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Dialogue medicine : a health-liberating attitude in general practice
-
- Hellström, Olle, 1940- (author)
- Umeå universitet,Socialmedicin
- (creator_code:org_t)
- Elsevier, 1998
- 1998
- English.
- In: Patient Education and Counseling. - : Elsevier. - 0738-3991 .- 1873-5134. ; 35:3, s. 221-231
- Journal article (peer-reviewed)
Abstract
Subject headings
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- Dialogue medicine is presented as the prime means of understanding patients' illnesses. It is a practical attitude especially aimed to assist or inspire patients to consider, see and manage their illness–demanding efforts to unwittingly suppress or disguise such self-reproaching thoughts as are worse to bear than the feeling of being afflicted with a disease. Along with diagnosing patients' perceived bodily disorders, doctors can choose to see them as persons whose ailments stand for efforts to manage their existence as communicative human beings. The core of the paper is an encounter between the author and a female patient which illuminates the usefulness of genuine dialogue in medical practice. The paper illustrates how the dialogical attitude helps patients to see and manage their difficult life-situations and how the doctor can be inspired to change and develop and improve his/her skills as a dialogue partner. Doctors' dialogical attitude in the encounter encompasses for example openness, empathy, sensitivity, courage, attentiveness and responsiveness, accompanied by concern, trust, respect, affection, appreciation and hope. The philosophical and theoretical foundations of the concept of dialogue medicine are sketched out and some practically significant traits are described.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- Dialogue medicine
- Doctor–patient relationship
- Doctor–patient interaction
- Health-liberation
- General practice
Publication and Content Type
- ref (subject category)
- art (subject category)
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