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Dialogue medicine: a health-liberating attitude in general practice
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Social medicine.
1998 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 35, no 3, 221-231 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Elsevier, 1998. Vol. 35, no 3, 221-231 p.
Keyword [en]
Dialogue medicine, Doctor–patient relationship, Doctor–patient interaction, Health-liberation, General practice
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-98527DOI: 10.1016/S0738-3991(98)00067-6OAI: oai:DiVA.org:umu-98527DiVA: diva2:783037
Available from: 2015-01-23 Created: 2015-01-23 Last updated: 2017-12-05Bibliographically approved
In thesis
1. Patienten som person: om mening och dialog i allmänmedicinsk praktik
Open this publication in new window or tab >>Patienten som person: om mening och dialog i allmänmedicinsk praktik
1999 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Umeå: Umeå Universitet, 1999. 128 p.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 585
Keyword
general practice, meaning, dialogue medicine, doctor-patient relation, narrative, fibromyalgia, health, empirical phenomenological psychological method, critical reflection, case analysis
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-96897 (URN)91-7191-599-0 (ISBN)
Public defence
1999-04-16, Samhällsvetarhuset, hörsal B, Umeå universitet, Umeå, 09:00
Projects
digitalisering@umu
Note

Diss. Umeå : Umeå universitet, 1999, Härtill 7 uppsatser.

Available from: 2015-01-23 Created: 2014-12-05 Last updated: 2015-04-09Bibliographically approved

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