Physicians’ experiences with patients who transgress boundaries

Farber, Neil J.; Novack, Dennis H.; Silverstein, Julie; Davis, Elizabeth B.; Weiner, Joan; Boyer, E. Gil

doi:10.1046/j.1525-1497.2000.90734.x

Cited by 29 publications

(17 citation statements)

References 22 publications

(29 reference statements)

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“…Patient queries run the gamut from social chitchat to more personal and discomfiting inquiries. In one study, female physicians considered personal questions to be boundary violations more often than male physicians did (23). However, responses to personal inquiries often help to create ease in a long-term patient–physician relationship, and they can be brief and easily redirected to resume focus on the patient, as seen in the following example:…”

Section: Patient Request For Self-disclosurementioning

confidence: 99%

“Enough about Me, Let's Get Back to You”: Physician Self-disclosure during Primary Care Encounters

et al. 2008

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Section: Patient Request For Self-disclosurementioning

confidence: 99%

“Enough about Me, Let's Get Back to You”: Physician Self-disclosure during Primary Care Encounters

et al. 2008

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“…Interweave between personal and professional spheres for physicians have received increased attention the last decade [27,28]. Rourke and his associates have focused on boundary issues that may evolve due to treating own family members and friends [29].…”

Section: Discussionmentioning

confidence: 99%

Exploring the subjective burden of confidentiality among physicians in Norway

Tevik¹,

Håkon²

2011

Health

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Background: Concern about protecting patient privacy is proposed to be a barrier for physiccians to talk about emotional distress from their professional experiences. This makes it difficult for many physicians to utilize and fully benefit from different network of social support. The subjective burden of confidentiality is reported to be associated with physician's health and wellbeing. Aims: To gain knowledge about factors in the in personal and professional sphere that can be associated with the subjective burden of confidentiality. Methods: Qualitative semistructured interviews with 14 general practitioners and hospital physicians in Norway. Examination of transcribed verbatim interviews using qualitative content analysis. Results: The subjective burden of confidentiality is likely linked with factors such as perception of professional role, social support from colleagues, partners and friends; size of patient population, organizational factors and work environment, and the overlap between personal and professsional relationships. Conclusions: Addressing the interaction of emotional demands and patient confidentiality is important to study successful coping with distress from physician's professional experiences.

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“…Despite a desire to understand the patients’ R/S beliefs, a meta-analysis of the literature found between 62% and 66% of physicians reported actively seeking to avoid the topic by changing the subject when the patient introduced R/S topics during clinical interactions [15]. Some physicians even refused to discuss R/S when the patient directly asked them to do so.…”

Section: Introductionmentioning

confidence: 99%

Physicians’ Religious Topic Avoidance during Clinical Interactions

Villagran

MacArthur

Lee

et al. 2017

Behavioral Sciences

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Religious and spiritual (R/S) conversations at the end-of-life function to help patients and their families find comfort in difficult circumstances. Physicians who feel uncertain about how to discuss topics related to religious beliefs may seek to avoid R/S conversations with their patients. This study utilized a two-group objective structured clinical examination with a standardized patient to explore differences in physicians’ use of R/S topic avoidance tactics during a clinical interaction. Results indicated that physicians used more topic avoidance tactics in response to patients’ R/S inquiries than patients’ R/S disclosures; however, the use of topic avoidance tactics did not eliminate the need to engage in patient-initiated R/S interactions.

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Physicians’ experiences with patients who transgress boundaries

Cited by 29 publications

References 22 publications

“Enough about Me, Let's Get Back to You”: Physician Self-disclosure during Primary Care Encounters

“Enough about Me, Let's Get Back to You”: Physician Self-disclosure during Primary Care Encounters

Exploring the subjective burden of confidentiality among physicians in Norway

Physicians’ Religious Topic Avoidance during Clinical Interactions

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