient has requirements concerning both the medical and the human aspect of the doctor-patient relationship.

Introduction

2019 ◽  
pp. 1-8
Author(s):  
Andelka M Phillips ◽  
Thana C de Campos ◽  
Jonathan Herring
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Medical Law ◽  
Patient Relationship ◽  
Care Providers ◽  
Doctor Patient Relationship ◽  
Philosophical Foundations ◽  
New Consumer ◽  
The Relationship

This introductory chapter argues that the advent of personalized medicine, precision medicine, and new consumer-focused services—such as personal genomics—is changing the nature of the traditional doctor–patient relationship. If trust was the ethical value guiding the traditional doctor–patient relationship, now other considerations such as market efficiency are aggregated to the considerations of the relationship between the patient and the health-care provider. Also, if medical law traditionally focused on the regulation of the doctor–patient relationship, nowadays medical law also encompasses the regulation of institutional relationships involving health-care providers of different sorts and at various levels. Some new services also pose challenges for medical lawyers and ethicists, because they are not being offered within the traditional clinical setting and thus sit outside the traditional governance frameworks established in medical settings. The chapter then provides an overview of the general theories on the philosophical foundations of medical law.

scholarly journals Estimating Contextual Effects from Ego Network Data

2020 ◽  
Vol 50 (1) ◽  
pp. 215-275
Author(s):  
Jeffrey A. Smith ◽  
G. Robin Gauthier
Keyword(s):  
Mental Health ◽  
Social Context ◽  
Network Analysis ◽  
Data Collection ◽  
Regression Models ◽  
Hierarchical Linear Model ◽  
Contextual Effects ◽  
Network Data ◽  
Data Sets ◽  
The Relationship

Network concepts are often used to characterize the features of a social context. For example, past work has asked if individuals in more socially cohesive neighborhoods have better mental health outcomes. Despite the ubiquity of use, it is relatively rare for contextual studies to use the methods of network analysis. This is the case, in part, because network data are difficult to collect, requiring information on all ties between all actors. In this article the authors ask whether it is possible to avoid such heavy data collection while still retaining the best features of a contextual-network study. The basic idea is to apply network sampling to the problem of contextual models, in which one uses sampled ego network data to infer the network features of each context and then uses the inferred network features as second-level predictors in a hierarchical linear model. The authors test the validity of this idea in the case of network cohesion. Using two complete data sets as a test, the authors find that ego network data are sufficient to capture the relationship between cohesion and important outcomes, such as attachment and deviance. The hope, going forward, is that researchers will find it easier to incorporate holistic network measures into traditional regression models.

scholarly journals ZAGROŻENIA KORUPCYJNE W RELACJACH MIĘDZY LEKARZEM A PACJENTEM

2016 ◽  
Vol 60 (1) ◽  
Author(s):  
Marcin Kolwitz ◽  
Jakub Gąsiorowski
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care System ◽  
Medical Personnel ◽  
Patient Relationship ◽  
Ethical Aspects ◽  
Doctor Patient Relationship ◽  
Criminal Sanctions ◽  
The Relationship ◽  
Care System

The article describes the problem of corruption occurring in the relationship between doctor and patient. The doctor–patient relationship, including the provision of health services, is one of several potential areas of corruption in the health care system. Among the reasons for the existence of corruption in these relationships are the need to obtain better health care for the patient, and higher earnings in the case of a doctor. Indications of corruption are utilitarian (action for personal advantage without ethical aspects), but may also be (actually or in the patient’s opinion) the only way to obtain services and save health and even life. Corruption between the doctor and the patient can be limited by better organization of the health care system, including the financing of benefits and education of medical personnel and patients, as well as traditional legal measures, such as prevention or the application of criminal sanctions.

scholarly journals Doctor-Patient Relationship as Dancing a Dance

2018 ◽  
Vol 1 (2) ◽  
pp. 1-6 ◽  
Author(s):  
Jose Luis Turabian
Keyword(s):  
Health Care ◽  
Single Type ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Basic Step ◽  
Good Doctor ◽  
Urgent Patient ◽  
Good Dancer ◽  
The Relationship

The transcendence of the doctor-patient relationship is given by the confirmed fact of its influence on the results of health care. Several models of doctor-patient relationship can be described, but evidence of improved compliance, satisfaction and recall of physician information has been found in patient-centered consultations. Since these concepts of doctor-patient relationship and patient-centered consultation have multiple facets, they are complex to understand and teach. Using a metaphor is a tool that can be useful in these situations. We could say that the "good" doctor-patient relationship is a process where an "alliance" is created: a process in which the doctor adapts to the rhythm of the patient and little by little can help him move towards healthier scenarios; that is, detect "what dance the patient dances and like a good dancer, take a step back, another forward, dancing and pacing with the patient. But there is not a single type of "good" or "adequate" doctor-patient relationship; there is not "a single dance that the patient dances". If "the doctor has to dance with the patient", he has to know that there are many types of dance! The doctor will have to dance dances such as Cha-Cha (which has to be slow or very fast to dance), the Mambo (where the music is faster and the rhythm more complicated - the relationship with an urgent patient); the Merengue (which is danced like walking - informal doctor-patient relationship); el Pasodoble (that you have to dance with a haughty air, but not with rigidity -synchronizing assertiveness and empathy); The Salsa (where you have to learn the basic step separately - discontinuity of the doctor-patient relationship), among others.

The Physician–Patient Relationship

2021 ◽  
pp. 161-178
Author(s):  
Abraham Fuks
Keyword(s):  
Health Care ◽  
Clinical Care ◽  
Technical Skills ◽  
Duty Of Care ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Science And Art ◽  
Clinical Relationship ◽  
Physician Patient ◽  
The Relationship

Health care takes place in the relationship between patient and physician that is crafted mutually and relies crucially on the words and behaviors of the participants. The physician has a duty of care to the person who is ill and must therefore engage fully to respond to the needs of the patient. A language of alliance and shared goals that are clearly communicated shifts the doctor’s attention from the disease to the patient. This chapter examines schemas that have been put forward to characterize the clinical relationship and critiques the dual discourses that separate science and art, and posit technical skills and humane attentiveness as competing frames. It reviews phenomenological analyses of the clinical interaction and cautions against a form of autonomy and empowerment that permits clinicians to shed their responsibilities. The chapter explores clinical presence and relational understanding as necessary features of responsive and responsible clinical care.

scholarly journals The E-Patient

2017 ◽  
Vol 10 (2) ◽  
pp. 79-86 ◽  
Author(s):  
Ljubomir S. Kovachev ◽  
Pencho T. Tonchev ◽  
Kiril L. Nedialkov
Keyword(s):  
Health Care ◽  
Human Activities ◽  
Information Technologies ◽  
Communication Process ◽  
The Internet ◽  
Patient Relationship ◽  
Health Providers ◽  
Internet Communication ◽  
It Use ◽  
The Relationship

Summary Advanced information technologies have entered all spheres of human activities. In healthcare, this happens much too fast and encompasses all its branches. How does the Internet form the relationship between patients and medical staff? What information do patients seek and how do they get it? What problems arise during the communication process via new means? How can we describe an e-patient? How does the Internet model the doctor-patient relationship in case of cancer, one of the most dramatic diseases? Are students prepared to face an e-patient and how are they trained to do it? What is to be done to optimize internet communication between patients and health providers? This review analyzes information on these issues and outlines some opportunities for solving problems arising against the background of IT use in health care.

How Do We Talk About the Physician–Patient Relationship? What the Nonempirical Literature Tells Us

2016 ◽  
Vol 74 (3) ◽  
pp. 251-285 ◽  
Author(s):  
Timothy Hoff ◽  
Grace E. Collinson
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Relational Dynamics ◽  
The Past ◽  
Modern Health Care ◽  
Emotional Appeals ◽  
Physician Patient ◽  
The Relationship

The physician–patient relationship is an important ideal, and a construct central to discussions regarding health systems change and innovation. This review examines the nonempirical literature focused on the physician–patient relationship published over the past 15 years. The review’s results show a literature that is heavily context bound, relies on a combination of informational and emotional appeals to influence readers, and is mostly focused on portraying the state of this relationship in negative ways. Characteristics of the relationship such as trust, communication, and information are particularly focused on, while other important features like empathy remain less addressed. The review’s findings suggest broadening the perspective regarding how the physician–patient relationship is construed, in order to take advantage of its increased importance in the modern health care marketplace, and to account for new relational dynamics between providers and patients suggested by innovations in care delivery.

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