Michalec Barret, Hafferty Frederic W
Arizona State University, Phoenix, USA.
Mayo Clinic, Rochester, USA.
Soc Theory Health. 2022;20(3):306-324. doi: 10.1057/s41285-021-00174-0. Epub 2021 Nov 22.
In this paper, we argue that the notion of a clinically-situated empathy (e.g. physician empathy), is potentially problematic as it perpetuates an emotion-deficient version of empathy within medicine and medicine education research. Utilizing classic and contemporary empathy theory from various social science disciplines, we discuss how empathy in the general sense differs conceptually from clinically-situated empathy-paying particular attention to the role of emotional contagion. To highlight this contrast, we draw upon Hojat et al.'s model of physician empathy and how this body of work reflects broader medical-cultural norms that problematize the role and impact of emotions within the clinical encounter. Alternatively, we present a more encompassing model of empathy drawing upon the fields of social-psychology and social-neuroscience in order to bring the notion of "feeling with" and emotional contagion more specifically, into medical education, medical education research, and medicine more generally.
在本文中,我们认为临床情境中的同理心(如医生的同理心)这一概念可能存在问题,因为它在医学及医学教育研究中延续了一种缺乏情感的同理心版本。我们运用来自各社会科学学科的经典及当代同理心理论,讨论一般意义上的同理心在概念上如何不同于临床情境中的同理心——尤其关注情绪感染的作用。为突出这种对比,我们借鉴了霍贾特等人的医生同理心模型,以及这一系列研究如何反映出更广泛的医学文化规范,这些规范对临床诊疗中情绪的作用和影响提出了质疑。另外,我们基于社会心理学和社会神经科学领域提出了一个更具包容性的同理心模型,以便将“感同身受”和情绪感染的概念更具体地引入医学教育、医学教育研究以及更广泛的医学领域。