Centeno-Gándara Luis A
Department of Psychiatry, Faculty of Medicine and University Hospital 'Dr. José Eleuterio González', Autonomous University of Nuevo Leon, Monterrey, Mexico.
Health Psychol Behav Med. 2021 Apr 17;9(1):338-349. doi: 10.1080/21642850.2021.1914052.
The quality of the physician-patient relationship is associated with improved healthcare outcomes and patients' complaints due to dissatisfaction. Factors that influence the quality of the physician-patient relationship include verbal communication, nonverbal communication, and clinical empathy. These factors have been studied from diverse theoretical approaches hindering their integration into a theoretical framework applicable in clinical practice and accessible for lay clinicians.
The aim of this paper is to put forward a psychodynamic framework that includes the factors associated with a better quality of the physician-patient relationship and is applicable in clinical practice and accessible for lay clinicians.
Basic concepts necessary to comprehend transference and countertransference phenomena were outlined. Then, based on the concepts of transference and countertransference, a psychodynamic framework to understand and manage the physician-patient relationship was put forward.
This is the first paper that presents a psychodynamic framework applicable in clinical practice and accessible to lay clinicians for understanding and managing the physician-patient relationship. Additionally, this work could serve as introductory material to Balint groups.
医患关系的质量与改善医疗结果以及减少因患者不满而产生的投诉相关。影响医患关系质量的因素包括言语沟通、非言语沟通和临床同理心。这些因素已从多种理论方法进行了研究，这阻碍了它们整合到适用于临床实践且普通临床医生能够理解的理论框架中。
本文旨在提出一个心理动力学框架，该框架包含与更高质量医患关系相关的因素，适用于临床实践且普通临床医生能够理解。
概述了理解移情和反移情现象所需的基本概念。然后，基于移情和反移情的概念，提出了一个用于理解和管理医患关系的心理动力学框架。
这是第一篇提出适用于临床实践且普通临床医生能够理解以用于理解和管理医患关系的心理动力学框架的论文。此外，这项工作可作为巴林特小组的入门材料。
