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A phenomenological analysis of doctor-patient interaction: a case study
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Social medicine.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
1998 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 33, no 1, 83-89 p.Article in journal (Refereed) Published
Abstract [en]

The fact that the biomedical model has been very successful in practice does not preclude that some health issues can be understood by way of other health care perspectives. Acquiring skills in meeting patients requires theories that structure other fields of knowledge than the biomedical sciences. An old man, who experiences himself as deeply misunderstood by the medical profession, is interviewed, his personal life-story is gone into and his case records and other available data are analysed. A phenomenological method is used, i.e. disciplined and rigorous reflection upon available data, remaining close to the particular pieces of the patient's narrative as they stand forth in their contextual relationships. The study shows that the doctors involved did not relate to the patient but to a biomedical image of him. His efforts to make himself understood were converted into instrumentally manageable disorders. Finally, dialogue medicine is briefly introduced as a model for counselling patients, especially when they need assistance to abandon the notion that they have been afflicted with a disease, a perception that might serve the purpose of keeping a threatening self-image out of consciousness.

Place, publisher, year, edition, pages
Elsevier, 1998. Vol. 33, no 1, 83-89 p.
Keyword [en]
Phenomenological method, Clinical narrative, Dialogue medicine, Patient counseling
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-98524DOI: 10.1016/S0738-3991(97)00058-XOAI: oai:DiVA.org:umu-98524DiVA: diva2:783040
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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Publisher's full texthttp://www.sciencedirect.com/science/article/pii/S073839919700058X

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