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我们应该用哲学来教授临床沟通技巧吗?

Should we use philosophy to teach clinical communication skills?

作者信息

Gerber Berna

机构信息

Division of Speech-, Language- and Hearing Therapy, Faculty of Medicine and Health Sciences, University of Stellenbosch and Department of Philosophy, Faculty of Arts and Social Sciences, University of Stellenbosch.

出版信息

Afr J Prim Health Care Fam Med. 2016 Nov 16;8(1):e1-e4. doi: 10.4102/phcfm.v8i1.1292.

Abstract

Effective communication between the doctor and patient is crucial for good quality health care. Yet, this form of communication is often problematic, which may lead to several negative consequences for both patients and doctors. Clinical communication skills have become important components of medical training programmes. The traditional approach is to teach students particular communication skills, such as listening to patients and asking open-ended questions. Despite their importance, such training approaches do not seem to be enough to deliver medical practitioners who are able and committed to communicate effectively with patients. This might be due to the pervasive negative influence of the medical profession's (mistaken) understanding of itself as a natural science on doctor-patient communication. Doctors who have been trained according to a positivist framework may consider their only responsibility to be the physical treatment of physical disorders. They may thus have little regard for the patient's psychological and social world and by extension for communication with the patient and/or their caregivers. To address this problem, I propose a curriculum, based on the academic field of philosophy, for teaching clinical communication.

摘要

医生与患者之间的有效沟通对于高质量的医疗保健至关重要。然而,这种沟通形式往往存在问题,这可能会给患者和医生带来一些负面后果。临床沟通技巧已成为医学培训项目的重要组成部分。传统方法是教授学生特定的沟通技巧,比如倾听患者并提出开放式问题。尽管这些技巧很重要,但此类培训方法似乎不足以培养出有能力且愿意与患者有效沟通的执业医生。这可能是由于医学专业(错误地)将自身理解为一门自然科学,这种理解对医患沟通产生了普遍的负面影响。按照实证主义框架接受培训的医生可能认为他们唯一的责任是对身体疾病进行物理治疗。因此,他们可能很少关注患者的心理和社会世界,进而很少关注与患者和/或其护理人员的沟通。为了解决这个问题,我提出了一门基于哲学学术领域的课程,用于教授临床沟通。

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