什么是临床同理心？
What is clinical empathy?
作者信息
Halpern Jodi
机构信息
Division of Health and Medical Sciences, University of California, Berkeley-Berkeley, Calif 94720-1190, USA.
出版信息
J Gen Intern Med. 2003 Aug;18(8):670-4. doi: 10.1046/j.1525-1497.2003.21017.x.
Abstract
Patients seek empathy from their physicians. Medical educators increasingly recognize this need. Yet in seeking to make empathy a reliable professional skill, doctors change the meaning of the term. Outside the field of medicine, empathy is a mode of understanding that specifically involves emotional resonance. In contrast, leading physician educators define empathy as a form of detached cognition. In contrast, this article argues that physicians' emotional attunement greatly serves the cognitive goal of understanding patients' emotions. This has important implications for teaching empathy.
摘要
患者期望从医生那里获得同理心。医学教育工作者越来越认识到这种需求。然而，在试图将同理心转变为一项可靠的专业技能时，医生们改变了这个术语的含义。在医学领域之外，同理心是一种理解模式，特别涉及情感共鸣。相比之下，主要的医生教育工作者将同理心定义为一种超脱的认知形式。相比之下，本文认为医生的情感协调对理解患者情绪的认知目标大有帮助。这对同理心教学具有重要意义。
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本文引用的文献
1
CARING FOR THE PATIENT.护理患者。
N Engl J Med. 1964 Feb 27;270:449-56. doi: 10.1056/NEJM196402272700906.
2
Sympathy and empathy.同情与同理心。
J Am Med Assoc. 1958 May 24;167(4):448-52. doi: 10.1001/jama.1958.02990210034008.
3
Spontaneous talking time at start of consultation in outpatient clinic: cohort study.门诊咨询开始时的自发谈话时间：队列研究。
BMJ. 2002 Sep 28;325(7366):682-3. doi: 10.1136/bmj.325.7366.682.
4
The patient-physician relationship. Narrative medicine: a model for empathy, reflection, profession, and trust.医患关系。叙事医学：一种共情、反思、职业精神与信任的模式。
JAMA. 2001 Oct 17;286(15):1897-902. doi: 10.1001/jama.286.15.1897.
5
Communication challenges for experienced clinicians: topics for an advanced communication curriculum.经验丰富的临床医生面临的沟通挑战：高级沟通课程的主题
Health Commun. 2001;13(3):261-84. doi: 10.1207/S15327027HC1303_3.
6
Learning objectives for medical student education--guidelines for medical schools: report I of the Medical School Objectives Project.医学生教育学习目标——医学院校指南：医学院校目标项目报告I
Acad Med. 1999 Jan;74(1):13-8. doi: 10.1097/00001888-199901000-00010.
7
Effectiveness of interventions to improve patient compliance: a meta-analysis.提高患者依从性干预措施的有效性：一项荟萃分析。
Med Care. 1998 Aug;36(8):1138-61. doi: 10.1097/00005650-199808000-00004.
8
The relationship between negative emotions and acute subjective and objective symptoms of childhood asthma.负面情绪与儿童哮喘急性主观及客观症状之间的关系。
Psychol Med. 1998 Mar;28(2):407-15. doi: 10.1017/s0033291797006387.
9
The dynamics of change: cancer patients' preferences for information, involvement and support.变化的动态：癌症患者对信息、参与和支持的偏好
Ann Oncol. 1997 Sep;8(9):857-63. doi: 10.1023/a:1008284006045.
10
A model of empathic communication in the medical interview.医学访谈中的共情沟通模型。
JAMA. 1997 Feb 26;277(8):678-82.
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