Anomalous patients: the experiences of doctors with an illness
Anomalous patients: the experiences of doctors with an illness
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DOI：
10.1111/1467-9566.ep10935530
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发表时间：
1997-11-01
影响因子：
2.9
通讯作者：
Morgan, M
中科院分区：
文献类型：
--
作者：
McKevitt, C;Morgan, M
权力分配的变化被用来解释和倡导不同类型的医患关系。可以预期，成为患者的医生将与其主治医生建立“相互”的关系。对近期患病医生的采访数据显示，事实并非一定如此，甚至可能不是医生在患病时首选的医患关系模式。医生构成了异常患者，因为他们混淆了通常被认为是独立的两个类别：“医生”和“患者”。这会影响他们的医疗遭遇类型，从而引发患者和主治医生的身份和角色表现问题。医生/患者可以控制这次遭遇（通过选择或默认）；他们可能有意识地选择或明确地赋予自己“普通病人”的身份；一些人认为，医生应该被视为具有特殊需求的特殊患者，这取决于他们的内部地位和病理情况。医生和具有医学资格的患者之间的权力谈判是有问题的，但医疗接触中权力差异的存在是“自然的”，并且在很大程度上是可取的，因为它与负责疾病所代表的疾病的能力和权威有关。
Variations in the distribution of power have been used to account for and to advocate different types of doctor-patient relationship. It might be expected that doctors who become patients would have a 'mutual' relationship with their treating doctor. Data from interviews with doctors with a recent illness show that this is not necessarily the case and may not even be doctors' preferred model of doctor-patient relationship for themselves when they become ill. Doctors constitute anomalous patients since they confound two categories generally held to be separate, 'doctor' and 'patient'. This affects the type of medical encounter they have, raising issues of identity and role performance for both patient and treating doctor. Doctor/patients may be in control of the encounter (through choice or default); they may consciously choose or have explicitly ascribed to them the status of 'ordinary patient'; some believe that doctors should be treated as extraordinary patients with particular needs dependent on their insider status as much as their pathology, The negotiation of power in the encounter between doctors and medically qualified patients is problematic but the existence of the power differential in the medical encounter emerges as 'natural' and largely as desirable, since it is linked to the ability and authority to take charge of the disorder which illness represents.