Primary care of patients with human immunodeficiency virus infection. The physician's perspective

Epstein, Ronald M.; Christie, Michael; Frankel, Richard M.; Rousseau, S A; Shields, Cleveland G.; Williams, Geoffrey; Suchman, Anthony L.

doi:10.1001/archfami.2.2.159

Cited by 8 publications

(2 citation statements)

References 10 publications

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“…These responses underscore the emotional difficulties that physicians have in dealing with HIV and risk behaviors (20,37). Physicians would benefit from taking advantage of opportunities to become more aware of their internal reactions to patients, including embarrassment and ambivalence about inquiring into sexual behavior, and finding ways to deal with those feelings more effectively (38).…”

Section: Discussionmentioning

confidence: 99%

Awkward Moments in Patient-Physician Communication about HIV Risk

et al. 1998

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Section: Discussionmentioning

confidence: 99%

Awkward Moments in Patient-Physician Communication about HIV Risk

et al. 1998

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“…Patients inhabit the world of the sick, we the world of the well. "Othering" during the early days of the AIDS epidemic was a protective response by health professionals to cope with the suffering and death of those who appeared to be not too different from them [21,22]. Philosopher Gayatri Chakravorty Spivak suggests that we not engage in the arrogance of presuming we can know the other's experience; rather, we should try to "learn from below," letting the other guide us in a process of shared imagination [23].…”

Section: From Othering To Engagementmentioning

confidence: 99%

Realizing Engel's Biopsychosocial Vision: Resilience, Compassion, and Quality of Care

Epstein

2014

Int J Psychiatry Med

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George Engel's biopsychosocial vision was simultaneously scientific and humanistic. He passionately presented an approach to clinical care to correct the progressive distancing of clinical care and research from the lived experience of the patient. Yet, while science provides ever greater evidence for the linkages between subjectively-reported experience and health outcomes, trainees and practicing clinicians struggle to realize a biopsychosocial vision in a pragmatic way. These challenges are magnified by the mandate for greater patient autonomy and participation in care, increased access to information, and overlaps and omissions as multiple professionals try to address the whole person. Importantly, trainees and clinicians get stuck implementing the biopsychosocial model partly because they have not developed the capacity for resilience, self-awareness, and self-monitoring. These capacities must accompany efforts to help clinicians engage more deeply with their patients; otherwise, they risk emotional distress, empathic failure, premature closure, and withdrawal from effective connections with patients. This article will explore ways in which Engel's biopsychosocial vision can be realized through building the capacities of clinicians to become more self-aware and resilient, and engage in compassionate action.

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Patientenorientierte Krankenversorgung: AIDS als Herausforderung

Schaeffer

1995

J Public Health

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Primary care of patients with human immunodeficiency virus infection. The physician's perspective

Cited by 8 publications

References 10 publications

Awkward Moments in Patient-Physician Communication about HIV Risk

Awkward Moments in Patient-Physician Communication about HIV Risk

Realizing Engel's Biopsychosocial Vision: Resilience, Compassion, and Quality of Care

Patientenorientierte Krankenversorgung: AIDS als Herausforderung

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