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Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
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Related Experiment Video

Updated: Mar 9, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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[Power in the consulting room].

Y M Smulders1, P van Eijsden, J O M Zaat

  • 1VUmc, afd. Interne Geneeskunde, Amsterdam.

Nederlands Tijdschrift Voor Geneeskunde
|December 22, 2016
PubMed
Summary

Physician power dynamics in patient consultations are explored, revealing strategies physicians use and factors that limit their influence. This discussion highlights the complexities of patient-physician relationships and perceived disempowerment.

Area of Science:

  • Medical Sociology
  • Clinical Communication
  • Healthcare Management

Background:

  • The concept of 'power in the consulting room' is often discussed in medical literature.
  • Physician-patient interactions are complex and influenced by various power dynamics.
  • Existing literature frequently focuses on physician authority, but less on patient disempowerment.

Purpose of the Study:

  • To analyze the strategies physicians employ to exert power over patients during consultations.
  • To identify and discuss factors that constrain or limit the physician's power in the clinical setting.
  • To offer a nuanced perspective on power dynamics, including the prevalent theme of disempowerment.

Main Methods:

  • Qualitative analysis of physician reflections on power dynamics.

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  • Literature review of existing research on physician-physician and physician-patient interactions.
  • Thematic analysis of discourse surrounding 'power in the consulting room'.

    • Main Results:

    • Physicians employ various strategies to maintain or assert power during patient consultations.
    • Several factors, including patient assertiveness and systemic constraints, limit physician power.
    • The discourse often centers on physician disempowerment rather than overt power over patients.

    Conclusions:

    • Understanding the multifaceted nature of power dynamics is crucial for effective patient-physician communication.
    • Recognizing limitations on physician power can lead to more equitable and patient-centered care.
    • Further research is needed to explore patient perspectives on power within the consulting room.