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[医学的人文语言。将共情的身体表达融入诊断可促进理解]

[The human language of medicine. Physical expression of empathy added to diagnosis promotes understanding].

作者信息

Rudebeck C E

机构信息

Kvartersakuten Matteus, Stockholm.

出版信息

Lakartidningen. 1998 Oct 7;95(41):4500, 4503-4, 4507.

PMID:9803744
Abstract

The article consists in a review of the clinical encounter in terms of existential anatomy and bodily empathy. Making a diagnosis and understanding the patient are not seen as discrete, mutually exclusive endeavours. In addition to relying on their biomedical expertise, doctors need to be attuned to their patients' symptom presentations as living, experiential expressions of the body, existential anatomy. By 'sharing' his patients' basic bodily conditions, the doctor accumulates abundant knowledge throughout his professional life. Diagnosis is preceded, and its accuracy enhanced, by grasping the experiential essence of the patient's symptomatology. The doctor's ability to communicate with the patient within the realm of existential anatomy is what is referred to as bodily empathy. It is proposed that satisfactory management is dependent on interplay between diagnostic expertise and bodily empathy.

摘要

本文旨在从生存解剖学和身体共情的角度对临床问诊进行综述。做出诊断和理解患者并非被视为相互独立、相互排斥的努力。除了依靠他们的生物医学专业知识外,医生还需要将患者的症状表现视为身体的活生生的、经验性的表达,即生存解剖学。通过“分享”患者的基本身体状况,医生在其职业生涯中积累了丰富的知识。在掌握患者症状学的经验本质之前进行诊断,并提高诊断的准确性。医生在生存解剖学领域与患者沟通的能力就是所谓的身体共情。有人提出,满意的治疗取决于诊断专业知识和身体共情之间的相互作用。

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