Schalkwijk Frans W
Universiteit van Amsterdam, faculteit Maatschappij- en Gedragswetenschappen, Amsterdam.
Contact: Frans W. Schalkwijk (
Ned Tijdschr Geneeskd. 2021 Dec 15;165:D6407.
A complaint is not only an attack on our professional expertise, but also on our personal identity. It is difficult for the healthcare professional to retain the duty of care, whereas the patient is free to file a complaint. This can lead to an overly defensive position. Usually a complaint leads to feelings of guilt and shame. Shame about who you are when you are complaint-worthy and guilt because you are accused of having done wrong. A healthy way of dealing with a complaint is to take it seriously, but to experience the additional shame and guilt and view angry feelings towards the patient as bypassing emotions. This is hardly possible for healthcare professionals with an overvalued, inflated self-esteem or with a chronically low self-esteem. The way in which we deal with a complaint is of course strongly linked with our personality: do we punish ourselves for (alleged) mistakes, do we deny the circumstances, or do we appropriate them?
投诉不仅是对我们专业技能的攻击,也是对我们个人身份的攻击。医疗保健专业人员很难履行护理职责,而患者却可以自由投诉。这可能导致过度防御的立场。通常,投诉会引发内疚和羞耻感。因自己在值得被投诉时的样子而感到羞耻,因被指责做错了事而感到内疚。处理投诉的一种健康方式是认真对待它,但要承受额外的羞耻和内疚,并将对患者的愤怒情绪视为次要情绪。对于自尊心过高、膨胀或长期自卑的医疗保健专业人员来说,这几乎是不可能的。我们处理投诉的方式当然与我们的个性密切相关:我们会为(所谓的)错误惩罚自己吗?我们会否认情况吗?还是会接受它们?