亲密性,脆弱性和以患者为中心的自我揭露的不完美的艺术
1National Institutes of Health, Department of Bioethics, Bethesda, Maryland and Department of Philosophy, Western University, London, Ontario, Canada jgunkel@uwo.ca.
Annals of family medicine
|September 22, 2025
概括
医生自我披露可以减少患者在慢性疾病期间的孤立感. 这篇文章探讨了以患者为中心的自我披露及其对患者与医生的关系的影响.
科学领域:
- 医学伦理 医学伦理
- 医学哲学 医学哲学
- 患者体验 患者体验
背景情况:
- 慢性疾病的诊断是患者的脆弱时期.
- 医生自我披露可以促进联系,减少被认为是孤立的感觉.
- 患者与医生的关系涉及固有的亲密和脆弱性.
研究的目的:
- 探索"以患者为中心的自我揭露"的概念和实践.
- 分析医生自我披露对患者体验的影响.
- 为了加深对医疗保健中的亲密和脆弱性的理解.
主要方法:
- 哲学反思和生物伦理分析.
- 个人叙述和生活经验.
- 探索有关患者与医生沟通的现有文献.
主要成果:
- 医生自我披露可以通过减少孤立感来显著影响患者.
- 以患者为中心的自我披露需要仔细考虑时间,相关性和患者需求.
- 实践可以增强信任,加强治疗联盟.
结论:
- 医生自我披露,当以患者为中心时,是一个强大的工具.
- 它可以通过培养联系和共同的人性来改变患者的体验.
- 需要进一步探索,以建立伦理和有效的医生自我披露的最佳实践.
相关概念视频
Relationship Growth
208
Interpersonal relationships progress through stages, beginning with awareness and moving toward mutuality, where emotional connections deepen. While many relationships remain at moderate levels of mutuality, deeper connections form through self-disclosure, trust, and interdependence.Self-DisclosureSelf-disclosure involves revealing personal information, starting with surface-level details and gradually progressing to more intimate content. As trust grows, individuals feel more comfortable...
208
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
7.2K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
7.2K
Ethical Standards II
1.3K
Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
1.3K
Processes of Self-Presentation
210
Effective self-presentation is a central component of social interaction and identity construction. It relies on the dynamic processes of defining the situation and engaging in self-disclosure. These mechanisms help individuals navigate social context expectations and manage how others perceive them, fostering mutual understanding and relationship development.Defining the SituationSocial situations are shaped by collectively understood frames—a set of widely understood rules or...
210
Ethics and Bioethics
2.7K
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
2.7K
Ethical Standards I
1.5K
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
1.5K


