1999
DOI: 10.7326/0003-4819-131-7-199910050-00009
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Diagnosing Suffering: A Perspective

Abstract: The alleviation of suffering is crucial in all of medicine, especially in the care of the dying. Suffering cannot be treated unless it is recognized and diagnosed. Suffering involves some symptom or process that threatens the patient because of fear, the meaning of the symptom, and concerns about the future. The meanings and the fear are personal and individual, so that even if two patients have the same symptoms, their suffering would be different. The complex techniques and methods that physicians usually us… Show more

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Cited by 255 publications
(200 citation statements)
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“…By forging connexional relationships, grounding treatment choices in the person rather than the disease, maximizing function, and actively minimizing suffering, physicians strengthen patients with the goal of maintaining intactness and integrity. 48,[86][87][88] The requisite clinical methods, empathy, and communication skills for fostering connexional relationships are known and teachable, [89][90][91][92][93] and the necessary attitudes and insight are being discussed. [94][95][96][97] Still, research regarding the detection and management of suffering is sorely needed.…”
Section: Discussionmentioning
confidence: 99%
“…By forging connexional relationships, grounding treatment choices in the person rather than the disease, maximizing function, and actively minimizing suffering, physicians strengthen patients with the goal of maintaining intactness and integrity. 48,[86][87][88] The requisite clinical methods, empathy, and communication skills for fostering connexional relationships are known and teachable, [89][90][91][92][93] and the necessary attitudes and insight are being discussed. [94][95][96][97] Still, research regarding the detection and management of suffering is sorely needed.…”
Section: Discussionmentioning
confidence: 99%
“…5 Nesse sentido, cabem reflexões sobre sofrimento e morte, sob perspectivas existenciais, sociais, religiosas e pessoais. 6 Essa construção dialógica considera a experiência de vida da pessoa e familiares, traz à tona valores e crenças, e exige o olhar sobre a dimensão espiritual do ser humano. 7 Dada sua importância nos cuidados paliativos, cabe trazermos o conceito de espiritualidade.…”
Section: Discussionunclassified
“…12 A dificuldade dos profissionais de saúde lidarem com sua dimensão pessoal é natural, contudo, corre-se o risco de que as questões sobre sofrimento e terminalidade sejam negligenciadas. 6 Outro aspecto preocupante é o risco de sobrecarga profissional. Dearmond 13 descreve que já são bem documentados burnout e fadiga de compaixão em profissionais paliativistas.…”
unclassified
“…38 The diagnosis of suffering is uniquely dependent upon the clinician's subjective experience, making physicianhealers "strange instruments." 51 To manage the shared vulnerability of the close interpersonal relationships of healing, physician-healers must be mindful so they can balance their personal responses to patients with their professional presentation. 52 Not allowing their own feelings and views to cloud a clear appreciation of the patient's experience permits physician-healers to affi rmatively witness the patient's suffering.…”
Section: Back To the Futurementioning
confidence: 99%