As emoções do médico e as implicações para a prática clínica

Castelhano, Laura Marques; Wahba, Liliana Liviano

doi:10.1590/0103-6564e180030

Cited by 1 publication

(3 citation statements)

References 11 publications

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“…Physicians realize the existence of emotions during consultations but recognize difficulties that prevent them from communicating with empathy and affection. Further, some physicians avoid or refuse to talk about emotions with the patient (29) .…”

Section: How Physicians Respond To Emotional Cues and Concernsmentioning

confidence: 99%

“…The physician may also become used to the experience of illness and patient suffering under treatment for a longer time, providing less space for his/her emotional expression. Physicians show that they use strategies such as control and impartiality to deal with patients' emotions, demonstrate little concern for their feelings, and respond even in difficult times (29) . They must control their emotions and often have few tools to deal with emotional reactions during clinical consultations (32) .…”

Section: How Physicians Respond To Emotional Cues and Concernsmentioning

confidence: 99%

“…Moreover, there seems to be a taboo to talking about physicians' emotions, how they perceive their feelings and affections and how these perceptions can interfere with care (29) . This type of communication can be challenging for physicians, as they may suppose that providing space to discuss patient concerns can make the consultation longer, become very time-consuming (33) , or be unclear about the emotional content of the patient's expressions.…”

Section: Physicians' Responses X Treatment Timementioning

confidence: 99%

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How physicians respond to the emotional expressions of people with cancer

2023

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The aim of study is to examine patient emotional cues to oncologists’ responses and explore the association between the concerns and emotional cues during the consultation and the physicians’ response to them throughout treatment, satisfaction, and the assessment of the patients’ perception of the established communication. Cross-sectional design, involved 12 adults patients undergoing cancer treatment and eight physicians in the study. The twelve video-recorded medical consultations werecoded (349 cues/concern) using the Verona coding definitions of emotional sequences (VR-CoDES). A strong association between explicit with reducing space responses and the physiological symptoms cues (x²=6.029; p=0.014), and related to the repetition cue of the content by the patient (x²=5.599; p=0.018) was observed. Patients expressed fewer non-verbal behaviors (for example, crying, silence, silent pauses), as they had been undergoing treatment for a longer time, therefore, provided with more empathic responses from physicians. The identification of emotions can help physicians to further explore patients’ underlying cues that reveal emotional distress concerning illness and treatment in a less explicit way. There is a need for improvement in the physician’s ability to recognize patients’ concerns and to provide space for patients to have comprehensive health care, considering the severity of cancer disease and its negative emotional impacts for patients.

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Section: How Physicians Respond To Emotional Cues and Concernsmentioning

confidence: 99%

Section: How Physicians Respond To Emotional Cues and Concernsmentioning

confidence: 99%