Mindfulness y la relación clínica: pasos hacia una resiliencia en medicina

Abstract

Mindfulness and the clinical relationship: steps to a resilience in medicine Medical resilience is a dynamic capacity, which has the potential to improve the well-being of physicians and to enhance the quality of the clinical relationship. Strategies to promote resilience are important to achieve a sustainable medical practice and improve patient care. Mindfulness training has demonstrated to be an effective tool to promote resilience in physicians. This paper contextualizes the place of mindfulness in medical practice and describes the ways through which it can contribute to resilience in medicine. The concept of mindfulness, its relationship with health practice is reviewed and the benefits of the practice of mindfulness in the clinical relationship are described. We suggest that the benefits achieved through a mindfulnessbased medical practice are mediated by two axes. One is the nonspecific and specific effect of mindfulness-based practices and the other is the integration of explicit and implicit knowledge of clinical practice. We conclude that medical practice that integrates mindfulness can contribute to the challenge of achieving greater levels of individual, staff and institutional resilience. There is a need to have continuing mindfulness training programs for health professionals and to integrate this concept in the curriculum of health care professionals.

Impact of the COVID-19 Pandemic and Psychosocial Coping Strategies in Health Sciences Students at the University of Seville: A Pilot Study

“…Furthermore, in the specific case of mindfulness practice, it has been proven to be an efficient tool to promote resilience among physicians [ 41 ].…”

Interoceptive awareness and therapist characteristics

“…Other authors claim that it can be a means of empathetically and intuitively connecting with the patient's inner world through identification and projective identification (Athanasiadou & Halewood, 2011). Hilari (2017) claims that it promotes self‐regulation, which is related to stress management and self‐regulation of the therapist during therapy, which helps them to take premeditated decisions and prevents them from falling into a state of automatic functioning that often occurs in the clinic, thereby reducing the risk of making mistakes in clinical practice (Krogh et al., 2019).…”

Further Examination of the Psychometric Properties of the Current Experiences Scale and Model of Resiliency

“…35 Positive affect was strongly associated with resilience in physicians, 36 and previous evidence has suggested that levels may determine the likelihood of a lack of resilience in resulting in burnout. 37 Theoretical links have been made between mindfulness and resilience, 38 and dispositional mindfulness scores have been shown to be associated with higher resilience in healthcare professionals. 39,40 Strong coping skills have been associated with resilience in patients.…”