Emotions, narratives and empathy in clinical communication

Finset, Arnstein

doi:10.5334/ijic.490

Cited by 25 publications

(17 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…“Empathic communication” is a model emphasizing the importance of listening to the patient's own story and letting him/her describe the feelings associated with their story before the doctor asks the patient if he/she wants to hear the doctor's thoughts and reflections upon what has been told. Studies have shown that positive effects of “Empathic communication” may be a more accurate diagnosis and more satisfied patients. Another model for communication in health care is the “Four Habits” model, which has proven effectiveness and is now widely disseminated in Norway …”

Section: Discussionmentioning

confidence: 99%

Patients' illness narratives—From being healthy to living with incurable cancer: Encounters with doctors through the disease trajectory

2019

View full text Add to dashboard Cite

Background: Narrative medicine emphasizes how stories can increase the understanding of patients' experiences and give important insights into how patients interpret and strive to make meaning in the situation they find themselves in.Aim: The aim of this study was to gain insight into the illness narratives of cancer patients, from the day they suspected that something was wrong until living with incurable cancer. Methods and results: Six men and seven women, aged 47 to 79 years, diagnosed with metastatic cancer and undergoing chemotherapy with life-prolonging intent in an oncology outpatient clinic, were asked to tell their illness stories as freely as possible, without guiding questions. Stories were tape recorded, transcribed, and analyzed by a thematic narrative analysis. Encounters with doctors through the disease trajectory were highlighted by all narrators. Several informants described poor communication and consequences in the form of "doctors delay" and substandard psychosocial care. Continuity in follow-up and the physician's ability or inability to break bad news and adapt information to the patient's wishes and preferences were particularly emphasized. Conclusion: A key finding was the importance of the doctor's role throughout the whole trajectory. A good doctor-patient relationship was characterized by continuity of care in follow-up, and trust acquired over time, based on the physician's thorough medical knowledge combined with sensitive communication and empathy. K E Y W O R D S cancer patients, communication, continuity of care, doctor-patient relationship, doctor's delay, illness narratives 1 | INTRODUCTION The last decades have seen an increasing research interest in patients' experiences of living with a cancer disease. 1-3 Doctor-patient communication has also been a central research topic for many years, and many different communication models are recommended, such as the SPIKES model 4,5 and the Four Habits model. 6 Another model is the Turner Social Drama Model. 7 This model emphasizes people's perspectives, values, needs, and experiences contextualized in an illness process. The model pays close attention to people's journeys and how these may dynamically change over time. By taking both biographical and clinical aspects of people's journeys into account, this model could be an alternative to clinical pathway models, with a sharper focus on humanizing care. 7,8 Good doctor-patient communication is

show abstract

Section: Discussionmentioning

confidence: 99%

Patients' illness narratives—From being healthy to living with incurable cancer: Encounters with doctors through the disease trajectory

2019

View full text Add to dashboard Cite

show abstract

“…Medical professionalism also relates to this encounter, and to how doctors form an understanding of the patient's symptoms, worries and needs (i.e. getting the information needed to make an informed decision about how to proceed) (Finset, 2010). As will be discussed further below, the competence to critically meet the patients' narrative, communicate with a diverse patient group, and having a holistic approach to patient care therefore become integral parts of medical professionalism.…”

Section: Medical Professionalismmentioning

confidence: 99%

Promoting professional development in medical education: perspectives from the Norwegian medical school in Tromsoe

Hovdenak

Wiese

2018

Society, Health & Vulnerability

View full text Add to dashboard Cite

In international research on medical education the concepts of professionalism and professional development have been increasingly focused. The article problematizes and discusses these concepts in relation to the Aristotelian concepts of episteme, techne and phronesis. Phronesis as a form of knowledge is of fundamental importance regarding professionalism and professional development, and can be regarded as a response to an instrumentalist understanding of medical education. The article reports from an ongoing qualitative study following the revision of the study programme in medicine at the

show abstract

“…505-506), less attention has been given to how the demeanour of project workers impacts on power dynamics. Much of family intervention project practice is determined by attributes and feelings, an ascribed relationship and orientated towards a particular person; with emotion, narratives and empathy being central (Finset, 2010;Zadoroznyi, 2009, pp. 271 -276).…”

Section: Empirically Exploring the Dynamics Of The Domestic Visitmentioning

confidence: 99%

The Inspection House and Neglected Dynamics of Governance: The Case of Domestic Visits in Family Intervention Projects

Flint

2012

Housing Studies

View full text Add to dashboard Cite

There has been an expansion in the provision of family intervention projects in Britain. These projects, in which housing providers are centrally implicated, aim to provide a form of coercive support to households subject to, or at risk of, legal sanctions. In both core accommodation and outreach models of these projects, the dwelling is a key site, and the inspection of domesticity a primary technique, of governance. This article argues that policy narratives and some academic critiques of these projects are heavily influenced by understandings of governmentality as a disciplinary power based upon Bentham's and Foucault's works on the panopticon. The article uses indicative findings from recent research to illustrate that such conceptualisations neglect the centrality of the social worlds, social class and habitus that embed non-clinical sites and modes of governance and influence the interactions between project workers and individuals subject to project interventions.

show abstract

Emotions, narratives and empathy in clinical communication

Cited by 25 publications

References 23 publications

Patients' illness narratives—From being healthy to living with incurable cancer: Encounters with doctors through the disease trajectory

Patients' illness narratives—From being healthy to living with incurable cancer: Encounters with doctors through the disease trajectory

Promoting professional development in medical education: perspectives from the Norwegian medical school in Tromsoe

The Inspection House and Neglected Dynamics of Governance: The Case of Domestic Visits in Family Intervention Projects

Contact Info

Product

Resources

About