挑战医学和医学教育研究中临床处境的情感缺陷版本的移情。

IF 1.3 4区 社会学 Q4 SOCIAL SCIENCES, BIOMEDICAL Social Theory & Health Pub Date : 2022-01-01 DOI:10.1057/s41285-021-00174-0
Barret Michalec, Frederic W Hafferty
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引用次数: 5

摘要

在本文中,我们认为临床同理心的概念(例如医生同理心)是潜在的问题,因为它在医学和医学教育研究中延续了情感缺失的同理心版本。我们利用不同社会科学学科的经典和当代共情理论,讨论了一般意义上的共情与临床情境的共情在概念上的区别,并特别关注情绪感染的作用。为了突出这种对比,我们借鉴了Hojat等人的医生移情模型,以及这一工作如何反映了更广泛的医学文化规范,这些规范将情感在临床遭遇中的作用和影响问题化。另外,我们借鉴社会心理学和社会神经科学领域,提出了一个更具包容性的共情模型,以便更具体地将“感受”和情绪传染的概念引入医学教育、医学教育研究和更广泛的医学领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Challenging the clinically-situated emotion-deficient version of empathy within medicine and medical education research.

In this paper, we argue that the notion of a clinically-situated empathy (e.g. physician empathy), is potentially problematic as it perpetuates an emotion-deficient version of empathy within medicine and medicine education research. Utilizing classic and contemporary empathy theory from various social science disciplines, we discuss how empathy in the general sense differs conceptually from clinically-situated empathy-paying particular attention to the role of emotional contagion. To highlight this contrast, we draw upon Hojat et al.'s model of physician empathy and how this body of work reflects broader medical-cultural norms that problematize the role and impact of emotions within the clinical encounter. Alternatively, we present a more encompassing model of empathy drawing upon the fields of social-psychology and social-neuroscience in order to bring the notion of "feeling with" and emotional contagion more specifically, into medical education, medical education research, and medicine more generally.

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来源期刊
Social Theory & Health
Social Theory & Health SOCIAL SCIENCES, BIOMEDICAL-
CiteScore
4.00
自引率
0.00%
发文量
15
期刊介绍: Social Theory & Health provides an international scholarly forum for theoretical reflection and debate on contemporary health issues, many of which bear directly on the planning and delivery of services. The journal aims to consolidate, refine and extend theoretically informed work on the role of health in modern societies. Interest in issues of theory and health now informs many academic and practice-oriented disciplines and crosses discipline boundaries. The Editors encourage contributions from all relevant disciplines, as well as from those involved directly in front-line treatment and care. Contributions from the developing world are particularly welcome. The journal aims to include contributions from all theoretical perspectives.
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