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Document Typology: Other
Methodology addressed by the publication:Narrative medicine
Title of document: Communication with a patient – ‘About the similarity between a medical visit and a date’.
Name of author(s): Izabela Barton Smoczyńska
Name of publisher: Medycyna Praktyczna
Language of the publication: Polish
Language of the review: English
A doctor, who sees many patients every day, is getting to do things automatically at some point. He starts treating visits and talks with patients routinely. He thinks about the patients in the category of “working hours’ or ‘tasks to do’, he starts to think that the patient does not feel anything, so he do not need to show his emotions. It is not possible, we do feel, no matter if we want to or not. We might not be aware of our emotions. So we have a doctor, who either is excited about the beginning of his career or on the other hand, we have experienced one, who is in not really aware of his emotions. Of course, there are doctors with long-term practice who are conscious of their emotions and focused on them, but they happen very rarely.
On the other side appears the female patient. Generally she treats medical visit very personally, she is wondering how the visit will look like and what information she will get. She is not sure how she should behave and how the doctor will behave. She is scared. She is nervous. She feels ashamed. She suffers.
Reviewer's comments on the document:
The article describes emotions and feelings, which a patient and a doctor might experience during the meeting. There are mentioned the basic feelings: fear, shame, embarrassment of a patient, tiredness and lack of commitment of a doctor. The article contains the table with exemplary questions which might be asked by a doctor and the description of aims, which will be gained after asking these questions. The important matter is also memory distortion, the symptom of this is selective remembering caused by stressful situation. The document shows the frequently neglected need of patient- the need of being significant and unique for the doctor.
Where to find it:

MedycynaPraktyczna, Ginekologia i Położnictwo, 2010/02

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