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Participants: 71 doctors working in clinical non-psychiatric departments and their patients.
Results: The doctors were concerned about their patients’ health and how their medical knowledge could be of service. This medical focus often over-rode other important aspects of the consultations, especially existential elements. The doctors actively directed the focus away from their patients’ existential concerns onto medical facts and rarely addressed the personal aspects of a patient’s condition, treating them in a biomechanical manner. At the same time, however, the doctors attended to their patients with courteousness, displaying a polite and friendly attitude and emphasising the relationship between them.
Agledahl KM, Gulbrandsen P, Førde R et al. Courteous but not curious: how doctors’ politeness masks their existential neglect. A qualitative study of video-recorded patient consultations. J Med Ethics 2011; 37: 650–4.
Pasienter vil ofte kommunisere sine eksistensielle utfordringer ved å presentere somatiske bekymringer, noe som lett kan overses hvis man ikke er oppmerksom på underteksten i det som sies.
Larsen JH, Kirkegaard HT, Nordgren G et al. Identifying existential concerns as an analytical tool: an eye-opener for the doctor. Educ Prim Care 2020