Flipping Patients and Frames: The Patient in Relational Medicine

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Abstract

Medicine has evolved in two opposite directions. Evidence-based medicine focuses more on laboratory and computer data than on the patient. Yet experimental data also provide growing evidence for the importance of the patient’s social-psychological “demand” side of medicine, to complement the doctor’s bio-cognitive “supply” side. The patient’s mindset has major diagnostic and therapeutic effects. The patient’s experience is shaped by perceptions of four dimensions: meaning, agency, self-image, and temporal focus. The patient’s perceptions are linked in part to the therapeutic context, through the interaction between doctor and patient. In that proximal setting, the dimensions can be reshaped, for better and worse. These dynamics point to the inherently interactional nature of medicine and to the significant role of medical social sciences in the therapeutic context.

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Author and article information

Journal

Journal ID (nlm-ta): Rambam Maimonides Med J

Journal ID (iso-abbrev): Rambam Maimonides Med J

Journal ID (publisher-id): RMMJ

Title: Rambam Maimonides Medical Journal

Publisher: Rambam Health Care Campus

ISSN (Electronic): 2076-9172

Publication date Collection: July 2017

Publication date (Electronic): 31 July 2017

Volume: 8

Issue: 3

Electronic Location Identifier: e0034

Affiliations

The Hebrew University of Jerusalem, Jerusalem, Israel

Author notes

[* ] E-mail: henri.zukier@ 123456mail.huji.ac.il

Article

Publisher ID: rmmj-8-3-e0034

DOI: 10.5041/RMMJ.10310

PMC ID: 5548113

PubMed ID: 28786808

SO-VID: e96a3ee2-b7e0-423b-abae-adeec7be3670

License:

This is an open-access article. All its content, except where otherwise noted, is distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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