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[Objective diagnosis, relational diagnosis--science or art?]
1Division autonome de médecine psycho-sociale, Faculté de médecine de Lausanne, Centre Hospitalier Universitaire Vaudois.
Schweizerische Medizinische Wochenschrift
|April 16, 1998
Summary
Psychotherapists face a dilemma treating psychosomatic disorders due to differing evaluation standards. The paper proposes an ethical compromise and negotiated patient partnerships to resolve this conflict.
Area of Science:
- Psychiatry and Psychology
- Medical Ethics
Context:
- Psychosomatic disorders present challenges in clinical practice.
- Referrals from primary care physicians necessitate specialized psychotherapeutic evaluation.
- Conflicting demands exist between holistic patient care and standardized medical protocols.
Purpose:
- To explore the ethical dilemma faced by psychotherapists treating psychosomatic disorders.
- To analyze the tension between relational/contextual treatment standards and quality management/cost-benefit criteria.
- To propose a resolution for integrating diverse clinical and administrative demands.
Summary:
- Psychotherapists grapple with evaluating and treating psychosomatic disorders referred by primary care physicians.
- Current standards for psychosocial and psychosomatic care emphasize relational and contextual factors.
- Quality management and cost-benefit analyses necessitate objective diagnoses and standardized treatment guidelines.
- The author suggests an ethical compromise and a negotiated doctor-patient partnership as a viable solution.
Impact:
- Offers a framework for ethical decision-making in psychosomatic disorder treatment.
- Promotes a collaborative doctor-patient relationship in managing complex conditions.
- Aims to bridge the gap between individualized patient care and healthcare system efficiencies.