Ornstein P H
J Fam Pract. 1977 Apr;4(4):659-61.
The doctor-patient relationship is the matrix of the family physician's diagnostic-therapeutic activity. To enhance the curative potential inherent in this relationship, the physician has to be able to make contact with the person in the patient. To achieve this, the physician must develop his potential for empathic observation, empathic listening, and introspective self-awareness. The use of these skills in a non-judgmental, non-condemning, and non-manipulative climate creates an optimum therapeutic setting. Rather than focusing upon the body of knowledge available in the behavioral sciences, or upon the pursuit of learning "psychiatry" or "psychotherapy," the family physician should first develop his own personal skills. He should then apply them to his own patients, in his own setting, in order to discover the therapeutic approaches appropriate to this patients and their problems. The psychiatrist, psychologist, or any other behavioral scientist can be most helpful to the family physician if he is prepared to aid him in his own discoveries rather than attempt to teach him the accumulated knowledge from his own field.
医患关系是家庭医生诊断治疗活动的基础。为了增强这种关系中固有的治愈潜力，医生必须能够与患者内心的那个人建立联系。要做到这一点，医生必须培养自己的共情观察、共情倾听和内省自我意识的能力。在无评判、无谴责和无操控的氛围中运用这些技能，可营造出最佳的治疗环境。家庭医生不应专注于行为科学中现有的知识体系，也不应致力于学习“精神病学”或“心理治疗”，而应首先培养自己的个人技能。然后，他应在自己的环境中，将这些技能应用于自己的患者，以便发现适合这些患者及其问题的治疗方法。如果精神科医生、心理学家或任何其他行为科学家准备帮助家庭医生进行自我探索，而不是试图向他传授自己领域积累的知识，那么他们对家庭医生会非常有帮助。
