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The text discusses crucial emotional and psychological factors that influence the patient-doctor relationship and a patient’s recovery. It highlights three key variables:
Firstly, anger can manifest when a patient feels a sense of injustice regarding their illness. For instance, a patient diagnosed with a condition might feel unfairly targeted, especially if they perceive themselves as having lived a healthy lifestyle. This anger can impede effective communication and treatment adherence.
Secondly, guilt arises when a patient acknowledges their role in their illness, such as continuing to smoke despite knowing the risks associated with lung cancer. This can lead to regret and a more profound suffering compared to a patient who feels unjustly afflicted. The article cautions against medical professionals exacerbating this guilt by making accusatory statements like “he brought it upon himself” or criticizing non-adherence to treatment. Such interactions can strain the medical-patient bond and negatively impact the patient’s prognosis.
Thirdly, fear of dying is a important factor. Patients often inquire about the risks associated with treatments or surgeries. If a medical professional has not personally experienced a similar situation, they may struggle to fully comprehend the patient’s fear, which can hinder effective communication. The article emphasizes that discussions surrounding death require careful handling, patience, and sufficient time.
the article underscores the proven importance of narrative medicine. It advocates for its daily submission by all healthcare personnel,not just doctors,but also technicians,nurses,and auxiliaries. The act of listening to patients, allowing them to express their feelings and experiences, is presented as a powerful tool that contributes to healing, mending wounds, and even combating diseases.