"Why Are We Doing This?": Clinician Helplessness in the Face of Suffering
"Why Are We Doing This?": Clinician Helplessness in the Face of Suffering
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DOI：
10.1089/jpm.2014.0115
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发表时间：
2015-01-01
影响因子：
2.8
通讯作者：
Halifax, Joan S.
中科院分区：
文献类型：
--
作者：
Back, Anthony L.;Rushton, Cynda H.;Halifax, Joan S.
背景：当疾病的残酷程度超过医疗技术的力量时，部分后果直接落在一线临床医生身上。根据我们的经验，这种无助感有认知、情感和躯体的成分。目的：我们能否以不同的方式处理我们自己的无助体验？在这里，我们利用社会心理学和神经科学来定义一种新的方法。方法：首先，我们展示了临床医生如何将无助感重新定义为表明他们与患者接触程度的自我晴雨表。其次，我们讨论了如何有意识地从高度参与或低参与转向临床工作的建设性区域，使用总结为“更新”的方法：认识，拥抱，滋养，体现和编织-使来自所有专业学科的临床医生能够持续为患者和家庭提供服务。
Background: When the brutality of illness outstrips the powers of medical technology, part of the fallout lands squarely on front-line clinicians. In our experience, this kind of helplessness has cognitive, emotional, and somatic components.Objectives: Could we approach our own experiences of helplessness differently? Here we draw on social psychology and neuroscience to define a new approach.Methods: First, we show how clinicians can reframe helplessness as a self-barometer indicating their level of engagement with a patient. Second, we discuss how to shift deliberately from hyper- or hypo-engagement toward a constructive zone of clinical work, using an approach summarized as "RENEW": recognizing, embracing, nourishing, embodying, and weaving-to enable clinicians from all professional disciplines to sustain their service to patients and families.