A Comprehensive Clinical Model of Suffering

Phillips, William R.; Uygur, Jane; Egnew, Thomas R.

doi:10.3122/jabfm.2022.220308r1

Cited by 6 publications

(6 citation statements)

References 82 publications

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“…32 We suggest family physicians use a comprehensive clinical model of suffering to translate this multidimensional perspective into clinical action reflecting multigenerational experience, cross-specialty responsibility and interdisciplinary synthesis (figure 6). 33 At the core of this model, we see that suffering arises when illness and distress threaten loss. Loss-or fear of loss-can lead to despair and isolation.…”

Section: Intimacy In Family Medicine Jen Devoementioning

confidence: 99%

Section: Intimacy In Family Medicine Jen Devoementioning

confidence: 99%

mentioning

confidence: 99%

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Storylines of family medicine V: ways of thinking—honing the therapeutic self

Ventres,

Stone,

Shapiro

et al. 2024

Fam Med Com Health

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Storylines of Family Medicineis a 12-part series of thematically linked essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In ‘V: ways of thinking—honing the therapeutic self’, authors present the following sections: ‘Reflective practice in action’, ‘The doctor as drug—Balint groups’, ‘Cultivating compassion’, ‘Towards a humanistic approach to doctoring’, ‘Intimacy in family medicine’, ‘The many faces of suffering’, ‘Transcending suffering’ and ‘The power of listening to stories.’ May readers feel a deeper sense of their own therapeutic agency by reflecting on these essays.

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Section: Intimacy In Family Medicine Jen Devoementioning

confidence: 99%

Section: Intimacy In Family Medicine Jen Devoementioning

confidence: 99%

See 1 more Smart Citation

Storylines of family medicine V: ways of thinking—honing the therapeutic self

Ventres,

Stone,

Shapiro

et al. 2024

Fam Med Com Health

View full text Add to dashboard Cite

show abstract

“…As well as it allows one to re-evaluate her life and construct meaning [97]. Distress, injury, disease, and loss generate suffering when they threaten meaning in the patient's personal narrative [99]. On the other hand, it is possible for individuals with chronic diseases to believe that their illness has led to the obtaining of positive qualities, including changed life priorities, appreciation for daily life, and more meaningful interpersonal relationships [87,100].…”

Section: Narrative Medicinementioning

confidence: 99%

Patient-Physician Relationship in Irritable Bowel Syndrome: Review on Empathy and Stigma

Kuliaviene,

Gelman,

Kupcinskas

2024

JGLD

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Irritable bowel syndrome (IBS) lacks a clear understanding of the disease‘s pathogenesis and effective treatments thus producing frustration among providers and patients, leading to the stigmatization of the disease and the patients with the syndrome. A literature search was performed to make a hermeneutical review on empathic patient-provider communication and IBS. The relationship is defined by partners being dependent on one another in the pursuit of obtaining good outcomes. It is a unique interaction depending not only on the individual qualities of each partner but also on the specific patterns of the patient-physician synergy. Empathy is crucial for any relationship. It helps to recognize the other as the other of myself, a person like me. Meanwhile, stigmatization results from identifying and labelling human differences and stereotyping persons who are linked to undesirable characteristics. IBS is at high risk of stigmatization in various contexts and settings including health care, causing patients and physicians misconceptions and distress, which in turn leads to the worsening of the disease in patients and burnout in physicians. Narrative-based medicine helps create a holistic perspective of a patient’s problems and health, thus providing a tool for an empathic doctor-patient relationship that fosters mutual understanding and helps patients with IBS make sense of symptoms, increases their ability to manage their IBS in a psychologically flexible manner, subsequently helping them maintain their quality of life.

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“…Biomedical focus is on disease and bodily dysfunction rather than on patients' lived experience, so teaching and learning about patient personal suffering has been insufficient (Egnew & Schaad, 2009;Phillips et al, 2023).…”

Section: Patient Sufferingmentioning

confidence: 99%

Walking backwards into the future of health professional practice

Wilson,

O'Hagan,

Williamson

2023

FoHPE

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Health professional education needs to be designed so that future practitioners are well equipped for clinical and professional challenges. While the biomedical model has enabled major biological advances in all health professions, its inherent presuppositions have prevented progress in many of the more complex issues within healthcare, examples being health inequities, somatisation, chronic pain and student/clinician burnout. We suggest that students learn about the scientific origins and tacit assumptions of the biomedical model, such as reductionism, biological plausibility and clinical objectivity. Critical reflection, including interprofessional discussion, can enable students to explore its strengths and limitations. Although biomedicine will remain the dominant paradigm in both training and clinical practice, other “ways of seeing” may be helpful, including biopsychosocial and Indigenous models. Complexity sciences now provide additional understandings of human physiology and socio-cultural processes within healthcare and could also be taught explicitly as core curricula. Student-selected components may enable faculty to pilot educational initiatives in relation to specific professional challenges, which could then be further developed for all students. Critical reflection and teaching innovation are core values of the Australian and New Zealand Association of Health Professional Educators (ANZAHPE). “Walking backwards into the future” in healthcare education means identifying and critiquing our taken-for-granted assumptions, then providing future clinicians with broader frameworks and skills to respond more effectively to persistent challenges in healthcare.

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A Comprehensive Clinical Model of Suffering

Cited by 6 publications

References 82 publications

Storylines of family medicine V: ways of thinking—honing the therapeutic self

Storylines of family medicine V: ways of thinking—honing the therapeutic self

Patient-Physician Relationship in Irritable Bowel Syndrome: Review on Empathy and Stigma

Walking backwards into the future of health professional practice

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