Health promoting effects of the physician-patient encounter

Dulmen, A.M. van; Bensing, J.M.

doi:10.1080/13548500220139421

Cited by 70 publications

(45 citation statements)

References 102 publications

(83 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Higher perceived clinician empathy has been implicated in improved patient satisfaction and increased health-related behaviors (Calia, 2004;Cape, 2001;Malin, Hemminki, Raeikkoenen, Sihvo, & Peraelae, 2001;Strug et al, 2003;van Dulmen & Bensing, 2002). In contrast, the absence of perceived empathy is one of the best predictors of poor outcomes in psychotherapy (Mohr, 1995) and has been associated with increased rates of physician malpractice (Levinson, 1994).…”

Section: Introductionmentioning

confidence: 92%

The Effect of Emotional Distance on Psychophysiologic Concordance and Perceived Empathy Between Patient and Interviewer

Marci

Orr

2006

Appl Psychophysiol Biofeedback

102

105

View full text Add to dashboard Cite

This preliminary study investigated the effect of emotional distance on psychophysiologic concordance and perceived empathy in a clinical population. Participants included 20 adult outpatients from a mental health clinic that underwent a brief semi-structured interview with a trained psychiatrist in either an emotionally neutral or an emotionally distant condition. Simultaneous skin conductance (SC) levels of the patient and interviewer were recorded and used to calculate a measure of psychophysiologic concordance. Interviewer gaze was rated by an independent observer and used as a proxy indicator of emotional distance. Observer ratings of interviewer gaze, SC concordance, and patient ratings of perceived interviewer empathy were significantly lower in the emotionally distant condition compared with the emotionally neutral condition (p < 0.05). Results suggest that increased emotional distance is associated with decreased psychophysiologic concordance and reduced subjective ratings of perceived empathy. The observed differences in psychophysiologic concordance support the use of this measure as a potential marker of empathy in a clinical population in an interview setting.

show abstract

Section: Introductionmentioning

confidence: 92%

The Effect of Emotional Distance on Psychophysiologic Concordance and Perceived Empathy Between Patient and Interviewer

Marci

Orr

2006

Appl Psychophysiol Biofeedback

102

105

View full text Add to dashboard Cite

show abstract

“…Theories from research into the placebo-effect of the provider-patient encounter [4,21,22] could well complement the theoretical and methodological insights gathered so far in studies into communication. Investigating the role of conditioning and expectancies in ongoing encounters could bring forward a new field of study not yet explored within the field of medical communication.…”

Section: Towards a Time Perspectivementioning

confidence: 98%

“…The role of expectancies, the other central placebo theory [22], has more to do with explaining why experiences in the present influence future treatment outcome [4]. Response expectations appear to be triggered by the information a person receives [24].…”

Section: Towards a Time Perspectivementioning

confidence: 99%

Communication in context: new directions in communication research

Bensing

Dulmen

Tates

2003

Patient Education and Counseling

View full text Add to dashboard Cite

By focusing attention almost exclusively on a single encounter, researchers have adopted a rather restricted view on studying communication in health care. After all, communication does not take place in a vacuum but is influenced by the context in which it takes place. We would therefore strongly recommend to broaden the perspective of communication research. In this respect, four lines of investigation are proposed, each guided by different theories. In the first, context is determined by the goals or targets aimed at by both parties in the medical encounter. The second concerns the context of time, referring to the influence of previous and future medical encounters. The third is set up around the organizational context in which an interaction takes place and the last defines context by looking at a medical encounter as a meeting between two multifaceted parties. Studying a medical encounter in its broader context is expected to provide answers to intriguing questions such as why health care professionals do not always act in conformity with the general approved standards of high quality communication and how the factor time span can be used more effectively in the medical encounter. Eventually, a broader context view will bridge the existing gap between theory and practice.

show abstract

“…3 Difficulties in the relationship between patient and physician have been reported to affect various aspects of medical care. Van Dulmen and Bensing 4 suggest that the stress from a difficult encounter can negatively affect the patient's health (and possibly also the physician's). With better communication and understanding, especially regarding the patient's feelings and symptoms, physicians can provide more effective and efficient medical care.…”

mentioning

confidence: 99%