Costanzo Cari, Verghese Abraham
Department of Anthropology, Main Quad, Building 50, 450 Serra Mall, Stanford, CA 94305, USA.
Department of Medicine, Stanford University, 300 Pasteur Drive S102, Stanford, CA 94305-5110, USA.
Med Clin North Am. 2018 May;102(3):425-431. doi: 10.1016/j.mcna.2017.12.004.
The privilege of examining a patient is a skill of value beyond its diagnostic utility. A thorough physical examination is an important ritual that benefits patients and physicians. The concept of embodiment helps one understand how illness and pain further define and shape the lived experiences of individuals in the context of their race, gender, sexuality, and socioeconomic status. Understanding ritual in medicine, including the placebo effects of such rituals, reaffirms the centrality of the physical examination to the process of building strong physician-patient relationships.
检查患者的这项特权是一项价值远超其诊断作用的技能。全面的体格检查是一项对患者和医生都有益的重要程序。身体体现的概念有助于人们理解疾病和疼痛如何在种族、性别、性取向和社会经济地位的背景下进一步界定和塑造个体的生活经历。理解医学中的程序,包括此类程序的安慰剂效应,再次确认了体格检查在建立牢固医患关系过程中的核心地位。