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Updated: Sep 12, 2025

Modulation of the Neurophysiological Response to Fearful and Stressful Stimuli Through Repetitive Religious Chanting
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The guy at church.

Colleen T Fogarty1

  • 1Department of Family Medicine, University of Rochester School of Medicine & Dentistry, University of Rochester Medical Center.

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Summary
This summary is machine-generated.

Physicians may experience implicit bias and shame when encountering unhoused individuals, even when attempting objective assessment. This personal reflection highlights the internal conflict between clinical observation and emotional response.

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Area of Science:

  • Medical Ethics
  • Social Psychology

Background:

  • Physicians are trained to observe and hypothesize about patient conditions.
  • Social isolation and illness can affect an individual's hygiene and presentation.

Observation:

  • A physician observed an unhoused man at Mass, noting his hygiene and speculating about his social and health conditions.
  • The physician experienced an impulse to avoid interaction, feeling shame despite diagnostic reasoning.

Findings:

  • The physician recognized personal biases and the internal conflict between detached observation and emotional response.
  • The experience prompted self-reflection on empathy, judgment, and the physician's own reactions to perceived social disparity.

Implications:

  • Highlights the pervasive nature of implicit bias, even in healthcare professionals.
  • Underscores the need for ongoing self-awareness and ethical reflection in medical practice.
  • Suggests that understanding personal biases is crucial for equitable patient care.