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On Blindness and Blind Spots.

Ruth Kannai1, Aya Alon2

  • 1Department of Family Medicine, Ben-Gurion University of the Negev, Beersheba, Israel rkannai@gmail.com.

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Summary
This summary is machine-generated.

Physicians explored a patient's severe conversion disorder, using "blindness" as a metaphor for her distress. Understanding patient struggles requires acknowledging potential physician "blind spots" in grasping complex inner conflicts.

Keywords:
blindnessconversion disordermind-body connectiontrauma

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Area of Science:

  • Psychiatry
  • Psychosomatic Medicine
  • Medical Ethics

Background:

  • Conversion disorder presents complex psychosomatic symptoms.
  • Physician-patient relationships are crucial for understanding patient distress.
  • Metaphoric expressions, such as "blindness," can signify underlying psychological agony.

Purpose of the Study:

  • To reflect on the evolving physician-patient relationship in managing severe conversion disorder.
  • To explore the metaphorical significance of symptoms in expressing patient suffering.
  • To examine potential physician "blind spots" in comprehending patients' inner struggles.

Main Methods:

  • A narrative reflection on a clinical case involving a family physician and a patient with conversion disorder.
  • Analysis of the patient's symptoms, particularly "blindness," as metaphorical expressions of distress.
  • Introspective examination of the physician's role and potential limitations in understanding the patient's experience.

Main Results:

  • The patient's "blindness" served as a powerful metaphor for her profound psychological agony.
  • The physician-patient relationship evolved through attempts to interpret the symbolic meaning of the symptoms.
  • The case highlighted the potential for clinicians to develop

Conclusions:

  • Severe conversion disorder requires a nuanced understanding of patients' metaphorical expressions of distress.
  • Physicians must be aware of their own potential "blind spots" to fully grasp patients' complex inner struggles.
  • Recognizing and addressing these blind spots is essential for effective clinical practice and therapeutic alliance.