Empathy and the Practice of Medicine


Book Description

The book - which includes essays by physicians, philosophers, and a nurse - is divided into three parts: one deals with how empathy is weakened or lost during the course of medical education and suggests how to remedy this; another describes the historical and philosophical origins of empathy and provides arguments for and against it; and a third section offers compelling accounts of how physicians' empathy for their patients has affected their own lives and the lives of those in their care. We hear, for example, from a physician working in a hospice who relates the ways that the staff try to listen and respond to the needs of the dying; a scientist who interviews candidates for medical school and tells how qualities of empathy are undervalued by selection committees; a nurse who considers what nursing can teach physicians about empathy; another physician who ponders whether the desire to be empathic can hinder the detachment necessary for objective care; and several contributors who show how literature and art can help physicians to develop empathy.




From Detached Concern to Empathy


Book Description

Physicians recognize the importance of patients' emotions in healing yet believe their own emotional responses represent lapses in objectivity. Patients complain that physicians are too detached. Halpern argues that by empathizing with patients, rather than detaching, physicians can best help them. Yet there is no consistent view of what, precisely, clinical empathy involves. This book challenges the traditional assumption that empathy is either purely intellectual or an expression of sympathy. Sympathy, according to many physicians, involves over-identifying with patients, threatening objectivity and respect for patient autonomy. How can doctors use empathy in diagnosing and treating patients rithout jeopardizing objectivity or projecting their values onto patients? Jodi Halpern, a psychiatrist, medical ethicist and philosopher, develops a groundbreaking account of emotional reasoning as the core of clinical empathy. She argues that empathy cannot be based on detached reasoning because it involves emotional skills, including associating with another person's images and spontaneously following another's mood shifts. Yet she argues that these emotional links need not lead to over-identifying with patients or other lapses in rationality but rather can inform medical judgement in ways that detached reasoning cannot. For reflective physicians and discerning patients, this book provides a road map for cultivating empathy in medical practice. For a more general audience, it addresses a basic human question: how can one person's emotions lead to an understanding of how another person is feeling?




What Doctors Feel


Book Description

“A fascinating journey into the heart and mind of a physician” that explores the doctor-patient relationship, the flaws in our health care system, and how doctors’ emotions impact medical care (Boston Globe) While much has been written about the minds and methods of the medical professionals who save our lives, precious little has been said about their emotions. Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life’s most challenging moments. But understanding doctors’ emotional responses to the life-and-death dramas of everyday practice can make all the difference on giving and getting the best medical care. Digging deep into the lives of doctors, Dr. Danielle Ofri examines the daunting range of emotions—shame, anger, empathy, frustration, hope, pride, occasionally despair, and sometimes even love—that permeate the contemporary doctor-patient connection. Drawing on scientific studies, including some surprising research, Dr. Ofri offers up an unflinching look at the impact of emotions on health care. Dr. Ofri takes us into the swirling heart of patient care, telling stories of caregivers caught up and occasionally torn down by the whirlwind life of doctoring. She admits to the humiliation of an error that nearly killed one of her patients. She mourns when a beloved patient is denied a heart transplant. She tells the riveting stories of an intern traumatized when she is forced to let a newborn die in her arms, and of a doctor whose daily glass of wine to handle the frustrations of the ER escalates into a destructive addiction. Ofri also reveals that doctors cope through gallows humor, find hope in impossible situations, and surrender to ecstatic happiness when they triumph over illness.




Empathy in Health Professions Education and Patient Care


Book Description

In this thorough revision, updating, and expansion of his great 2007 book, Empathy in Patient Care, Professor Hojat offers all of us in healthcare education an uplifting magnum opus that is sure to greatly enhance how we conceptualize, measure, and teach the central professional virtue of empathy. Hojat’s new Empathy in Health Professions Education and Patient Care provides students and professionals across healthcare with the most scientifically rigorous, conceptually vivid, and comprehensive statement ever produced proving once and for all what we all know intuitively – empathy is healing both for those who receive it and for those who give it. This book is filled with great science, great philosophizing, and great ‘how to’ approaches to education. Every student and practitioner in healthcare today should read this and keep it by the bedside in a permanent place of honor. Stephen G Post, Ph.D., Professor of Preventive Medicine, and Founding Director of the Center for Medical Humanities, Compassionate Care, and Bioethics, School of Medicine, Stony Brook University Dr. Hojat has provided, in this new edition, a definitive resource for the evolving area of empathy research and education. For those engaged in medical student or resident education and especially for those dedicated to efforts to improve the patient experience, this book is a treasure trove of primary work in the field of empathy. Leonard H. Calabrese, D.O., Professor of Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University The latest edition of Empathy in Health Professions Education and Patient Care grounds the clinical art of empathic caring in the newly recognized contributions of brain imagery and social cognitive neuroscience. Furthermore, it updates the accumulating empirical evidence for the clinical effects of empathy that has been facilitated by the widespread use of the Jefferson Scale of Empathy, a generative contribution to clinical research by this book’s author. In addition, the book is so coherently structured that each chapter contributes to an overall understanding of empathy, while also covering its subject so well that it could stand alone. This makes Empathy in Health Professions Education and Patient Care an excellent choice for clinicians, students, educators and researchers. Herbert Adler, M.D., Ph.D. Clinical Professor of Psychiatry and Human Behavior,Sidney Kimmel Medical College at Thomas Jefferson University It is my firm belief that empathy as defined and assessed by Dr. Hojat in his seminal book has far reaching implications for other areas of human interaction including business, management, government, economics, and international relations. Amir H. Mehryar, Ph.D., Emeritus Professor of Behavioral Sciences and Population Studies, Institute for Research and Training in Management and Planning, Tehran, Iran




Empathy-Based Ethics


Book Description

This book explores a new way of applying clinical ethics. Empathy-based ethics is based on the patient–doctor relationship and seeks to encourage a more humane form of medical practice. The author argues that the current emphasis on the biomedical model of medicine and a detached concern form of professionalism have damaged the patient–doctor relationship. He investigates examples of the dehumanization of patients and demonstrates a contrasting view of humane care. The book presents empathy as a relational construct - it provides an in-depth analysis of the process of empathizing. It discusses an empathy-based ethics approach underpinned by clinical examples of the practical application of this new approach. It suggests how empathy-based ethics can be embedded in clinical practice, medical education and research. The book concludes by examining the challenges in implementing such an approach and looks to a future which redresses the current imbalance between biomedical and psychosocial approaches to medicine.




Empathy: Real Stories to Inspire and Enlighten Busy Clinicians


Book Description

For anyone who communicates directly with patients—the complete guide to handling emotionally charged conversations with the empathy vulnerable people deserve Empathy: Real Stories to Inspire and Enlighten Busy Clinicians helps you approach tough conversations with patients in a new, more effective way―by imagining what patients and their families may be thinking and feeling, and then communicating that recognition clearly and confidently. The authors use stories to illustrate what empathy looks and sounds like on an operational level―rather than a theoretical, scientific, or conceptual level―and provide the actionable advice you need to make empathy the central focus when faced with challenging scenarios, such as “denial,” questions about prognosis, existential concerns, difficult family dynamics, anger, and nonmedical opiate use. The viewpoints presented are drawn from a diverse group of clinicians from a variety of medical disciplines, including oncology, palliative medicine, pediatrics, psychology, chaplaincy, and ophthalmology. Each chapter is anchored by a true but anonymized story that clearly illustrates how empathy can unfold in the clinical setting. Vignettes throughout provide sample dialogue and examples of actual words and phrases that help clinicians connect with patients under the most trying circumstances. Much more than a guide to breaking bad news or an overview of all communication skills, Empathy: Real Stories to Inspire and Enlighten Busy Clinicians is a must-read for anyone connected to the healthcare industry.




Exploring Empathy with Medical Students


Book Description

This book investigates new insights into the factors influencing empathy in medical students. Addressing the widely perceived empathy gap in teaching and medical practice, the book presents a new study into how this emotion is facilitated in the UK undergraduate medical curriculum, and its influence on doctor-patient relationships. The author utilises Interpretative Phenomenological Analysis (IPA) to investigate how medical students’ perspective on empathy changed throughout their education. It presents the risks students perceive when connecting emotionally with patients; their use of detachment as a taught coping mechanism; and the question of how they regulate their emotions. The book reveals the tension between students’ connection with and detachment from a patient and their aim to achieve an appropriate balance. The author presents a number of factors which seem to enhance empathy, and explores the balance of scientific biomedical versus psychosocial approaches in medical training. In contrast to the commonly-reported opinion that there has been decline in medical students’ empathy, this book contends that student empathy in fact increased during their training. This new study offers invaluable insight into how students and practitioners may be supported in dealing appropriately with their emotions as well as with those of their patients, thereby facilitating more humane medical care.







Empathy in Patient Care


Book Description

Human beings, regardless of age, sex, or state of health, are designed by evolution to form meaningful interpersonal relationships through verbal and nonverbal communication. The theme that empathic human connections are beneficial to the body and mind underlies all 12 chapters of this book, in which empathy is viewed from a multidisciplinary perspective that includes evolutionary biology; neuropsychology; clinical, social, developmental, and educational psychology; and health care delivery and education.




The Compassionate Connection: The Healing Power of Empathy and Mindful Listening


Book Description

“This book explains not only the healing power of compassionate human connection, but in the most accessible and practical ways, how to cultivate our capacity to create that connection and thereby empower others to find their best selves.”—John Makransky, author of Awakening through Love All of us have an innate capacity for compassion. We recognize when others are hurting, and we want to help, but we’re not always good at it. There is another way. In The Compassionate Connection, Dr. David Rakel explains how we can strengthen our bonds with others—all the while doing emotional and physical good for ourselves. As founder and director of the University of Wisconsin Integrative Medicine program, Dr. Rakel discovered that we become the most effective helpers when we use the tool of human connection. Drawing on his own research and practice, as well as thirty years of published studies in medicine, sociology, psychology, meditation, and neuroscience, Dr. Rakel "stacks the deck" in favor of healing and introduces the concept of bio-psycho-spiritual authentic awareness. Not only are our bodies and minds connected, but also it has been scientifically proven that our capacity to feel beauty, awe, and compassion enhances our health and wellbeing. In The Compassionate Connection, Dr. Rakel provides an innovative approach to enhancing health in others and strengthening relationships through the art of connecting. These tools guide us to improve our connections—whether between doctor and patient, husband and wife, parent and child, or boss and employee—and live with clarity, wisdom, and good health.