Compassionate Silence in the Patient-Clinician Encounter: A Contemplative Approach
Compassionate Silence in the Patient-Clinician Encounter: A Contemplative Approach
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DOI：
10.1089/jpm.2009.0175
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发表时间：
2009-12-01
影响因子：
2.8
通讯作者：
Halifax, Joan
中科院分区：
文献类型：
--
作者：
Back, Anthony L.;Bauer-Wu, Susan M.;Halifax, Joan
在努力提高临床医生的沟通技巧时，我们经常听到各级临床医生被告诫要“保持沉默”，好像克制住不说话就能改善对话一样。然而，我们也注意到，这种“就这么做”、“以行为为中心”的沉默方式造成了一个新的、不同的问题：临床医生在使用沉默时看起来很不舒服，更糟糕的是，会产生一种明显的不安氛围，让患者和临床医生都感到负担。我们认为，临床医生对沉默在临床上的影响负有很大责任，在本文中，我们讨论了是什么使沉默变得丰富--使临床医生和患者之间能够进行一种促进愈合的沟通。我们描述了一种沉默的类型，并描述了一种源于沉思实践的同情沉默，以及使这种沉默成为可能的精神品质。
In trying to improve clinician communication skills, we have often heard clinicians at every level admonished to "usesilence,'' as if refraining from talking will improve dialogue. Yet we have also noticed that this "just do it,'' behavior-focused "use'' of silence creates a new, different problem: the clinician looks uncomfortable using silence, and worse, generates a palpable atmosphere of unease that feels burdensome to both the patient and clinician. We think that clinicians are largely responsible for the effect of silence in a clinical encounter, and in this article we discuss what makes silence enriching-enabling a kind of communication between clinician and patient that fosters healing. We describe a typology of silences, and describe a type of compassionate silence, derived from contemplative practice, along with the mental qualities that make this type of silence possible.