同理心并不是那么完美!-对移情的描述和广泛的概念。

IF 2.3 2区 哲学 Q1 ETHICS
Elodie Malbois, S Hurst-Majno
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引用次数: 2

摘要

医生的同理心被认为是良好临床护理的必要条件。经验证据表明,它与更好的患者满意度、依从性和临床结果相关。然而,由于缺乏一致性和可靠性,这些数据受到了批评。在本文中,我们声称这些问题部分源于移情的广泛理想化:我们错误地认为医生的移情总是有助于良好的护理。这使得我们无法就同理心的定义达成一致,无法理解其不同组成部分的影响,也无法探索其局限性。这是一个问题,因为医生对同理心的风险和管理策略的无知会对他们的工作和健康产生负面影响。为了解决这个问题,我们探讨了移情的潜在组成部分的影响,并认为它应该被视为一个纯粹的描述性和广泛的术语。最后,我们将讨论对医学教育的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Empathy is not so perfect! -For a descriptive and wide conception of empathy.

Physician empathy is considered essential for good clinical care. Empirical evidence shows that it correlates with better patient satisfaction, compliance, and clinical outcomes. These data have nevertheless been criticized because of a lack of consistency and reliability. In this paper, we claim that these issues partly stem from the widespread idealization of empathy: we mistakenly assume that physician empathy always contributes to good care. This has prevented us from agreeing on a definition of empathy, from understanding the effects of its different components and from exploring its limits. This is problematic because physicians' ignorance of the risks of empathy and of strategies to manage them can impact their work and wellbeing negatively. To address this problem, we explore the effects of the potential components of empathy and argue that it should be conceived as a purely descriptive and wide term. We end by discussing implications for medical education.

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来源期刊
CiteScore
4.30
自引率
4.80%
发文量
64
期刊介绍: Medicine, Health Care and Philosophy: A European Journal is the official journal of the European Society for Philosophy of Medicine and Health Care. It provides a forum for international exchange of research data, theories, reports and opinions in bioethics and philosophy of medicine. The journal promotes interdisciplinary studies, and stimulates philosophical analysis centered on a common object of reflection: health care, the human effort to deal with disease, illness, death as well as health, well-being and life. Particular attention is paid to developing contributions from all European countries, and to making accessible scientific work and reports on the practice of health care ethics, from all nations, cultures and language areas in Europe.
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