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医生应该有同理心吗?重新思考临床同理心。

Should physicians be empathetic? Rethinking clinical empathy.

作者信息

Schwan David

机构信息

The University of Memphis, Memphis, TN, USA.

Central Washington University, Ellensburg, WA, USA.

出版信息

Theor Med Bioeth. 2018 Oct;39(5):347-360. doi: 10.1007/s11017-018-9463-y.

Abstract

The role and importance of empathy in clinical practice has been widely discussed. This paper focuses on the ideal of clinical empathy, as involving both cognitive understanding and affective resonance. I argue that this account is subject to a number of objections. Affective resonance may serve more as a liability than as a benefit in clinical settings, and utilizing this capacity is not clearly supported by the relevant empirical literature. Instead, I argue that the ideal account of empathy in medicine remains cognitive, though there is a central role for expressing empathic concern toward patients.

摘要

共情在临床实践中的作用和重要性已得到广泛讨论。本文关注临床共情的理想状态,即包括认知理解和情感共鸣。我认为这种观点存在一些问题。在临床环境中,情感共鸣可能更多地是一种负担而非益处,而且相关实证文献并未明确支持运用这种能力。相反,我认为医学中共情的理想状态仍然是认知性的,尽管向患者表达共情关怀具有核心作用。

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